15926_FOSTER, WILLIAM & ANN_19960104

CAMA AND DREDGE AND FILL 015926
GENERAL
PERMIT
as authorized by the State of North Carolina
/may Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of
environmental concern pursuant to 15A NCAC Q �• ��'° � � "�- s ^����'.
Applicant Name y Phone Number
Address /15'
City C J-e'C,-1 Z''C. State A/ V Zip
Project Location :County, State Road, Water Body, etc.)
,,f��,.,� ,gas�,f/mot,
:^-' i Cj, (� ; e'1.+ Ci ' 4�CJ
aype of Project Activit �7 -
..
E< - /141 7'i i, _
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PROJECT DESCRIPTION SKETCH (SCALE:
Rie-r (dock) length
Groin length
number
Bulkhead length
max. distance offshore ' "" i
j�fo�icS=-cb G X 4o I*, -{ram
Basin, channel dimensions -
cubic yards JV
Boat ramp dimensions
Other(a. > jr
C+J—tC 2 IVL'AC_ i� T�
e •
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.
d / /
applicant's signature
permit officer's signature
i) :1 / )� C /` fir:
issuing date expiration date
attachments b9r . Aoa ��py, �,% (/0,-
In issuing this permit the State of North Carolina certifies that dd / this project is consistent with the North Carolina Coastal application fee —'��� i�iFr � 17 3 2'
Management Program.

BROAD CREEK CONSTRUCTION INC. 6195 1232
✓J 112 Creekview St Ph 919-249-0523 66-30/531
Jj Merritt, NC 28556
0 NYRST CITIZENS Air
fD A1�Y First-Cllliens Bonk a Trust Company
VLN � Tayboto, NC 4A516
FOR
GPC. 154�5-acoR�K6.
1:053 100300I:47110 2 2G?Lon
1232
Sac guy luaturas
ai. Qo4.
Details w back.
®HANLAND
SIGNET

PO$�X 776� •PAMLICO'COUNTY BUILDING INSPECTIONS BAYBORO, N.C. 2 515
� [phone]
(A er t s, form is completed by the landowner proposing the projec ,
a py is 'iven to his/her adjacent landowners for their consent an
si ture � The fors are then returned, along with a building plan
andlother applicable required information, to the Building Inspections'
OTce fo-Ibuilding permit application/processing.)
r
1ADJACENT RIPARIAN PROPERTY OWNER STATEMENT EPN#
iJI I` I hereby certify that I own property adjacenL to
Wiliam & Ann Foster 's on Bay River
Naq►g of 1 ndowner proposing development body of water
f hI' in)41ear !Florence Lot# 4 of Bay Shore Esatates
community Subdivision, if applicable
Tax lParcel #J043-3-4 off SR 1 324 Complete description of h w to
to to this property: From Hwy. 55 turn on Florence Rd. 3.6
m les' u'rn left into Bay Shore Estates.
house, bulkhead,
The proposed project,) a sw.vool, & groin and the location has been
described to me as shown in the drawing below and I have no objections
tol +he proposal.
l+ FORiA PIER, CHECK ONE OF THE FOLLOWING:
x ;1 wish to waive the 15, minimum setback from my riparian access
'For the bulkhead portion of the construction only.
I DO NOT wish to waive the 15, minimum setback requirement.
tk,kirt,t*it*tk,k*trt,k�r*,t,t�fr*�esitit�ii��e,t�irwft*�tr*,k,ttititir,t,t,tir*�itr,t�Rr�tr�t�tr�frt*�Fr�Y�t�tC,t�ir�k,t**�frttc�tr fir*
Draw the proposed structure in the space provided below. List the size
of 4he structure and measured distances from the adjacent property
lin} s, other structures on the property; and the road, water, etc.
i
See Back...
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Printed Name
Alan�_ Ol- Sr. Date 12 j 12 / Si ature
fin,

