28801_SMITH, THOMAS E_20010813

•, CAMA and DREDGE AND FILL
E N E R A L ?!1:
PERMIT
1
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 r i
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity ; _ r • . ) i!C� i i
�, ��• n .,l rI ..�. r.. i` _ r, i._ �'a., r�•. i_ -rs. l . ...n.
PROJECT DESCRIPTION SKETCH
(SCALE:
)
Pier (dock) Length _
t
1S
�r
_ �, ._..,
_. 1
_�
t.
Groin Length°
number
.e
F
0
G
Bulkhead Length
1C��c
%
t7
W
1
max. distance offshore _ C
Basin, channel dimensions
x#,
I t
,
'
d
cubic yards
i
Boat ramp dimensions
Other
1
r
This permit is subject to compliance with this application, site drawing
and attached general and specific conditions. Any violation of these terms
/` - applicant's signature
may subject the permittee to a fine, imprisonment or civil action; and
+ j�
may cause the permit to become null and void.
This permit must be on the project site and accessible to the permit of-
permit officer's signature
ficer when the project is inspected for compliance. The applicant certi-
J Jjl 44c ,- I
fies by signing this permit that 1) this project is consistent with the local
„J issuing date expiration date
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.
attachments
In issuing this permit the State of North Carolina certifies that this project/t'
;rf1,; ; .•.
is consistent with the North Carolina Coastal Management Program.
application fee

- pp 1400
THOMAS E SMITH
��/ �0 0� f 66-491531 CC
NCDL 2605616 PH 252-249-3196 ��Jitc
402 SOUTH AVE
28571
ORIENTAL,
Pcty To The Aa
Order Of '�ollors
.._.__ .._ _.
C�
�G. � )
Wachovis Bank, NJ -�
W inxlon-sale-, - ��'/' M'
Metno �• 8 7 3 3 8 L0 2 7 311' L ►,00
1:053 LOOt,94 .

i
ADJACENT RIPARIAN PROPERTY OWNER ST MFNT
(FOR A PIERIMOORING PILINGSIBOATLIFTIBOATHOOs G 0 J 2001
� EAu
I hereby certify that I own property adjacent to —/ �O/M14-5 , MO s
(Name of Property Owner)
property located at
(Lot, Block, Road, et .)
on PeJ ZL e KrLI*U £2 , inPot
p ae ryy�� co , N.C. 2 zS/U
(Waterbody) (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. I understand that a pier/mooring
pilings/boatiift/boathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
I do not wish to waive the setback requirement.
I - z da wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
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ignaturelI /'
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Print or Type Name
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Telephone Number
Date: ? /7 /0

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DEED REFERENCE: DEED 300K 243 P'OE 324.
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(EASE FLOOD EL EZ4 T; ON 9 ) AS SHOIS^,r 0".
HUD/F 1A MAP 370181 0380 6, OATED $EPT. 4, ;955
DEED ,REF ER FACE = DEED 900)C 243 PAGE 324.
ALL DISTANCES SHOJ.14 4RE NGR 1 <'C^.V T.4L GR0,I'v'D
S UR VE YE 0 ;' OR
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A
ADJACENT RIPARIAN PROPERTY OWNER '
(FOR A PIER/MOORING PILINGSIBOATLIFT/BOA
I hereby certify that I own property adjacent to
(Name of Pro
AUG 0 0 2001
property located at 1 1 S F ti u V! l IC"o,4-rN ,
(Lot, Block, Road, etc.)
on Al!q.-1 5 gu&2 , in f� /�� ��(1 �i?y✓+ �l Ld , N.C.
(Waterbody) (Town and/or Cou (ty)
He has described to me, as shown below, the development he is proposing at that location,
and, I have no objections to his proposal. I understand that a pier/mooring
pilings/boatlift/boathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
I do not wish to waive the setback requirement.
I dQ wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development) _
'SgnJ1442
ature
Print or Type 1,
2s2 - 251 — 3ell
Telephone Number
Date: 0
28�/CD

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