16303_KENNEL'S BEACH COMMON PROPERTY_19960530

CAMA AND DREDGE AND FILL
GENERAL
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 &,;i//, poej
Applicant Name 41'A�Wr Phone Number '�� `G4u 6',4a,>lor�
Address / V (' Z,"✓, rJa
City `/ia� �; �.sv State A)C_ zip
Project Location (County, State Road, Water Body, etc.) "�i,' C C°•�%5 r'� l�iU '�''= + "�,� G'e- pry,,
Type of Project Activity
PROJECT DESCRIPTION I SKETCH
Pier (dock) length
Groin length
number
Bulkhead length °
a
max. 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.
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.
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applicant's signature
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permit officer's signature
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issuing date expiration date
attachments07N /100
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee _5�. -,4 .4 IS3a2
Management Program.

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COASTAL MARINE CONTRACTORS, INC.
P. O. BOX 12729 PH. 919-638-6407
NEW BERN, NC 28560
PAY �� �� ' 1
TO THE N
ORDER OF
UO
3532
66-112
DATE
�o?) DOLLARS B "�
BB_&_T _
375 TRYON PALACE DRIVE
NE(� B RN, NC 285 O
FOR 9 Diu �dl7yvtvt0»'�1 14 l'
0(6303-� „■0000 3 5 3 211' 1:0 5 3 OIL1 2 Ii: 5 1 LOLL 2698ii'

POBOX 776 PAMLICO COUNTY BUILDING INSPECTIONS BAYBORO, N.C. 28515
[phone]
(After this form is completed by the landowner proposing the project,
a copy is given to his/her adjacent landowners for their consent and
signatures. T'he forms are then returned, along with a building plan
and other applicable required information, to the Building Inspections'
Office for building permit application/processing.)
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT EPN#
jj1► I hereby certify that. 1 own property adjacent to
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Name of landowner proposing dev lop nt body of water
in/near �,.>zl�'�—� Lot# of
community Subdivision, if applicable
Tax Parcel ;P /off SR _1. Complete) description of how to
locate this property:
The proposed project, a U f h w� and the location has been
described to me as shown in the drawing below and I have no objections
to the proposal.
FOR A PIER, CHECK ONE OF THE FOLLOWING:
I wish to waive the 15' minimum setback from my riparian access.
I DO NOT wish to waive the 15, minimum setback requirement.
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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. Pt(-_
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