19852_JONES, ROBERT & WENDY / SMITH, DEREK_19980819

CAMA AND FILL
DREDGE AND ,a
�f GENERAL��
�>; er
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
Address
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
State
Phone Number
Zip
PRO) ECT DESCRIPTION
SKETCH
(SCALE: )
st t
Pier (dock) length1:_
�" r:•wti
_ r�= .- r l + i
Gi`1 �% ': _
`; ..
W.
Groin length
(+rL_._
a
' .. i .. ti. :..
number
Bulkhead length'
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
_
\ _t _
_
—• -
,
Other
J`
I
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,
applicant's signature
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.
attachments
permit officer's signature
issuing date expiration date
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
application fee

H:s'
RISING TIDE AQUARIUM SERVICES
P. O. BOX 205, 910-251-7900
WILMINGTON, NC 28402 p 66-7631531
... I l 19
PAY
TO THE E OI So cs,o
RDE�R,OFO $ J
too DOLLAR
Wachovia Bank of North Cana, N.A.
Wilmington, NC2Ra112 Iw�_`1 Lt W IC�� ( U"}�
FOR C1�� VN pGwml�F S Z
81
11'00001O71I' 1:0531076331:
8616 05114311/

I hereby certify that I own property adjacent to Roea-r pob wf l��'s
(Name of Property Owner)
property located at jl ?> SgOEE EV !LJ , -, -I )T- " { S7 - STATE RLAl3 1301,
G L,2 pe N C( C--L �- (Lot, Block, Road, etc.)
on
,iRdtF (� i(�iEE! , N.C.
(Waterbody) (Town an 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/boatliftlboathouse 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 DEVELOP'1IENT:
(To be filled in by individual proposing development)
22°� 50� 101 22`
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DEE�Y
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PRoF.
Signature
Print or Type Name
Telephone Number
Date:
�J —

I herebycertify that I own property adjacent to
fY P PertY J ADD WEND%z%'s
' (Name of Property Owner)
property locatedat 11'S SgOEE i'f21 (VE --- Q)T 4 14537 -- STATE RCAD 130i,
C2CL (Lot, Block, Road, etc.)
on --K- , in BER tF ' i I(Ak---f-er,,oc 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/boatliftlboathouse 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 DEVELOPINUNT:
(To be filled in by individual proposing development)
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Cocv� /p11.iNC-�5
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Bu�L`K' EfEAp
�{o�£. �. , � VELL-p�E LY
Y
No?. PROF.
'
lty'
0-e-eI ;J,
Print or Type Name
Telephone Number
Date: (Y-18 - ��