25587_DEAL, WILLIAM_20000530

r
CAMA and DREDGE AND FILLS_
IiiG E N E R A L
PERM I T
as authorized by the State of North Carolina
Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC
Applicant Name Phone Number
Address
City State
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
zip
PROJECT DESCRIPTION SKETCH
(SCALE:
Pier (dock) Length
Groin Length
i
number
Bulkhead Length
t
max. distance offshore
Basin, channel dimensions
i
cubic yards
`
Boat ramp dimensions
Other
i
Y
...
-
.
This permit is subject to compliance with this application, site drawing X•_1�/. 1A j ' >11-41 kl.
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. i ' ' �I-.
This permit must be on the project site and accessible to the permit of-
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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=381 INDIAN BLUFFS DR PH-249-201
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Memo---` 5802 63899011' 2355
1.0 10L529.

Pamlico County Building Inspections
P.O. Box 776
Bayboro, N.C. 28515
(919)=745-3861
Adjacent Rrarian Property Owner Statement Epn# � d
I hereby certify that I own property adjacent to L . `s
Name of landowner proposing development
o711 . in/near LotA of Cgn Ra ZEE '9 u.,�, 2) l
Community Subdivision, if applicable
Tax Parcel # off SR
Complete description of how to locate this property:
shown in the drawing below and I have no objections to the proposal.
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.
� y
m�WAm� eVer Iz2a�»�A
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 petit application/processing.
Signature J w>< Date S a o v
i.

Pamlico County Building Inspections
P.O. Box 776
Bayboro, N.C. 28515
(919)=745-3861
I hereby certify that I own property adjacent toti64f_A /AAA C • � � dy ��:s
Name of landowner proposi g development
/UI
Community Subdivision, if applicable —`
Tax Parcel # off SR ,
Complete description of how to locate this property:
This proposed project, a e locati0 6 has been -described to me as
shown in the drawing below and I have no objections to the proposal.
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.
�r
rill
v '
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 fonns are then returned, along with a building plan and other applicable required
intbrmation to the Building Inspections Office for building permit application/processing.
Signatureitzx'Al
Date S — D 0