27574_SMITH, JOHN_20010213

CAMA and DREDGE AND FILL / ®w
--t
G E N E R A L 'f � 0 7I�� 27�74
PERMIT
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 Phone Number
Address
City State zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
i
PROJECT DESCRIPTION SKETCH
Pier (dock) Length
Groin Length
number
Bulkhead Length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
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, 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.
issuing date
(SCALE: )
applicant's signature
permit officer's signature
expiration date
attachments
i
application fee

- 66-30/531
1524
133
John J. Smith
P.O. Box 837 DATE
Atlantic Beach, NC 285 - ,
0�
PAY TO THE DOLLARS
ORDER OF - a dd
, anJ Ilncaork. I list Citlicns 13wk logo on back. I(not presenol gash
QLesttdonuok lur. A11r.ru Prinl gne, grayYl"t
RST CIT1Z►' NS t3'
' � ��1(r Flnt-CltlzenoBank&Trust Company - -
,(.a_lrji �
1u1
A1lenllo Beech, N.C. 28512
FOR— —
jole
'w-`---- 705, o 15 24
1:0 S 3 LOO 300l:00 13 L 7 �+
L

Feb 05 01 09:47a RICK SCHRPIS 252-236-3284
,+Alva"Luul OD:59 27d3 282247100g mC
91924OM2 AHf'r TIM GRSMPS (in01
""'A' R AV-. aygrj6 t V 7 r ,1rs j .ai *aatr.i i 30 ' 01 11: e5
P. 1
I humbY tW I oft p qMM Mftft ro
PMPWW hWW d#
an
MCI
Se hen dts=tjed to Mae tbarwa blow, ti►�d
�, I fie: arr ab,�ootloas a hir perpq� �t � � ��� at t1� saica8cnn,
t
D=CKMnWN AND(OR lid R' IN'a or PAorom DEVIMP owr
(3b f+J'tn.by � pit �
:FAAm
Nme
'Lbiepbooe Ntw

9192402525 CBMC TIM GRIMES 074 P01 JAN 30 '01
ras��yta.�.u{ s A A%.LL r"%AA-jL1 L Lti.WA A4,Mjt L W 1rr41L:'Xsti 12AZXLA,;ar...., I
11:25
I hereby +certify that. I own prop" 4amt to ,s
(Name of Properly Owner)
properly loomed at
on N.C.
(Wate ally) (T ' a1wer Cl=ty)
He has desa*ed to the as shown below, the: development be is proposing at that location,
and, I have no otrde coons to his pmpoaL
5
DESCitfP' ON AND/Olt DRAWM OP PROPOSED DEVELOPMENT
(To be f led in by kawad PMQ-1 %z ae vekPMfnt)
Print or Type Nam'
Wephoue Number