27047_SMITH R T_20010117

CAMA and DREDGE AND FILL 27047-C'
G E N E R A L
P E R M I T
as authorized by the State of North Carolina
Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC
Applicant Name
Address
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION SKETCH v
Pier (dock) Length A
Groin Length E >� ;
number e
Bulkhead Length I^ y 7
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
i
State
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 become null and void.
This permit must be on the project site and accessible to the permit of-
ficer when the project is inspected for compliance. The applicant certi-
fies by signing this permit that 1) this project 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.
Phone Number
zip
issuing date
(SCALE: r-, i,,-
applicant's signature
permit officer's signature
expiration date
attachments
application fee

A
PRESCOTT BROTHERS INC
141 TARA TRL
ARAPAHOE, NC 28510
PAY
TO THE
ORDER OF
v �c�
F ms-irCITIZENS411
f. S c c b a r
1419
DATE 66-30/51
- - i $
DOLLARS
K I!r-Cltizens Bank d Trust Company
�ro,N C. 28515
FOR I
11100 11,191" 1:0 5 3 100 3001:00 4 7 1 1 2 5 4 2 9ii'
�>R•

I hereby certify that I own prop
erty adjacent to 7i�/ s
(Name of Property Owner)
property located at L L C
(Lot, Block, Road, etc.)
C 4 " A (- , in
(Wa erbody)
�, z ( e ,,j 7.4 L____-
(Town and/or County)
N.C.
He has described to me as shown below, the development he is proposing at that location,
and, I have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be f Ued in by individual proposing development)
CLEAN OUT BOTTOM, ADJACENT TO SOUTH HALF OF MY DOCK. NEED TO REMOVE ABOUT A FOOT
OF DIRT SO THAT THE DEPTH ON THE SOUTH HALF IS SAME AS THE NORTH PART OF THE DOCK
MY BOAT KEEL NEEDS AT LEAST 5 FEET AT LOW WATER. CURRENTLY I AM ONLY ABLE TO USE
THE NORTH END OF THE DOCK
ARF�A F©Z CLEA,V�Nc� ^�
k cN'�. •T• -5H M4- a� • N+a
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JorE/`!r/ Irr.��t�o✓2c�1I [�sRA>Z�} C-
Print or Type Name
Telephone Number
Date: C/ . �2-Q . cc

n ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own ro
P Perk' adjacent to -,�-i is
(Name of Property Owner)
Property located at 1"' L L C )'rzCle Cyr
(Lot, Block, Road, etc.)
on 4 R c ,� ,� A , in C�z r e �,j 7.4 L__
(Wa erbody) , N.C.
(Town and/or County)
He has described to me as Shown below, the development he is proposing at that location,
and, I have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
1. (To be filled in by individual proposing development)
CLEAN OUT BOTTOM, ADJACENT TO SOUTH HALF OF MY DOCK, NEED TO RE.MovE ABOUT A FOOT
OF DIRT SO THAT THE DEPTH ON THE SOUTH HALF IS SAME AS THE NORTH PART OF THE DOCK.
MY BOAT KEEL NEEDS AT LEAST 5 FEET AT LOW THE NORTH END OF THE DOCK WATER. CURRENTLY I AM ONLY ABLE TO USE
RRr,� F©Z CLEA,ViNGt
I Fi I .:✓ � - -
�•T• �Nm+aP• NLZL
Signature
r 2 ill_ y
Print or Type Name
J /
Telephone Number
Date. -