WILL IAM & -ANN FOSTER
LOT 93 - BAY SHORES ESTATES SUBDIVISION G
NUMBER 3 TWP. - PAML ICO CO. - NORTH CAROL INA
DECEMBER 8, 1995 SCALE I" = 30' / \\,��'',�
�o
GRAPHIC SCALE
0 15 30 60
N29.44' 47' E
38. 65'
Py V
N35' 06' 13" E
\ 29. 59'
O
I N41'50' 57'E^.V �E��
I'S 28. 17' .fl
N54' 19' 03" E
18.75'
9
i
/L V
62*
1-11
PROPOSED
I -STORY DWELLING
0
M
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L
t1L d
7
i
1
III
,I L_1_1
75' M B L
Rt• P.
CvA+w4r o
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W
-- VICINITY MAP --
CERTIFICATE OF SURVEY AND ACCURACY
1. L. SCOTT BAGGIE, CERTIFY THAT THIS YAP W
DRAWN UNDER MY SUPERV1310N FROM AN ACTUAL 3URVI
MADE UNDER MY SUPERVISION: THAT THE RATIO
YRECI$iON AS R,.W DATA I$ IO,000.
WITNESS GINAL SIGNATURE. REGISTRATION NUM3;
AND `SE - HIS ST�D�AYECE!46E%19", A.D.
�
SCOTT BAGGIE
RLS REGISTRATION NUMBE 4S0
CARpI
_o\S1ERFa
' SE At
l L-3450
q� C
•°•. SUR��y,
••........• c
+yam ,C'0T T BP�,I
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M
co DEED REF. 198 / 164.
MAP REF. PLAT CAB. 'A' SLIDE 9-6.
M B L - MINIMUM BUILDING LINE
M S L - MINIMUM SIDE LINE
R i W - RIGHT OF WAY
IPF - IRON PIN FOUND
0

i
!
PO$iX 776' PAMLICO COUNTY BUILDING INSPECTIONS BAYBORO, N.C. 2
515
[phone]
(Aer t it form is completed by the landowner proposing the projec
a ggpy is %Jven to his/her adjacent landowners for their consent an
si ture 1, The fors are then returned, along with a building pla
,
anolother applicable Fequired information, to the Building Inspecti
ns'
Of }}ce fo-building permit application/processing.)
i ADJACENT RIPARIAN PROPERTY OWNER STATEMENT EPN#
� I hereby certify that I own property adjacen
to
Wi,Iiara Ann Foster 's on Day River
N of landowner proposing development body of water
in 4ear lbrence Lot#2 of BayShore Estate
I� community Subdivision, if applicable
Tax +Parce #J043-3-2 off SR 1 324 Complete description of how
to
loi'te this property: From Hwy 55 turn on Florence Rd, o
Printed Name
�! i house, bulkhead,yv ~�Vv
Thg�proposed project,] a sw.poo1 & groin and the location has been
describedlto me as sh wn in the drawing below and I have no objections
to the proposal.
FURIA PIER, CHECK ONE OF THE FOLLOWING:
1 wish to waive the 15' minimum setback from my riparian access
!For the bulkhead portion of the construction only.
I,I DO NOT wish to waive the 15, minimum setback requirement.
Drew the proposed structure in the space provided below. List the lize
of � the structure and measured distances from the adjacent property
lines, other structures on the property; and the road, water, etc.
See Back...
i
Date 1 2/ 1 2/ 9 Signa

P.
Q►� le
N35.06' 13'E
N4 I * 50' 57' E'ti�wl
26. 17' fl
N54. 19' 03' E /
18.75'
/L V
GZ' {q++L
PROPOSED
I -STORY DWELLING
0
M
W I LL I AM 8 - ANN FOSTER
7
LOT 93 - BAY SHORES ESTATES SUBDIVISION
NUMBER 3 TWP. - PAMLICO CO. - NORTH CAROLINA
DECEMBER 8, 1995 SCALE 1" - 30'
GRAPHIC SCALE
0 15 30 60
44' 47' E
38.6V_.,o
/' � I_
-- VICINITY MAP
CERTIFICATE OF SURVEY AND ACCURACY.
"I. L. SCOTT BAGGIE, CERTIFY THAT THIS MAP WJ
DRAWN UNDER MY SUPERVISION FROM AN ACTUAL SURVII
MADE UNDER MY SUPERVISION; THAT THE RATIO '
PRECISION AS RAW DATA IS 1:10,000.
WITNESS GINAL SIGNATURE, REGISTRATION NUWI
AND SE - HIS 8TH DAY ECEM3ER 19", A.D.
SCOTT BAGGIE
RLS REGISTRATION NUkVEljoa45O IIIlilt,,��
�H CAROZI
?' RI•���,�S1ERFa• i
SEAL �
l L-345D
= • osuR� '
ks/ OTT BPG
Y'Nviwi o
co
rn
u
to
0 DEED REF. 198 / 164.
MAP REF. PLAT CAB. A' SLIDE 9-6.
M B L — MINIMUM BUILDING LINE
M S L — MINIMUM SIDE LINE
R i W — RIGHT OF WAY
IPF — IRON PIN FOUND