18740_KELLY, JACK AND DEREK SMITH_19981208

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CAMA AND DREDGE AND FILL y
GENERAL � �; 18740
PERMIT IN
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 Phone Number
Address
City State Zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION SKETCH
41,�'1 '1
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
0..'
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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 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.
Theapplicant 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.
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
(SCALE:
applicant's signature
permit officer's signature
1
issuing date expiration date
t 1
attachments
c �
application fee l L �{

DEREK S. SMITH
NC 7836496 PH 919-247-4428
1446
107 HAWTHORNE DR
66-152/531
PINE KNOLL SHORES, NC 28512
12-Y-f.P
DATE
THE
ORDER
ORDER OF
$
50.
DOLLARS
Wachovia Bank of North Carolina, N.A.
Morel ead City, NC 28557
FOR K"11 (L"Ff-)
1: 0 5-3 1 -OL 5 S 3 2 L
CHARL11111
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(FOR A PIER/MOORING PILINGSIBOATLIFT'/BOATHOUSE)
I hereby certify that I own property adjacent to JA £-LL I
(Name of Pro rty Owner)
property located at --�? 7 /�- 4, G , ,) r � f d
(Lot, Block, Road, etc.)
on o ? ,v in C
/�2 l , N. C.
aterbody) (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/boadiftlboathouse 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 DEVELOPMENT:
(To be filled in by individual proposing development)
Sign
DEC 0 7 1998
T (� - e-, v'-�
Print or Type Name
,920/— ,g,6 r = 7&
Telephone Number
Date: / ��

I
(FOR A PIER14,100RING PILINGSIBOATZIFTIBOATHOUSE)
I hereby certify that I own property adjacent to J, ` k Kt: < < -1 's
' (Name of Property Owner)
property located at
(Lot, BIock, Road, etc.)
on ao a 4, p ti of , in �� w aye % , N.C.
(Waterbody) (town and/or County) Z Y Y -7 D
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 DEVELOPMENT:
(To be filled in by individual proposing development)
0
X° x X DEC 0 7 199-8
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Signature
Cc
Print or Type Name
Telephone Number
Date: f
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