19904_BRENDLE, FLOYD_19980522

�O
CAMA AND DREDGE AND FI
GENERAL 119904
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
Applicant Name �-''��Y''��%r. Phone Number
Address No- �'i•;� -
City State Zip
Project Location (County, State Road, Water Body, etc.)��`
Type of Project Activity 's �' 3�� /
PROJECT DESCRIPTION I SKETCH
Pier (dock)length v
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 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.
7'I.G/- k' i 4
(SCALE:
Ca1
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applicant's signature
�a✓� 1:� �( � r' �A I
permit officer's signature
issuing date expiration date
attachments V , A / 200
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee -So � rl,r
Management Program.

DEREK S. SMITH
NC 7836496 PH 919-247-4428
107 HAWTHORNE DR
PINE KNOLL SHORES, NC 28512
'To
THE
DER OF
1265
DATE 66-152/531
�TACTVMIA
Wachovia Bank of North Carolina, N.A. r--
Morchcod Cil}., 'C 28557
/ems 1/,,J,,/�
�� -�
-1:053 10 15 291: w 1
__ 546 1 1 13 2 14u' 1 265

7 f V
(FOR A PIERIMOORING PILINGS/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to / is
(Name of Property Owner)
property located at ���� �5��Ll--,
(Lot, Block, Road, etc.)
on inWaz�('V�A
. ) C.
aterbod
Y (Town and/or C 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/boatliftiboathouse 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.
V I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
(//i 1334 S-3J- 226y
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C u w, A&I.. `� `�
Print or Name
Vf - ;?) 6 - 7,5 /
Telephone Number
Date:
5 - /, - �w

ALI)„iA: 1 ,1P:�iAN PROPERTY OWNER STATEMEENT
(FOR A PIERIMOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to 's
(Name of Property Owner))
property located at V/�
(Lot, Block, Road, etc.)
on , in 6P�� LQ�t�N.C.
(Waterbody) (Town and/or Coun
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 do wish to waive that setback requirement.
----------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPTNM� T:
(To be filled in by individual proposing development)
A
U4
aimsnature ]�
Print or Type Name
-21(,-0-�8L
Telephone Number
Date: