10723_J Thomas Brown_19920710

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Applicant Name_
r
Address
lCAMA AND DREDGE
GENERAL � � � • JUL 2 0 92 `11�g°
_Y. N CNO aPERMIT ...T
as authorized by the State of North
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC i " I ' -/;" 0
City, tti- . - , ' -a f r
Project Location (County, State Road, Water Body, etc.)
State —
Phone Number
Zip
,✓� t ( - , .. 1 �j.F' ISM / /f
Type of Project Activity 111
PROJECT DESCRIPTION
Pier (dock) length
Groin length^
number
Bulkhead length
max, distance offshore
Basin, channel dimensions
cubic yards
r"
Boat ramp dimensions
Other
SKETCH
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.
(SCALE:
applicant's signature
r
I permit officer's signature
74 t 7
!"
issuing date expiration date
L i��111_. t /,
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 # �, C� • (moo
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State of North Carolina
Department of Environment, Health, and Natural Resources
Division of Coastal Management
3411 Arendell Street • Morehead City, North Carolina 28557
James G. Martin, Governor Roger N. Schecter
William W. Cobey, Jr., Secretary July 13, 1992 Director
Mr. David Simpson
DAVID SIMPSON CONSTRUCTION COMPANY
Route 65, Box 384
Arapahoe, NC 28510
Dear David:
Attached is General Permit C-10723 issued to J. Thomas Brown
to construct a boat lift and wooden ramp off SR1218, off Lynch
Beach Road, near Maribel, on the Bay River, in Pamlico County.
In order to validate this permit, please sign all three (3)
copies as indicated. Retain the white copy for your files and
return the yellow and pink signed copies to us in the enclosed,
self-addressed envelope.
Your early attention to this matter would be appreciated.
WDN/dh
Enclosures
T­3 o­'� P_
Sincerely,
C:�!���
W. David Noble
Field Representative
P.O. Box 769, Morehead City, North Carolina 28557 Telephone [phone]
An Equal Opportunity Affirmative Action Employer

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
property located at oi�k S 2. 1 A i B
(lot, block, road, etc.
on__0
(body 6f water) (town) ------ ,
North Carolina in Pamlico County. The proposal has been described to me as shown bel,w;
the development, a pier/bulkhead/ tructure, and the proposed :ovation, and I have no
(circle one)
objections to the proposal. I understand that if the development is a pier, it must
be set back 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.
(circle one)
Description and/or drawing of proposed developinent: (to be filled in by individual
proposing development.) INDICATE THE SIZE AND LOCATION OF THE STRUCTURE AND THE
DISTANCE BE"�WEEN E�CH PROPERTY LINE AND THE titi1�`,TER.
•LQMJ�QOt N _ 1 J TH.or'Axs PsrtcwK Joe SAQooDy
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to as
(Original must be retained in the Inspection Department)
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ign m
Name (Please Print)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to S, �y,�,s t� ,�, r, _ ' s
property located at e( S P i a i$ _
(lot, block, road, etc.
on �. vUr in r► ea.v Mr i
(body of water) (town)
North Carolina in Pamlico County. The proposal has been described to me as shown bel,nv;
the development, a pier/bulkhead tructure and the proposed location, and I have no
(circle one)
objections to the proposal. I understand that if the develol;vent is a pier, it must
be set back a minimum distance of 15 feet from my area of riparian access unless waiv-d
by me. I d do not wish to waive that setback requirement.
ircle one)
Description and/or drawing of proposed development: (to be filled in by individual
proposing development.) INDICATE THE SIZE AND LOCATIO OF THE STRUCTURE AND THE
DISTANCE B);1 EACH PROPERTY LINE AND THE WATER. .loE i3A 2 no D %
�l�d �� _ J Tl�o Yv1 A t S 2.o W s.►
auI�AD
�_ NEiN RAMP itw x acLt
w
2�
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(Original must be retained in the Inspection Department)
Signature
G/-Da /9a
Name (Please Print)