19942_VAN MEETEREN, HANS & GRETA_19980702

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CAMA AND DREDGE AND FILL
GENERAL ; r11 942 _c
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
Orldr—
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION j SKETCH
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
-1 41.
State
<r4, Vic_
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Other J'
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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.
IIThis 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.
I In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
attachments
application fee
Phone Number
(SCALE:
T'— /Tapplicant's signature
f L
/ permit officer's signature
issuing date expiration date

LIBERTY
LINDA OR WAVERLY D. SHORE
DBA PAMLICO MARINE CONST.
HER NCDL 4789098 HIS 3266479
PH. 919-745-7992
P.O, BOX 163, DIXON RD.
VANDEMERE, NC 28587
PAY TO THE
ORDER OF
1p `a 19j 5823
66.7796/2531
DOLLARS DETA
ILS
4 so.
Winston-Salam. NC' f-1Y7n5 Vi�n Me �,
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1:253079681: 001790611' 5823
1

09 .. .
Pamlico County Building Inspections
P.O. Box 776
Bayboro, N.C. 28515
(919)-74.5-3861
Adiacent Fj,parign Property Owner Statement Epn#
I hereby certify that I own property adjacent to Mr - F. Mrs, H.P. van Meetgran `s
Name of landowner proposing development
on in/near Lot#j_g _ of Osorey Point
Community Subdivision, if applicable
Tax Parcel #-__ ------ I- off SF
Complete description of how to locate this property: Winchester way, Merrit
This proposed project, a dock , and the location has been described to me as
shown in the drawing below#nnd I have no objections to the proposal.
For a Pier, check one of the Following:
I wish.,t.o _waive thr.15:1.l4iinimum setback frtxn my riparian wcess. .
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 Vines, other structures on the property, and the
road, water, etc.
After this farm is completed by the landowner proposing the project, a wpy 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.
Signature �• ✓{
1
Date �-t ,j �+-------� / e7 7

Pamlico County Building Inspections
P.O. Box 776
Bayboro, N.C. 28515
(919)-745-3861
I hereby certify that I own property adjacent to mr - & Mrs. H.P. van Meeteren `s
Name of landowner proposing development
on in/near Lot#_12_ofQs2rey Point
Conununity Subdivision, if applicable
Tax Parcel # off SR .
Complete description of how to locate this property: Winchester Way, Merr i t
This proposed project, a aock , 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:
wish to waive the 15' minimum setback from unr-iparian-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, vrater, etc.
After this fort is completed by the landowner proposing the project, a copy is given to the adjacent landowners ferd*r coaurtt and
signatures: The fo ren re d, along with a building plan and other applicable required information, to the Building
lnspectionr or ' ding permit a 'cation/processing.
Date A19

I
12
X =Poles above dock, same
height as outer poles
All other poles 2' above dock.

.9y41- 039/

•
I hereby certify that I own property adjacent to Hans & Greta van Meeteren
's
II -- ff 9 I (Name of Property Owner)
property located at �,►� W i C(� 2S�Lf �nlCw( � �''j r�� I-/ C 2 S S- ,
(Lot, Block, Road, etc.)
on 'RCA Ci�P—P-L , in- tj p r t i , N:1 L 10 1998
(Waterbody) (Town and/or County)
He has described to me as shown below, the development he is proposing at that location,
and, I have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPA '.' TT
(To be filled in by individual proposing development)
Signature41 /W
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Print or Type Name
Z 3 P— -z
Telephone Number
Date: ,(� y-�. i .FZ 2 �--

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SENDER:
72 ■Complete items 1 and/or 2 for additional services.
H ■ Complete items 3, 4a, and 41b.
■ Print your name and address on the reverse of this form so that we can return this
card to you.
y ■Attach this form to the front of the mailpiece, or on the back if space does not
d permit.
w ■ Write'Return Receipt Requested' on the mailpiece below the article number.
M ■ The Return Receipt will show to whom the article was delivered and the date
r delivered.
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3, Article Addressed to:
d ek
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I also wish to receive the
following services (for an
extra fee):
1. ❑ Addressee's Address
2. ❑ Restricted Delivery
Consult postmaster for fee.
❑ Registered
W ❑ Express Mail ❑ Insured
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PS Form 3811, De ember 1994
7. Date of Deliv ry
8. Addressee's Address (Only if rei
and fee is paid)
102595-97-B-0179 A
Domestic Return

UNITED STATES POSTAL SERVICE
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
• Print your name, address, and ZIP Code in this box •
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ai SENDER:
"a■Complete items 1 and/or 2 for additional services.
I also wish to receive the
w
■Complete items 3, 4a, and 4b.
following services (for an
d
■ Print your name and address on the reverse of this form so that we can return this
extra fee):
card to you.
-Attach this form to the front of the mallpiece, or on the back if space does not
. ❑Addressee's Address
g,
d
permit.
■ Write'Retum Receipt Requested' on the mailpiece below the article
number.
2. ❑ Restricted Delivery
S
C
■The Return Receipt will show to whom the article was delivered and the date
delivered.
Consult postmaster for fee.
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3. Article Addressed to:
4a. I er
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4b. Service Type
❑Registered Certified
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❑ Express Mail ❑ Insured
❑ Return Receipt for Merchandise ❑ COD
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7. Date of live
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5. Received By: (Print Name)
8. Addrss e s d re s (Only if requested
fee is
and p d)
6. ignatu : (Addressee orA
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PS Form 3811, December 1994
102595-97-e-0179 Domestic Return Receipt

!UNITED STATES POSTAL SERVICE
TFirst-Class Mail t?
aid
& Fees
4S a eo. G-1 D
• Print your name, address, and ZIP Code in this box •
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