47295_SMITH, WILLIS_20061002

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11CAMA / 1:1 DREDGE & FILL,
GENERAL PERMIT
EI'New ElModification ElComplete Reissue ElPartiall Reissue
As authorized by the State of North Carolina, Department of Environment and Natural Resources
and the Coastal Resources Commission in anareaof environmental concern pursuant to 15A NCAC.
J.
Previous permit # — Date previous permit
Applicant Name
Project Location: County
Address
Jy
Street Address/ State Road/ Lot #(s)
City-
State zip ✓2. 6
�?
Phone ilo��fflfj
/-I- Fax # (
Subdivision
�/T
Authorized Agent
City
ZIP
L] Cw El EW El PTA •,QES El PTS
Phone#
River Basin
Affected
AEC(s):
El
El OEA HHF El 1H Ll UBA El N/A
Adj. Wtr. Body r)
T
J at/man Junkn)
0 Pws: [I FC:
ORW:
yes/ no PNA yes no Crit. Hab. yes no
Closest Maj. Wtr, Body.
6-Y 6. L-11
I Type of Project/ Activity
.Pier (dock) length_
Platform(s)_
Finger pier(s)_
Groin length
number
Bulkhead/, Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards_
Boat ramp _
Boathouse/ Boatlift
Beach Bulldozing
Other
M
Shoreline Length
SAM not sure
yes
Sandbags: not sure
yes
Moratorium: n/a
yes
Photos:
yes
Waiver Attached:
yes
A building permit may be required by:
Notes/ Special Conditions
--T
(Scale:,A/ 1_S
❑ See note on back regarding River Basin rules.
p4 f
Agent or Applicant Printed Name.4 Permit Officer's Signature
Morehead City DC1011-1
Signature Please read complianstatement on back of permit Issuing Date ry Expiration Date
l(
Application Fee(s) Check,4 Local PlanningJurisdiction Rover File Name

Statement of Compliance and Consistency
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 or criminal 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 officer when the project is inspected for compliance. The
applicant certifies by signing this permit that 1) prior to undertaking any activities authorized by this permit, the applicant will
confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian
landowner(s) .
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certifythatthis project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
[i Tar - Pamlico River Basin Buffer Rules Other:
❑ Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the
River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of
Water Quality. Contact the Division of Water Quality at the Washington Regional Office (252-946-6481) or the Wilmington
Regional Office (910-796-7215) for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Central Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax: [phone]
Elizabeth City District
1367 U.S. 17 South
Elizabeth City, NC 27909
252-264-3901
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead City District
400 Commerce Ave
Morehead City, NC 28557
202-808-2808/ 1-888-4RCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 06/29/05

ADJACENT RIPARL-kN PROPERTY O�NNER STATENLEN-T
(FOR A�PIER/MOORING PILINGS/BOATZIFTIBOATHOUSP)
I hereby ce7Ey that I own property adjacent tow S;MrI-LE T1,-C G• - i-W.IjZ 's
(Name of Property Owner)
prore.-,y located at (4coo 174 e— 6- WFlik iJ
(Lot, Block, Road, etc.)
onrJiG .�dyN �°� , in�cNi l� tN T Co. , N.C.
(Waterbody) (Town and/orCounty)
He has described to me, as sLhown below, the deve'.opmeni he is proposin= a: that location,
and i have no objeouoii5 to hi proposal. i iinQ- J ---•L a: a pie:; r?oor�Pa
pilingoadift/boathouse must be se_ back a minimum distance of fifteen fee: (i�) from my area
, b
of rpa-ian access unless waived by me.
I do not wish to wale-- the setback requirement.
I do wish to waive that setback recuirernent.
DESCRIPTION AND/OR DRAWENG OF PROPOSED DEVELOP`EE\-I':
(To be fi11ed in by individual proposing development)
3jL)t_t<hW - ?)&in-eTy c/ /k;Z '/ 0 ;-')i20r;)ei i yr C1iv.
Signature
C
Print or Type Name
Te'.eohone Number

ADJACENT R PARL-kN PROPERTY O'VVNER STATENrE�'I
(FOR APIER/MOORING PILINGSIBOATI.IFTIBOATHOUSE)
I hereby cer`dfy that I own property adjacent to til c �1,9.t� iL, Lcam% C-�'✓ntfli
(Name of Property Owner)
propery located at
(Lot. Block, Road, etc.)
on _, in 4irVrig- i3►%ACH 0 N.C.
(Waterbody) (Town and/or County)
He has described to me, as s*town below, the deve'.opme:,t he is propos:-_ a_ that location,
7 L....... L,:cl-h-�-,o fn o nr^rinr^� T ' .ri r- P.1e fit(1(11"';,PC
ai d, 1 1lave no obj,. Jons �� hi,: ji..�rw..c:... _. .- ... -- - r...- o
piiings;aoat-dit/boathouse must be se., back a minimum distance of Fa�eea fer, (i�) I m my area
of rna-,an access unless waived by me.
I do nnt wish to waiv-- the setback requireme lt.
I do wish to waive t;.at setback recuirement.
DESCRIPTION AND/OR DRAWENG OF PROPOSED DEyELOP`IE\-I':
(To be filled in by individual proposing development)
X /A/f T ��61-)E/27/ � 11Y1F
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SiEnature
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5070
BLUE WATER MARINE
CONSTRUCTION INC.
66-ilZ/531
Po BOX 93 02301
MOREHEAD CITY. NC 28557-0093 DATE
PAY
TO THE $
ORDER
DOLLARS
BB&Tjw,
BRANCH BANKING AND TRUST COMPANt
MOREHEAD CITYIJNORTH CAROLINA (5P16 1 (115 fl�,` fvp
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From: "Willis Smith" <se'[e-mail]>
Date: Mon, 16 Oct 2006 10:28:49 -0400
To: <ryan. davenport@ ncmail. net>
October 16, 2006
I certify that I have authorized Alan Bailey to act on my behalf for the purpose of applying
and obtaining all CAMA permits.
Thanks,
Willis Smith II
Willis Smith, II
604 Scotland Street
Raleigh, NC 27609
[phone]
[phone] cell
[e-mail]
I of 1 10/ 16/2006 2:30 PM