19810_SIENKIEWICZ, ROBERT_19980413

CAMA AND DREDGE AND FILL Cd
GENERAL �,�d v t�. i 10 _ ;
PERMIT
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.)
,r
Type of Project Activity
PROJECT DESCRIPTION I SKETCH
Pier (dock) length
Groin length
number -
Bulkhead length
max. distance offsh (re
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
4.
�V
Phone Number
State
Zip
El E �✓ �' pia (SCALE: )
7V IV-r��4 l
}-
I
(cl,
\Ilk
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.
ram.
a
applicant's signature
permit officer's signature
issuing date expiration date
attachments 0, )
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee
Management Program.

RANDY E GODWIN NC 3579025
DEBBIE S GODWIN NC
013 3
325929
2398 WHORTONSVILLE RD PH 919-249-1456
MERRITT, NC 28556
/531
Date
Pay to ti
Order
Y
�
5
�
TA
E
VGArs
Dolla 0 5aur11y °° "'°°
Wachovia Bank, N.A.
Bayboro, NC 28515 J 1 1CI�WI�z) � •
For
1:05310 5 29�: 0789 2115311Ia 013
0 HARLAND
CLASSIC
J

Pamlico County Building Inspectiol]s
P.O. Box 776
Bayboro, N.C. 2851,5
(919)-745-3861
Adiacml RiparianProperty Ownp�5tatem nt pn — — _..
I hereby certify that I own property adjacent to Robert J. Sienkiewicz
`s
Name of landowner proposing development
on Florence in/near Lot# 14 of Bay Shores
Community Subdivision, if applicable
Tax Parcel # Q 43-3-1 4 off SR -I 324
Complete description of how to locate this property:
Trun f n 1324 and o miles Turn ore left at Ba shsi noro,
This proposed project, a Pier/ Bulkheadand 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 hollowing:
wish to waive the 15' minimum setback from my riparian access.
II d14.1 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.
� 3/
7;1-
y `
ANT this f'otrn is completed by the landmk7ter proposing the projacd, a copy is given to the adjacent iaudowners for their ooa.%cnt Find
>irtzxaltver. 'rho forrxxs tug then returnLieL Wong with is buildirtg pltu, coif other amlicable required information, to the Bui4ng
Inspections Of lcv 1'or b ng permit aPPlicatiorUprmco -ging.
Signature
;' Date�iEarL

M
Pamlico County Building Inspections
P.O. Box 776
Bayboro, N.C. 28515
(919)-745-3861
I pnit
I hereby certify that I own property adjacent to Robert J. Sienkiewicz
on Florence
Community
Natne of landowner proposing; development
in/near Lot# 14 of Bay Shores
Subdivision, if applicable
Tax Parcel # J-43-3-1 4 off SR 1 324
Complete description of how to locate this property P u�y S S Pa Gt out of x�avh
Trun leftn 4 an o files Turn left at Ba shore siunoro,
This proposed project, a Pier / Bulkheac�nd 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 hollowing.
I wish to waive the 15' minimum setback from my riparian access.
--ZI 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.
At1cr this form is completed by the IwICI &mcr proposing the project, a copy is given to the adjacent landowners for (heir cowwnt and
stgtlatures. 'rho form, kvv then returned, idong with u building ptM tuid usher aM)Ecablc required infcmmtiun, to the Building
Inspectiags (MIC-c Ibr building Wn"it applicatiort/prc ecwiing.
Signature �j ���''%y
Date Z�/ /CP

t kic-