13113_SEYMOUR, CHARLES_19940630

CAMA AND DREDGE AND FILL
GENERAL A4�r , 131'! 3
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
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Applicant !,Name t-- tr, .., t `-f' 1 � `4 i✓ "V. - Phone Number! -� f.'{ I� t/ % - a' 'U
Address A,- V 7
City C",
Project Location (County, State Road, Water Body, etc.
Type of Project Activity C �' < ?' f
State 4-' f
r
Zip G'
PROJECT DESCRIPTION
Pier (dock) length
SKETCH 4 S ws
i
(SCALE:
a
Groin length
number
Bulkhead length
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r
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r ti�
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ax. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
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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.
This permit must be on the project site and accessible to the
permit officer when the project is inspected for compliance.
applicant certifies by signing this permit that 1) this pro-
Js 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.
issuing date expiration date
attachments
1
In issuing this permit the State of North Carolina certifies that h 6 —n �
this project is consistent with the North Carolina Coastal application fee 5 L�r e� t� ( ± x !
Management Program,

ORIENTAL, NC 28571 19
PAYTOTHE
ORDI
OF
DOLLARS
Wachovia Bank of North Carolina, N-A.
FORCI

ADJACENT RIPARIAN PROPERTY OWNER STX1U4 VT
I hereby certify that I own property adjacent to, Charles _S.
property located at Horton Road, Otter Creek Subdivision orieni-al N.�.
Lot #4 (lot, block, road, etc.
on Otter Creek in__ Oriental, N.C.
(body of water) (tom)
.lorth Carolina in Pamlico County. The proposal has been described to me as shown below:
the development, aVi bulkhead ttuaAMte, and the proposed location, and I have no
(cir(5le one)
ob;cctions to the proposal. I understand that if the development is a pier, it must
ire set back a minimum distance of 15 feet from my area of riparian access unless waived
by me. .Iel /do not wish to waive that setback requirement.
circle one)
"-•scription and/or drawing of proposed development: (to be filled in by individual
,.rcrrsi.ng development.) INDICATE THE SIZE AND LOCATION OF THE STRUM -RE AND THE
BET= EACH PROPERTY LINE AND THE WATER.
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(Original must be retained in the Inspection Department)
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Name (Please Print)