19822_TAYLOR, JEFFREY_19980430

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CA A AND DREDGE AND FILL r&�
GENERAL . �9822 _ �
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 �'fr ��' %� Phone Number
Address —
City ����, ¢s��'c; State A2'_. Zip
Project Location (County, State Road, Water Body, etc.)
-T— l
Type of Project Activity %��' ' nl� ate. • !1
?7
PROJECT DESCRIPTION SKETCH (SCALE:
Pier (dock) length
Groin length
,
number
Bulkhead length /
max. distance offshore f
Basin, channel dimensions 110a
O b rpwUvt
cubic yards U _ - _10
b
G �
-
Boat ramp dimensions _ _____ _ �^•�— _"_—
Other
r°1 I RGr'trr r Y
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
30=tJoc
issuing date expiration date
)//. / z�
attachments 6.
In issuing this permit the State of North Carolina certifies that K
this project is consistent with the North Carolina Coastal application fee(�J
Management Program.

KERRY ENSLEY
PH 919-745-8395
PO BOX 13431
0262
66-152/531 CLS
NEW BERN, NC 28560
PAY TO Tl-IE
LLARS SecurlY leelurae
DOo:i:u: mck.
WTACHOVk1096
P
Wachovia Bank of North Carolina, N.A.
Boyboro, NC 28515 Tqw
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Pamlico County Building Inspections
P.O. Box 776
Bayboro, N.C. 2851.5
(919)-745-3861
Adjacent Riparian Property Owner Statement Epn#
I hereby certify that I own property adjacent to �-"l s `s
Name of landowner roposing dev lopment
on� -'.d.�� in/near Lot#,
Community
Tax Parcel #
off SR
Complete description of how to locate t I
Subdivision, if applicable
This proposed project, a ' �� % ,and the location has been described to me aW
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.
Signatu �� C��" l Date

OPP-29-199G 09=46
0
Rl PPINTING INC.
732 899 22 24 P . 01 `01
MEMO FROM...
04-29-1998 09:25AII
JOHN AGNOSTAK
�-a�r � •.sue a.+—
73 vas-/zoz
732 899 2224
TOTAL P.01
P. 01

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