15911_SANDERLIN, PAUL_19960123

0
CAMA AND DREDGE AND FILL 01591�_C'
GENERAL � �dP
PERMIT Al
� 3
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 dpl'f• /F00
Applicant Name AU 1 L0210_61r n Phone Number'
Address Aoxe,,:
i� _ State VA zip 91' 3? oc
City �'>r. ,. � p
Project Location County, State Road, Water Bod ,etc.) �lt��r'<a =�• f ' ' 51,? /302
Type of Project Activity r"10. e: If-c:..o
-T
PROJECT DESCRIPTION I SKETCH
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore `
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
^ L�
CCC - t c o' C
'7 flt) SL)aJ l rz r t K
�-, At J'J e +Z C M tiJ
This permit is subject to compliance with this application, s
drawing and attached general and specific conditions. A
violation of these terms may subject the permittee to a fir
imprisonment or civil action; and may cause the permit to t
come null and void.
This permit must be on the project site and accessible to
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
I
8 frne.4r
gyp.
issuing date expiration date
attachments _414. l oo
3
In issuing this permit the State of North Carolina certifies that .� `r-r�� c� I
this project is consistent with the North Carolina Coastal application fee -So ( �
Management Program.

FOLEY & FOLEY MARINE CONTRACTORS, INC.
PRIMARY CHECKING
PH. 919-636-2515
POST OFFICE BOX 3482
NEW BERN, NORTH CAROLINA 28564-3482
I ' 023
19 ` 6 66-152/531
PAY ' /
TOT2�Q Dd
ORDERER OF OF ' . 1 ' �
WACHOVIA BANK
OF NORTH CAROLINA, N.A.
NEW BERN, NC 28560-1677
FOR -(1 wCQ'V "j • 6;p 1r9//- C
n■0000 748811' i:0 5 3 LO L 5 291:
DOLLARS
*nC3
WO SIGN RES REQUIRED
NP
580 6

eowx 776 PAMLiCO COUNTY BUILDING 1N PEG'rIUNS
[phone]
B4YBOX0 , N.C. 28515
(Afar this forot is completed by the landowner proposing the project,
a copy- is given to his/her adjacent laudoumers 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 F,PN#_, _
Y hereby cerrify
that own property adjacent to
S
on i.-jJ� vi �SeJ
Name of landowner proposing development
body of water
i,nineaA�4cK- nDxjrrQ .e�iC L,otj
- ?
of 'N J� _
community
—
Subdivision, if applicable
Tax Farcel 0` oft S 6 Z
Complete description of how tc
1"ate this property: 6-`
The proposed project, a R 1+1..
- , and the locatioa has been
described til we as shown in the drawing
below and I have no objections
to the proposal.
�I
FOR A PIER, CHECK ONE
OF M FOLLOWING-
„ i Nish to waive the 15, minimum setback from my ripariAn access,
i DO HOT wish to waive the 15• minimum setback requirement.
•'
tffftlt/t#r**!+4##*#!##*tR�riYtf#tMffA*�t**#!*lrtttltttl4**�r1t##tlfl!*#*t�4f
1
Draw the proposed stricture in the space
provided below. Li6t the size
of the structure and meas4zed distances
from the adjacent property
dines, other structures on the property,
and the road, water, etc.
IJ d of {I4
� _Ae �

Too g�
pwwi1
1A
POBOX 776 JAMLICO COUNTY BUILDING INSPECTIONS
[phone]
BAYBORO, N.C. 28515
(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 oilier applicable required information, to ye Building Inspections,
Office for building; permit application/processing.)
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT EPN#
Q n 1 hereby certify that I own property adjacent to
'�"��. 963 - F_19 k " 's on�,Au1
Name of landowner proposing development body of water
in/neaLot41'communof
ity Subdivision, if applicable
Tax Parcel # off 5R Q ,L Complete description of how to
locate this property:_(S•.) -711Fi Ar,_,Ct- s'ldlt� ,� � 13��0.
<< h� 0�0`T� aye; F ­-
The proposed project, a _�O Gk �B L , 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.
1 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.
-- -- ,_-._ �____ Date Signature