12133_JIM'S PARADISE SHORES MARINA (FOX, CAROL)_19940125

CAMA AND DREDGE AND FILL
GENERAL
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 15 NCAC /
Applicant Name /���'r_./�� fr.S / .L �' �` Phone Number -
Address
City State ' Zip -
Project Location (County, $ta-te Road, Water Body, etc.)
A,/
Type of Project Activity
PROJECT DESCRIPTION SKETCH r!,' (SCALE: )
Pier (dock) length
r
t ,
Groin lengthir
number
Bulkhead length77
max. distance offshore
➢ 1
r �
i
Basin, channel dimensions
i
al
cubic yards
i
Boat ramp dimensions
- ----i I
Other
r
H-ri I i
I 111
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.
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
applicant's signature
permit officer's signature
issuing date expiration date
attachments
application fee Y

JUDITH C. FOX 66-152/531 1720
RT 1 BOX 216-A 249-2597
STATE RD 1328
MERRITT, NC 28556
O ORDER
OFE 11 1 & ,L iJ I $
ORDER OF N'y � `� �C� J (J (f
DOLLARS
Wachovia BankofNorth Carolina, N.A.
FOR � � � �� � �• I��N� � `
�:053LOL5291: 078L, 20378l,u L720

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AWACENr RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to �lr�'►�' �/ �G __
>roperty located at �/ qJ /yr;ze,4
lot, block, mad, tc.
m AG��� �Y� e/, S1�i�e✓�o1We in � ryI —
(body of water) (town) 7r
forth Carolina in Pamlico County. The proposal has been described to me as shown below;
:he dcvelopment, a pier/bulkhead/structure, and the proposed location, and I have no
(circle one)
bjections to the proposal. I understand that if the development is a pier, it must
,e set back a minimum distance of 15 feet from my area of riparian access unless waived
)y me. I do/do not wish to waive that setback requirement.
(circle one)
-
;escription and/or drawing of proposed development: (to be filled in by individual
,roposing development.) INDICATE THE SIZE AND LOCATION OF THE STRUCTURE AND THE
`ISTITCE BL WF.EN EACH PROPERTY LINE AND THE WATER.
(Original must be retained in the Inspection Department)
signature
�13
da e
---------- —
Name (PIPasp Print)

C�-a ss
se-4 4-1..) "'o

s(:?- ,e-o Qnqo
fit BMIK
�oj

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
/moo -ox I hereby certify that I own property adjacent tot �/� I�CC
)roperty located at �/ �� �s ✓'�
o , block, mad, e
m ZK_1&'J c in 77e yr _
(body of water) (town) '
Iorth Carolina in Pamlico County. The proposal has been described to me as shown below;
-he dcvelopment, a pier/bulkhead/structure, and the proposed location, and I have no
(circle one)
'bjections to the proposal. I understand that if the development is a pier, it must
,e set back a minimum distance of 15 feet from my area of riparian access unless waived
)y me. I do/do not wish to waive that setback requirement.
(circle one)
ascription and/or drawing of proposed development: (to be filled in by individual
.,r-oposing development.) INDICATE THE SIZE AND LOCATION OF THE STRUCTURE AND THE
' [ S` ITCE BE.'IVEE'.N EACH PROPERTY LINE AND THE WATER.
(Original must be retained in the Inspection Department)
t Signature
ll - /7—'U
-date— ---- -