28972_RADY, TOM AND DERRICK SMITH_20011016

` CAMA and DREDGE AND FILL
G L 17
G E N E R A L230
PERMIT
as authorized by the State of North Carolina
Department of Environment and Natural Resources and the Coastal Resources Commission 3
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
PROJECT D S RIPTION SKETCH
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Pier (dock) Len I.'-
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Groin Length y i
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number
Bulkhead Length
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max. distance offshore
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Basin, channel dimensions
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cubic yards
Boat ramp dimensions
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Other
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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 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.
applicant's signature
permit officer's signature
issuing date expiration date
attachments
S_
application fee 1

..:.
DEREK S SMITH (DBA) NCDL 7836496
BOGUE BANKS MARINE CONST
800 NORTH GATE RD PH 252-247-4428
MOREHEAD CITY, NC 28557
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2397
66-152/531 CC
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vTACHOVIA
Wachovia Ban N.A 1- L
M—h-d ciry, 28557
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to All ' 's
/ (Name of Prope y Owner)
j
property located at l 601 Cc l r c0
a
(Lot, Block, Road, etc.)
on CO. l t�c 0 &e-e , in �'101�i� Ctf C2! �Pf'@ , 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.
O rG lit, ea Gf-726
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
7
Sig ture
,02 iM IFiPZi�D
Print or Type Name
�2 S—Z — \Teltrph ne Numb�e�r
Date: O / O

ADJACENT
,AR AN PROPERTY p�INE,R STATEME
Nf
I hcteby certify that I own proPtrtoMy adjactnt to _._
read Is
(Name of Propert Owner)
property located at �' C9 Block, Road, etc.)
or�ti� C
On (Waterbody) , N.C.
in
(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.
-------------- --------------------------- --_--------- ------ ------- ----------- _..------ -------- -------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be j lled in by individual Proposing
C C U C ��a �i✓i
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0 A/or er f et�
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Date: