16494_SMITH, STEWART_19961008

Applicant Name
Address
City ✓k
Project Location
f � �/Laru �• � ,:
CAMA AND DREDGE AND FILL �NY-016494,
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 f / � `
If
19 /'t.
nty, State Road, Water Body, etc.)
Phone Number
State OOV C zip S t
Type of Project Activity �'' �'��✓� `��^ ���'�'��
PROJECT DESCRIPTION SKETCH (SCALE: r j
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore -�
• �7D�S-yci 1
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other_. + `
X 4
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.
applicant's signature
16.1.fir C6 /1
permit officer's signature
issuing date expiration date
attachments 6211. /'Po
In issuing this permit the State of North Carolina certifies that �� ��sr ���
this project is consistent with the North Carolina Coastal application fee J
Management Program.

COASTAL MARINE CONTRACTORS, INC.
P. O. BOX 12729 PH. 919-638-6407
NEW BERN, NC 28560
PAY
TO THE
ORDER OF-
e�O0
3688
t 112
531
- A-*
$ /DD o0
_DOLLARS W =
01901 BUT
&T
375 TRYON PALACE DRIVE
o/b BC ERN, C 28560 ----
FOR S.W - ---- -- --------
0000 368811' 1:0 53 10 1 L 2 11: 5 110 1 L 269iR0
w

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s
NOBOX 776 PAMLICO COUNTY BUILDING INSPECTIONS BAYBORO, N.C. 28515
[phone]
(After this form is completed by the landowner proposing the project,
a copy is given to his/her adjacent landowners for their consent and
signat;ares. The forms are then returned, along with a building plan
and other applicable required information, to the building Inspections,
Office for building; permit"applicationJprocessing.)
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT EPN#
j� i (hereby certify that I own property adjacent to
Is on
Name of landowner proposing development ? body of water
inJnear. �Q 0Q D Lot4P �J of-!�'rl,S eXeP �G�Q2S
co-mmunity Subdivision, if applicable
Tax Parcel 4DZ7 off SR 113 7 Complete description of how to
locate this property: of &40-y i
The proposed project, a Bu«C4do82 dWl -AN, and the location has been
described to me as shown in the drawing below and I have no objections
to the proposal.
FC -A PIER, CHECK ONE OF THE FOLLOWING:
I wish to naive the 15, minimum setback from my riparian access.
I DO NOT wish to waive the 15, minimum setback requirement.
• ��e:rsr���,�,�,t�*sreta��e�►��,��s.,t,��*�r*,t�rw*,�,��**trt�r*:�,�#+r�*,tx+r«*a,���e�:�*:,��r,�,r�xf
Draw the proposed structure in the space provided below. List the size
of the structure and measured distances from the adjacent property
lines, other structures on the property, and the road, water. ere,_
` /
- ___---- ---- ---- — �—�-- /D / �(o Signature

POBOX 776 YAMLICO COUNTY BUILDING INSPECTIONS BAYBORO, N.C. 285.15
[phone]
(After this form is completed by the landowner proposing the project,
a copy is giver. to his/her adjacent landowners for their consent and
signatures. The forms are then returned, along with a building plan
and other applicable required information, to the Building Inspections,
Office for building permit•application/processing.)
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT EPN#
I hereby certify that I own property adjacent to
S�P ,'J'4e �) /Yh i Is on ?eAm15 J e1?ee-X -
Name of landowner proposing development body of water
in/near AA-A'
j7,A A" Lot# // ofs (1 e*/,�S
c mmunity Subdivision, if applicable
Tax Parcel #"Eo )- ,? 7-3 off SR/M­. Complete description of how to
locate this property:�eg/tQOS
0# r-) � T o
— II �I
The proposed project, a _LL�ht� gd�fc�N and the location has been
described to me as shown in the drawing below and I have no objections
to the proposal.
FOR A PIER, CHECK ONE OF THE FOLLOWING:
I wish to waive the 15' minimum setback from my riparian access.
I DO NOT wish to waive the 15, minimum setback requirement. '
�Y9rtrtstrtr��i�Cy�tc9trn�Kk*st�:tdr*,r�r�R9r��F::+��*�{�,tAsrtrBeast&�rtCs**trot#,taSr�dr�?*a*,t4,sd*,tart!
Draw the proposed structure in the space provided below. List the siz,
of the structure and measured distances from the adjacent property
lines, other structures on the property, and the road. water. err_
10
OV
_--
_. �,-AS/{P1// G� Ddte /o�i Signature -