21178_CAMP VANDEMERE_19990215

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CAMA `AND DREDGE AND FILL
GENERAL
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PERMIT V 'r.�c
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
Applicant Name
Address
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
State
Phone Number
PROJECT DESCRIPTION SKETCH�_ _ ;�r�—=� r `� (SCALE: )
Pier (dock) length
Groin length . _� I� �it� 0 �1 I lmbU t i - i ski { F .'� �t outl i i ;I-
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number
Bulkhead length
max. distance offshore
Basin, channel dimensions -
cubic yards
Boat ramp dimensions
14'
Other
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,
applicant's signature
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's signature
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 issuing date expiration date
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
objections to the proposed work. attachments
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee
Management Program.

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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual applying for Permit: CA^^Q yp`-'0e^"6ALe
Address of Property: Z 5 a A ::S��+
Vb�A�, M6PG Li . e . Z551al .,e D �.
(Lot or Street #, Street or Road, City & County)
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter.
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, Hestron Plaza II, I5I-B, Hwy. 24, Morehead City, NC, 28557 or call (252) 808-
2808 within IO days of receipt of this notice. No response is considered the same as no objection
if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be
set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Signature Date
Print Name
Telephone Number With Area Code

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Custom Decks & Docks -
1075 Old Folkstone Rd.
Sneads Ferry, N.C. 28460 -
[phone]
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US Postal -Service
Receipt for Certified Mail
No Insurance Coverage Provided.
Do not use for International Mail (See reverse
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Post ce, State, & ZIP
CCo(de
Postage
Certified Fee
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Special Delivery Fee
Restricted Delivery Fee
Return Receipt Showing to
Whom & Date Delivered
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Return Receipt Showin
Date, & Addresse , i"
TOTAL P tage &
f
Postma Ior Date
aN20

Stick postage stamps to article to cover First -Class postage, certified mail fee, and
charges for any selected optional services (See front).
1. If you want this receipt postmarked, stick the gummed stub to the right of the return
address leaving the receipt attached, and present the article at a post office service
3
window or hand it to your rural carrier (no extra charge).
2. If you do not want this receipt postmarked, stick the gummed stub to the right of the
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return address of the article, date, detach, and retain the receipt, and mail the article.
3. If you want a return receipt, write the certified mail number and your name and address
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on a return receipt card, Form 3811, and attach it to the front of the article by means of the
gummed ends if space permits. Otherwise, affix to back of article. Endorse front of article
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RETURN RECEIPT RECIUESTED adjacent to the number.
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4. If you want delivery restricted to the addressee, or to an authorized agent of the
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addressee, endorse RESTRICTED DELIVERY on the front of the article. co
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5. Enter tees for the services requested in the appropriate spaces on the front of this E
receipt. If return receipt is requested, check the applicable blocks in item 1 of Form 3811. o
6. Save this receipt and present it if you make an inquiry. 102595-98-B-P00� d

' SENDER: I also wish to receive the
A Complete items 1 and/or 2 for additional services. following services (for an
rn a,Complete items 3, 4a, and 4b.
H • Print your name and address on the reverse of this form so that we can return this extra fee):
0 card to you.
d ■ Attach this form to the front of the mailpiece, or on the back if space does not 1. ❑ Addressee's Address
permit. 2. ❑ Restricted Delivery � •Write "Return Receipt Requested" on the mailpiece below the article number.
w • The Return Receipt will show to whom the article was delivered and the date delivered. Consult postmaster for fee.
o 3. Article Addressed to: 4a. Article Number
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UNITED STATES POSTAL SERVICE
First -Class Dail
Postage & Fees Paid
USPS
Permit No. G-10
• Print your name, address, and ZIP Code in this box •
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21_ _0111 U Ki) 101A ► a: DEGIN 1
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual applying for Permit: C-a Vouj
Address of Property: 21
Vp.,oc�a� U .0 . Z85$1 TVs►.,.. "a C' .
(Lot or Street #, Street or Road, City & County)
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter.
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, Hestron P&Lza II, 151-B, Hwy. 24, Morehead City, NC, 28557 or call (252) 808-
2808 within 10 days of receipt of this notice. No response is considered the same as no objection
if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be
set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Signature Date
Print Name
Telephone Number With Area Code

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t� ExizF,�

Custom Decks & Docks
1075 Old Folkstone Rd.
Sneads Ferry, N.C. 28460
[phone]
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Z 511 262 442
.US Postal Service
Receipt for Certified Mail
No Insurance Coverage Provided.
Do not use for International Mail See reverse
tt s LL
Street & Numb r
P t Office, Slate, & ZIP C de
ryl
Postage
$
Certified Fee
L{
Special Delivery Fee
Restricted Delivery Fee
Return Receipt Showing to
Whom & Date Delivered
/
Return Receipt Showing to Whom,
Date, & Addressee's Address
TOTAL Pos e4aLs
Postma or Date
JqN
2
f7

Stick postage stamps to article to cover First -Class postage, certified mail fee, and
charges for any selected optional services (See front).
1. If you want this receipt postmarked, stick the gummed stub to the right of the return
address leaving the receipt attached, and present the article at a post office service
window or hand it to your rural carrier (no extra charge).
2. If you do not want this receipt postmarked, stick the gummed stub to the right of the
return address of the article, date, detach, and retain the receipt, and mail the article.
3. If you want a return receipt, write the certified mail number and your name and address
on a return receipt card, Form 3811, and attach it to the front of the article by means of the
gummed ends if space permits. Otherwise, affix to back of article. Endorse front of article
RETURN RECEIPT REQUESTED adjacent to the number.
4. If you want delivery restricted to the addressee, or to an authorized agent of the
addressee, endorse RESTRICTED DELIVERY on the front of the article.
5. Enter fees for the services requested in the appropriate spaces on the front of this
receipt. If return receipt is requested, check the applicable blocks in item 1 of Form 3811.
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6. Save this receipt and present it if you make an inquiry. 102595-98-B-P0o5 '�J a

SENDER:
I also wish to receive the
a Complete items 1 and/or 2 for additional services.
• Complete Sems 3, 4a, and 4b.
following services for an
g
o Print your name and address on the reverse of this form so that we can return this
extra fee):
card to you.
■ Attach this form to the front of the mailpiece, or on the back it space does not
1. ❑ Addressee's Address
u
permit.
• Write "Return Receipt Requested" on the mailpiece below the article number.
ry 2. ❑ Restricted Delivery
in
■ The Return Receipt will show to whom the article was delivered and the date
Consult for fee.
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postmaster
3. Article Addressed to: 4a. Article Number
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4b. Service Type
t ❑ Registered ❑ Certified
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t_ i—n �� IV, C, ❑ Express Mail ❑ Insured
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❑ Return Receipt for Merchandise ❑ COD
7. Date of Delivery `o
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S. Rece1v d By: (Pri t Name) 8. Addressee's Address (Only if requested Y j
c and fee is pat
6. Sign re:) (Addtl!ess§4 or Age t) U
X filp-VXIL I vweme-ee- /IV
PS Form 3811, D cember 1994 102595-98-B-0229 Domestic Return Receipt

UNITED STATES POSTAL SERVICE First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
• Print your name, address, and ZIP Code in this box •
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Camp Vandemere
Rock Rip Rap Alignment
February 15, 1999
Vandemere, NC
Pamlico Co.
17
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