14874_KIME, JOHN_19951011

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CAMA AND DREDGE AND FILL
GENERAL -1 8'k.
('di
PERMIT
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resourc ommission
in an area of environmental concern pursuant to 15A NCAC f�%` �•
Applicant Name
Address
City'j
Project Location (County, State Road, Water Body, etc.
Phone Number /o- °�-� /07 t'r
State
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zip
Type of Project Activity ! M l All / c.. J(/( r 6,1 c"A r74 till, (.11/, f e16 •1 9 e/r3 2
O4Ce- .. ,- rJ PI A � C:
PROJECT DESCRIPTION
Pier (dock) length00,
SKETCH'_..
(SCALE:
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Groin length
number
Bulkhead length
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max. distance offshore
Basin, channel dimensions
cubic yards
F
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Boat ramp dimensions
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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.
applicant's signature
permit officer's signatuV
199 1/
issuing date expiration date
attachments - 1091- f .70 U
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
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application fee_

COASTAL MARINE CONTRACTORS
PH. 919-638-6407
1897 JACK RABBIT LN.
NEW BERN, NC 28562
PAY
TO THE
ORDER OF
3261
66-112
f 531
/ a 1 19
BB&T DOLLARS
G'
CH....... ARO TRUST COMPANY
NEW BERN. NORTH CAROUNA 2656.
FOR
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POHOX 776 YAMLICO COUNTY BUILDING INSPECTIONS BAYHORO, 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. The forms are then returned, along with a building plan
and other applicable required information, to t�e Building Inspections,
Office for building permit application/processing.)
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT EPNO
e-; I hereby certify that I own property adjacent to
r -'oo 6-Alc C *'k 2,1{16as on _ �y" A`2' G'
Name of landowner proposing development body of water
in/near �F-►�KT, A-L � Look_ ' I of(>Ie-kolrd (f4z
community Subdivision, if applicable
Tax Parcel 40 off SR 13 1
locate this property:
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Z
Complete description of how to
The proposed project, a /✓!(2( � N ac�c , 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.
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.
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9 Lac. 60' \X g
Date'`' ,1 Signature n '
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YOBOX 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. The 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 EPNO
rr'
i hereby certify that I own property adjacent to
Jc��f Jl) F94tt.15- c4 Al K1W ' s on A� a L
Name of landowner proposing development body of water
in/near P)o1 / A'L Lota# of A' 'D CfA--k a'%ri'
community Subdivision, if applicable
Tax Parcel 0 off SR_ 3�7 , Complete description of how tc
locate this property: NwiQ{R Z #dwWg%
OT Jl / I ^J i !J dO T /./n n 1i 1-72T A—rl
1 J
The proposed project, a e V and the location has been
described to me as shown ih the Arawing 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.
a4*�►�**,r*�r*rre****�,ras►a��*rr*rr*ar*,a�e�,e��r**�a***********,rya*�r+�r,a***it*f*�**,�**
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.
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�' -_Orib /q- L-U�_ }'1 !�yffSignature

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