19945_SHIELDS, TOM & BRENDA_19980709

CAMA AND DREDGE AND FILL
GENERAL
PERMIT
t" P
(9945 _ C
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 LQ,21 Phone Number
Address `'f>'!r"a't�s�dr i f�G•
City C•/i1,6
Project Location (County, State Road, Water Body, etc.) —
Type of Project Activity
PROJECT DESCRIPTION I SKETCH
Pier (dock) length
Groin length
number
Bulkhead length
Stag
' 1 M - Ck''ils•'� ���
zip
(SCALE: VC A-717, }
LJ " ,TX'M it yJc�`�ri ff
cxwd'10-1,3n l d• e:�
max. distance offshore
Basin, channel dimensions y
/e,
cubic yards It��lj
Boat ramp dimensions
loft
Other
r•n+ �� L
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.
applicant's signature
permit officer's signature
issuing date expiration date
attachments LlAa. //Oc
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
application fee

COVERED 6RIDGES
I�1'I�OMAS' M: •SHIELD `�{ 4
B'NDAfN"""SHIELDS
7134260 DL 5 35` x. 152/531 h
t �Date
,
:,11pX.{I S Xh.
for
2 91:.- 0? 8 4 2 11,13 3 4 ii' 0 4.
O DESIGNER CHECKS - COVERED BRIDGES

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 TCM PAD UM 911RI M `s
Name of landowner proposing development
on R S GE< in/near Lot#4 & 5 of REAM AM`
Community Subdivision, if applicable
Tax Parcel # L 0 �L- 5e off SR / 1 / 7
Complete description of how to locate this property:
This proposed project, a E4AL/BJ14fAD , 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,Ao,ish 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.
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 en returned, along with a building plan and other applicable required information, to the Building
Inspections OfTice forUZ pe&nit application/processing.
Si
Date
4�

��� `''lo°

Pamlico County Building Inspections
P.O. Box 776
Bayboro, N.C. 28515
(919)-745-3861
Adjacent Riparian Propel Owner Statement Epn#.
I hereby certify that I own property adjacent to TCl`1 /W HU 9-1 L `s
Name of landowner proposing development
on TM'S CRID< in/near Lot# 4 & 5of FI EkW PGE
Community Subdivision, if applicable
Tax Parcel # E' D 9 / - s off SR L -
Complete description of how to locate this property: 393 OEI< SITE TRIBE
WPHE U
This proposed project, a , 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:
I 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.
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.
Signatures-% �� }� �__,� Date 'Z',/W

FLOOD NOTE: According to FIRM Panel na 370181-0265-A
Ws properly i.r localed in an "A5"FLOOD ZONE,
and ,J within the 100 year FL 0OD BOUNDARY.
BASE FL COD EL EVA T/ON 9 OO' WAN SEA L EVEL.
DATE OF F.I.R.M PANEL SEPTEMBER 4, /985
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6
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4'V A6
G¢ V A i AREA 0.73 ACRES\.p
•5 TOTAL BOTH LOTS
Iko
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V
.N 85.07'4/" W /72' (deed )
AD✓O/NER'S FENCE CONTROL PO,N I
/PF ON LINE- -
/ 153.18, 44
}/
° / V
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LOT 3 0h' �q Qc�PLEASANT ACRLS
PLAT CAR
SLIDE 1-42 ny
X �
\ REFERENCES:
30' ACCESS EASEMENT DEED BOOK 16
TO TURNPIKE ROAD \ ��
FROM CONTROL POINT \ PLAT CASINE
S 28.50'00" E 252.50'
S 23'30'00" E
-- 507.70' 1PF........... IRON
1P5.......... IRON :
S 61.15'00" W 141.40'
S 31.45'00" E 240.00'
PREPARED BY
FiESt RVEY FOR