21136_VOORHEIS, FRANK_19990202

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CAMA AND DREDGE AND FILL oi
GENERAL • ® - "C
e- v
PERMIT
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 �H . \ !�en
Applicant Name k i1fJC- j H Phone Number 745 77;5-
Address f-- ic(�Ll
City ,?_ I TT' State �. r Zip
Project Location (County, State Road, Water Body, etc.) �-T ' [t- G �K �� 5724 C�XJA,` ��•
Type of Project Activity ��r-;�1.e r�DL)171up<U
PROJECT DESCRIPTION
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
SKETCH _ c�%�i (SCALE:
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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.
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permit officer's signature
issuing date expiration date
attachments0_�4k --)DO
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 �'� 'l7 124,1

FRANK L. VOORHEIS 5-85
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DETRfOIT TEACHERS CREDIT UNION
SERVING EDUCATIONAL EMPLOYEES SINCE 1926
DETTIROIT, MICHIIIiGG/AN 48238
1: 2 7 20 M 3 6 SI: 000 28 6 7 S 3nl 2 L, L, 6

Pamlico County Building .Inspections
P.O. Box 776
Bayboro, N.C. 28515
(919)-745-3861
Adjacent Riparian Property Owner Statement Epn#T
I hereby certify that I own property adjacent to -- �tix G - � ' 'Ir4'c l S`s
Name of landowner proposing development
on/:�Z- 0,Cct in/near Lot#--L_ of Wq YL'/��.�r E S
Community Subdivision, if applicable
Tax Parcel # off SR -Li ? 41
Complete description of how to locate this property: _
This proposed project, a f?P'L� P<<t ti C-J , and the location has been described to me as
shown in the drawing below and I have no objections to the proposal.
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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After this forin is completed by [lie landowner proposing the project, a copy is given to the adjacent landowucrs for
their consent and signatures. The lornis are then returned, along with a building plan and other applicable required
uilormation to the Buildnig Inspections Office for buildnig permit application/processing.
Signature -' ----
.�._ Date ��

Pamlico County Building Inspections
P.O. Box 776
Bayboro, N.C. 28515
(919)-745-3861
Adjacent RiVarian Property Owner Statement Epn#r_
I hereby certify that I own property adjacent to �� �/l/ /- - G/C7'<<-' `s
Name of landowner proposing development
—veelopment
on C in/near Lot#_ — of t� S
Community Subdivision, if applicable
Tax Parcel #
off SR 33 7 Y .
Complete description of how to locate this property:
This proposed project, a 1��po 'L f i c. j1Vk C , and the location has been described to me as
shown in the drawing below and I have no objections to the proposal.
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.
e
� ski lip
ADD %o Cz�
n1001,21Xa AZC5 ;
LaR���S t
After this forin is completed by (lie landowner proposing the project, a copy is given to the adjacent landowucrs for
their consent and signatures. The forms are then returned, along with a building phun Lind other applicable required
information to the Building Inspections Office for building penuit application/proccssing.
Ax-�—r doDate R l l
Signature ")