19647_OLSON, ALLEN SR._19980902

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CAMA AND DREDGE AND FILL
GENERAL
PERMIT eq
as authorized by the State of North Carolina /
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC
Applicant Name
Address
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
Phone Number
_ State Zip —
PROJECT DESCRIPTION
SKETCH
(SCAL-E:
Pier (dock) length
R
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Groin length
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number
Bulkhead length
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max. distance offshore
Basin, channel dimensions
j cubic yards
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Boat ramp dimensions
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Other
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This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine,
imprisonment or civil action; and may cause the permit to be-
come null and void.
This permit must be on the project site and accessible to the
permit officer when the project is inspected for compliance.
The applicant certifies by signing this permit that 1) this pro-
ject is consistent with the local land use plan and all local
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
objections to the proposed work.
h' ' h S f N th C I' fif' th t
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applicant's signature
a
permit officer's signature
issuing date
attachments
7�f 7 /Gzi
in +ssumg t is permit t e Late. or aro ina c,, l les
this project is consistent with the North Carolina Coastal application fee% i
Management Program.
expiration date

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CLASSIC

Pamlico County Building Inspections
P.O. Boa 776
Bayboro, N.C. 28515
(919)-745-3861
Adjacent Riparian Property Owner Statement Epn#
I hereby certify that I own property adjacent to ALLi✓A-) ()L 5ON T• `s
Name of landowner proposing development
on in/near Lot#-�—/ of � & X
Community Subdivision, if applicable
Tax Parcel # - 0'43 - 3 - `i off SR /�o?y
Complete description of how to locate this property:n
This proposed project, al re., - i,j Jt--& , and the location has been described tome as
shown in the drawing below and I have no objections to the proposal.
For a Pier, check one of the Following:
_ZI wish to waive the 15' minimum setback from my riparian access.
I do not wish to waive the 15' minimum setback requirement.
Draw the proposed structure in the space provided below. List the size of the structure and
measured distances from the adjacent property lines, other structures on the property, and the
road, water, etc.
I
MR�yil
c 5
After this form is completed by the landowner proposing the project, a copy is given to the adjacent landowners for their consent and
signatures. The forms are then returned, along with a building plan and other applicable required information, to the Building
Inspections Office for building permit application/processing.
I
Signature Date
F,�( (3
1W4Y

Pamlico County Building Inspections
P.O. Box 776
Bayboro, N.C. 28515
(919)-745-3861
Adjacent Riparian Property Owner Statement Epn#
I hereby certify that I own property adjacent to 4LL�� 0/- So/ S
r.
m`s
Nae of landowner proposing development
on in/near Lot#-�—/ of -ALT -E�
Community Subdivision, if applicable
Tax Parcel # a - 0`43 - 3 - `/ off SR_ / ,,?�
Complete description of how to locate this property: %
This proposed project, a ±) (e'Al- u-)� t-2 , and the location has been described to me as
shown in the drawing below and I have no objections to the proposal.
For a Pier, check one of the Following:
_ZI wish to waive the 15' minimum setback from my riparian access.
I do not wish to waive the 15' minimum setback requirement.
Draw the proposed structure in the space provided below. List the size of the structure and
measured distances from the adjacent property lines, other structures on the property, and the
road, water, etc.
Ma®yd c
s �
5
After this form is completed by the landowner proposing the project a copy is given to the adjacent landowners for their consent and
signatures. The forms are then returned, along with a building plan and other applicable required information, to the Building
Inspections Office for building permit lication/processing.
Signature Date
F�(1-: `
=#-y