14505_SMITH, ROBERT_19950314

CAMA AND DREDGE AND FILL �..
GENERAL
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 C�%``."' - //C-
Applicant Name �`►S-' f ;>> '�
Address
City State
Project Location (County, State Road, Water Body, etc
.)ell,
//'��'
..A
Type of Project Activity
Phone Number
";/ Zip csli lt/
. "i-J. s r,4 �C
PROJECT•
Pier dock len th
Groin length
number
th
ism
��■■���IIII�
max. distance offshore
a,
Basin channel dimensions
cubic yards
•. 11�t��
MEMO
Other•A
■ME■.■.■■�
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
permit officer's signature
1
issuing date expiration date
attachments `f� �. le)
In issuing this permit the State of North Carolina certifies that
n..
this project is consistent with the North Carolina Coastal application fee `# ' �'''" •.
Management Program.

t
LAW TRUCKING SERVICE
112 CREEKVIEW COURT 919-249-0523
MERRITT, NC 28556
PAy � Z
2730
66-3W531
l (1
FIRST CITIZENS
BANK PoyoNo, N Bone h Guu Company
(�ru,j_ BayDao, NC 28515
For �-Z P '41
�:D 5 3 L00 300�: 4 7 L LD 20 3 6 LII' 2730

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I ereby certify that I own property adjacent to
Is property located at
(Name of Property OWner)
(/ /'V c- A o (',"& � 1,e
(Lot, Block, Road, etc.)
on - - ,_ ��.,,- , in N.C.
(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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
Signature �^
10
Print or Type Name
-/':57-a/
Telephone Number

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that own property adjacent to
s property located at
Name
C'�
Property Owner)
(Lot, Block, Road, etc.)
on G,od-ey 14> in N.C.
(Wateibody) (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:
(To be filled in by individual proposing development)
C)
signa ure
rS O AI
Print/or Type Name
Telephone Number