24458_DONOVAN, JOHN_20000208

CAMA and DREDGE
G E N E
PERM
as authorized by the State o
Department of Environmen
in an area of environmental
Applicant Name
ArlrlrPcc
t
AND FILL (�
R A L 24458
I T
f North Carolina
and Natural Resources and the Coastal Resources Commission
concern pursuant to 15 NCAC
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION SKETCH
Pier (dock) Length
Groin Length
number
Bulkhead Length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
State
Phone Number
Zip
(SCALE: )
This permit is subject to compliance with this application, site drawing
and attached general and specific conditions. Any violation of these terms
applicant's signature
may subject the permittee to a fine, imprisonment or civil action; and
may cause the permit to become null and void.
This permit must be on the project site and accessible to the permit of-
permit officer's signature
ficer when the project is inspected for compliance. The applicant certi-
fies by signing this permit that 1) this project is consistent with the local
issuing date expiration date
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.
attachments
In issuing this permit the State of North Carolina certifies that this project
is consistent with the North Carolina Coastal Management Program.
application fee

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DAVID SIMPSON CONSTRUCTION CO. INC.
800 BROAD ST.
P.O. BOX 590
ORIENTAL, NC 28571
PAY
TO THE
ORDER OF
14219
66-30/531
DATE an
_DOLLARS fflla-,
U F�R�T CITIZENS,-
(J First-Citizons Bank 8 Trust Company
Bayboro, N C. 29515
ft
FOR 02-NO1/_AN - /4'V 4 yldk —
II'0 11, 2 1911' GD 5 3 100 300i:00 4 7 1 100 70 7 911'
&P

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I HEREBY CERTIFY THAT I OWN PROPERTY ADJACENT TO:
MR. J N N D DN DQ A N PROPERTY LOCATED AT
+73 BLUE HEQptj 04, BAWRO ON 13AV P.l UE (Z
(LOT, BLOCK, ROAD, ETC.) ( BODY OF WATER)
IN tqA ?- tBE L NORTH CAROLINA IN PAMLICO
TOWN COUNTY
THE PROPOSAL HAS BEEN DESCRI TO ME AS SHOWN BELOW:
THE DEVELOPMENT IS A PIEK, LKHEAD, STRUCTURE, (CIRCLE ONE). I HAVE NO OBJECTION
TO THE PROPOSAL AND ITS L05rlbN. I UNDERSTAND THAT IF THE DEVELOPMENT IS A PIER, IT MUST
BE SETBACK A MINIMUM DISTANCE OF 15 FEET FROM MY AREA OF RIPARIAN ACCESS UNLESS WAIVED
BY ME.
I DO DO NOT WISH TO WAIVE THAT SETBACK REQUIREMENT.
DESCRIPTION AND J OR DRAWING OF PROPOSED DEVELOPMENT:
INDICATE THE SIZE AND LOCATION OF THE STRUCTURE AND THE DISTANCE BETWEEN EACH PROPERTY LINE AND
THE WATER
LY 15TJNC-1 Su(y_NEAp
SIGNA RE
( L
NAME (PLEASE PRINT)
6¢ 1
t'�o Pas E D /4 `x 14 ` Pc A7frP_M
EXfsT1N(-7 4)o(�
I�VAT Ll FT
DATE 1 7 C�Ci

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I HEREBY CERTIFY THAT I OWN PROPERTY ADJACENT TO:
MR. .100 N D ONN hN PROPERTY LOCATED AT
473 BLUE N EZpj LN. BAYON _3AY �- l vt� j?-
(LOT, BLOCK, ROAD, ETC.) ( BODY OF WATER)
IN MAKIBAL. NORTH CAROLINA IN PAMLICO
TOWN COUNTY
THE PROPOSAL HAS BEEN DESC�R,IB��TO ME AS SHOWN BELOW:
THE DEVELOPMENT IS A PIERS DOCK, BULKHEAD. STRUCTURE, (CIRCLE ONE). I HAVE NO OBJECTION
TO THE PROPOSAL AND ITS L05WION. I UNDERSTAND THAT IF THE DEVELOPMENT IS A PIER, IT MUST
BE SETBACK A MINIMUM DISTANCE OF 15 FEET FROM MY AREA OF RIPARIAN ACCESS UNLESS WAIVED
BY ME.
I DO DO NOT WISH TO WANE THAT SETBACK REQUIREMENT.
DESCRIPTION AND / OR DRAWING OF PROPOSED DEVELOPMENT:
INDICATE THE SIZE AND LOCATION OF THE STRUCTURE AND THE DISTANCE BETWEEN EACH PROPERTY LINE AND
THE WATER
15A I' EFDT
/4'
6¢ r
XiST�KC� gULV-WFAD Ext:!mpic,
m cCo m
SIGNATURE
PYoPasED /4`x 14 � PLATFPP-M
ExisrlNU . o(�
jROAT (—I FT
�� DATE ,< ` o
NAME (PLEASE PRINT)