21174_MAULDIN, VIC_19990210

Air f
CAMA AND DREDGE AND FILL 11 0211 174,
GENERAL /6
PERMIT v
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 State
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
Phone Number
Zip
PROJECT DESCRIPTION SKETCH Pe C _ z-� . (SCALE: (�
Pier (dock) length--
r
Groin length
number
Bulkhead length t_.2, is
i N_S Tc. '-f, i it ,-iA..,f,
max. distance offshore
241 =r
Basin, channel dimensions , is-ti.- _ _ r,'
cubic yards Y
,.
Boat ramp dimensions a -� � '`-•� � i
Other V,
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.
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
applicant's signature
permit officer's signature
issuing date expiration date
attachments 6`7+4 • ( )
r�C.-►�. Nam. �,���
application fee � `-;C, - l��

LINDA OR WAVERLY D. SHORE 6 2 6 5
DBA PAMLICO MARINE CONST. z / S S
HER NCDL 4789098 HIS 3266479
PH. 919-745-7992
P.O. BOX 163, DIXON RD.
VANDEMERE, NC 28587
PAY TO THE
ORDER OF -- — -- - — - --
w wuomSolsm, NC 11
MEMOfF�'C
1: 253 17 79681: 00 1?90611■ 6 265
66-7796/2531
$: .9
DOLLARS�,,,,.,,.��a.�.

❑ec-03-98 13=08
P_03
I hereby certify that I own property adjacent to 40
property located at 9E4z- o0brJ1_ 1 Of4'
(lot, block, road, etc) "
on in Nv. 3
(body of Water) (town)
North Carolina in ,W County. The proposal has been described to
me as shown below, the development, e t , and the
(circle one)
proposed location, and I have not objection to the proposal. I under-
stand that if the development is a pier, it must be not hack a minimum
distance of 15 feet from my area of riparian access unless waived by me.
I ish to waive that setback requirement.
(cira a ne)
*#*##****#f*s#it,t#,t,►#w,r�►*#*#*s##wit**�#fi#�►##ii# #t3#�i#,r##,e,ti*#�►**,t**mot*,►*
Description and/or drawing of proposed development: (to be filled in by
individual proposing development). INDICATE THE SIZE AND LOCATION OF THE
STRUCTURE AND THE DISTANCE BETWEEN EACH PROPERTY LINE AND THE WATER.
L0T
r
1 s F,Q-" o0Aat1y
�###wltit,twtif4�i#�►�►�wd,►k��s##,rr�r,�r,tii*iilffi+�s*fik#:3#+ra��:i#>,3f�fr*itik#*��klr�r,t
(original must ba retained in the Inspection De rtment)
i tura
Name (Please Print)

Diac-03-98 13:07
P.02
RO
I hereby certify that I own property adjacent to -_�,uT I „5 T
property located at 864c. dap !r' 6 t g—
_ (lot, block, road, •to)
On _ �r_ &'Jin C�. 1✓
(body of water) (town)
North Carolina in .Zo County. The proposal has been described to
me as shown below; the development, a��jul ead4atructur.+e, and the
(circle one)
proposed location, and I have not objection to the proposal. I under-
stand that if the development is a pier, it must be set back a minimum
distance of is feet from my area of riparian access unless waived by me.
I ish to waive that Setback rQcjirement.
(cizc a one)
Description and/or drawing of proposed development: (to be filled in by
individual, proposing development). INDICATE THE SIZE AND LOCATION OF THE
STRUCTURE AND TWE DISTANCE BETWEEN EACH PROPERTY LINE AND THE WATER.
Z 0T fie
t�
C�
..r
3b S -,c,,Ib,;E-
a2
:D;Wrrtment)
(original must be retained in the Inspection
C�
S grmture
/9 l�
Name (please Print)