16982_SMITH, HUBERT C_19970227

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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 '
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Applicant Name �'' - `' Phone Number —
Address
City 4! r State d Zip
` Project Location (County, State Road, Water Body, etc.)
Type of Project Activity-
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PROJECT DESCRIPTION I SKETCH
Pier (dock) length
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.
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applicant's signature
y permit officer's signature
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issuing date expiration date
attachments I c r/
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
application fe

HUBERT C. OR ANNE W. SMITH
NCDL 3818473 3819195
SSN 238-40-1769 SSN 439-52-6207
DOB 1/8/31 DOB 7/22/39 PK 728-7328
2502 LENNOXVILLE RD.
BEAUFORT, NC 28516
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BEAUFORT, NORTH CAROLINA 28516
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J:0 S 3 10 11 2 0: 1 2 230 2 25 2 Sum
66-112
531 3090
Y'Zt&--=e 0-?-7
3090

3
ADJACENT RIPARIAN PROPERTY OWNER STATERIENT
(FOR A PIERIA100RING PILINGS/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to HUBERT C . SMITH ,s
(Name of Property Owner)
property located at 2502 LENNOXVILLE :OAD
,
(Lot, Block, Road, etc.)
on TAYLOR'S CREEK In BEAUFORT,CARTERET
_ , 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. I understand that a pier/mooring
pilings/boatlift/boathouse must beset 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.
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DESCRIPTION A-NND/OR DRANK"M OF PROPOSED DEVELOPMENT:
(To be filled in by indiridu roposing development)
N
71
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Signature
C/' f o"-V- L S
Print or Type Name
Telephone Number
Date: — —

i
ADJACENT RIPARIAN PROPERTY OWNER STATE IMNT
(FOR A PIERIA100RING PILINGS/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to
property located at
on TAYLOR'S CREEK
(Waterbody)
2502 LENNOXVILLE ROAD
HUBERT C. SMITH 7s
(Name of Property Owner)
(Lot, Block, Road, etc.)
.in BEAUFORT/CARTERET
(Town and/or County)
, N.C.
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 beset 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.
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DESCRIPTION AN-D/OR DRANK r G OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
a.
Print or Type Name
Telephone Number
Date: 2, - t