10915_General Permit_19921217

70'CAMA AND DREDGE AND FILL
GENERAL p
) PERMIT _ NTH 109
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 15 NCAC _7 / ;
Applicant Name
Address C Ixt
City
Project Location (County, State Road, Water Body, e c.) .
, , ,; �, ;j�.N%A - ((,'r ,rr 4
Type of Project Activity
Phone Number
State
l.f /C 'ro
r('/ -Px PSi,>A
PROJECT DESCRIPTION SKETCH (SCALE: )
Pier (dock) length
Groin length, f
number
Bulkhead length
l
max. distance offshore
Basin, channel dimensions —_— ---- -----T
cubic yards i �t
Boat ramp dimensions
Other X FFt� -Z
/. eT
' V. . r"r • I ,ram P
5
r l
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
eu
permit officer's signature
I
lf7 / ,
issuing date T T expiration date
attachments _ / P ,
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
application fee

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VICINI T Y MAP
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PREPARED BY
A. HUGH HARR/S , ✓fR
PROFESSIONAL ENGINEER
REGISTERED LAND SURVEYOR
ORIENTAL , NC,
DATE: MAR. 30, 1992 JOB NO. 1236
SCALE: /" = 40' DRWN. BY AD
~ �N\
I t Marshy (y `
rip� \ www \$n \
/ oo
Marsh /\
oc5%
vac,
pf
O�ELL'�G
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O
EIP - EXISTING IRON PIPE
SIP - SET IRON PIPE
NPS - NO POINT SET
MBL - MINIMUM BUILDING LINE
AEC - AREA OF ENV/RONMENTAL CO1
SCALE: l" = 40'
O' 20' 40' 80'
REFERENCE: A MAP OF " ORIENTAL HEIGHT--
BLOCK D' , RECORDED IN MAP BOOK 5, PAGE 18,
OF THE PAMLICO COUNTY REGISTRY.
BASED ON FLOOD INS, RATE MAP NO 370279-090?-8,
THIS PROPERTY 1S LOCATED /N AN 'A5" FLOOD ZC -
AND IS WITHIN THE / 00 YEAR FLOOD BOUNDARYY,
THIS SURVEY /S OF AN EXISTING PARCEL.
RIPARIAN RIGHTS HAVE NOT BEEN DETERMINED
OR CONSIDERED BY THIS SURVEY
A SURVEY FOR
K_.-NIVE TH P. KING f
SEA VISTA
NO. 2 TOWNSHIP PAMLIC it

COASTAL MARINE CONTRACTORS
PH. 919-638-6407
1897 JACK RABBIT LN.
NEW BERN, NC 28562
PAY � / ,� j
TO THE �j' �,(
ORDER OF �J
BBU
f#AMGM fARKINO ANO TIIUfT COfIrAMY `/,�
FOR /O 415 BERN, N CARO�380/�
II'0000233711' 4053101120:119112792311'
2337
,Q
9Z 66-1,2
531
$ fa6 DD
DOLLARS

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to K e-K3 KiuJ
property located at Lo T �U SfiD
lot, block, road, etc.
on (,JK �a Cre-e� in lt--��U r
body of water town
North Carolina in-1i,4MLiC0 County. The proposal has been described to me
as shown below; the development,a pier1bulkhead/structure, and the proposed
—circle one
location, and I have no objections to the proposal. I understand 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 do do not wish to waive
(circle one)
that setback requirement.
Description and/or drawing of proposed development: Indicate the size and
location of the structure and the distance between each property line and
the water.
db&lPoles
�i l�o�Se
Lei i K,Nj
o�
(original must be retained in the inspections department)
,14
signature and date
e Sr r
name please print
lit%' i1 LOlUSY7 UGt � 4, i a 6c k a4 4A e 54m,5 rlme /-YS �DUk'lj
P,lj, %e45 Gi 6 �f5 h iNC� 1

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to I�E2 dl, TH P. t�, A 3�
property located at L..cs7--4t'7— 73Loc1< / 08 S7a c i R
lot, block, road, etc.
o n 1�1% / TT' c,2� in p � L
body of water) town
North Carolina in J�)qM Llcn County. The proposal has been described to me
as shown below; the development, Ei_er bulkhead/structure, and the proposed
circle one
location, and I have no objections to the proposal. I understand that if the
development is a pier, it must be set back a minimum distance of 1.5 feet from
my area of riparian access unless waived by me. I do o not wish to waive
circle one)
that setback requirement.
Description and/or drawing of proposed developments Indicate the size and
location of the structure and the distance between each property line and
the water.
l�l' ,ten
a�
Q
(original must be retained in the inspections department)
signature and date
name/please print