18496_SMITH, JOSEPH_19921119

CAMA AND DREDGE AND FILLS 4
GENERAL 11-8496
PERMIT
as authorized by the State of North Carolina
K :� 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
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION 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.
State
Zip 7
(SCALE: 3 )
I f
!f
l
issuing date expiration date
attachments t 0 `"
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee
Management Program.

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
uisr Fi'{ M��N aN WIva1 ll�sa+cn
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual applying for Permit:
Address of Property:
:24(d
_E>e14 r �
;20 A�r->
C, Z q) S;- l
(Lot or Street #, Street or Road, City & County)
eyL,-1 (%-, 0.J Tom#),
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter.
✓ I have no objections to this proposal.
if you have objections to what is being proposed, please write the Division of Coastal
Mana;ement, Hestron Plazas 11, 151B, Hfvy. 24, Morehead City, NC, 28557 or call (919) 808-
2808 within 10 days of receipt of this notice. No response is considered the same as no objection
if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be
set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you
wish to waive the setback, you must initial the appropriate blank be!ow.)
L� I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Signature Date
Print Name
Telephone Number With Area Code

(FOR A PIERIMOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to
�a S FOP A. SeK IT71 ,s
(Name of Property Owner)
property located at e 8 / d ue "A J
(Lot, Block, Road, etc.)
on %n7v.S �-K , in cl u , 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/boatliftfboathouse 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.
t� I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPTNIENT:
(To be filled in by individual proposing development)
Signature
Lee- P, ill- 'J
Print or Type Name
47-34-G�
Telephone Number
Date: /v �f fI / T'7

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v , a Complete items 1 and/or 2 for additional services.
v� ■Complete items 3, 4a, and 4b. following services (for an
N ■ Print your name and address on the reverse of this form so that we can return this extra fee):
card to you.
> -Attach this form to the front of the mailpiece, or on the back if space does not 1. ❑ Addressee's Address
4) permit.
m ■Write'Return Receipt Requested' on the mailpiece below the article number. 2. ❑ Restricted Delivery
r ■The Return Receipt will show to whom the article was delivered and the date
delivered. Consult postmaster for fee.
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PS Form 3811, December 1994
i. Article Number
❑ Registered
❑ Express Mail
❑ Return Receipt
7. Date of DglivE
8. Addressee's )
and fee is naA
❑ Certified
❑ Insured
rehandise ❑ COD
s (nlif quested
NO
tic Return Receiq

First -Class Mail
UNITED STATES POSTAL SERVICE Postage & Fees Paid
USPS -
Permit No. G-10
• Print your name, address, and ZIP Code in this box •
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No Insurance Coverage Provided
Do not use for International Mail
(See Reverse)
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CERTIFIED MAIL • RETURN RECEIPT REQUESTED d��j CroanrrrafEmv.
tjt'-n.`"'N..N gar Naha! Reaavean
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Individual applying for Permit: S'05C PN 4
Address of Property:
2 �9 %
(Lot or Street #, Street or Road, City & County)
I hereby certify that I own property adiacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter.
✓ I have no objections to this proposal.
If You have objections to what is beina proposed, please wrize the Division of Coastal
Manaaeme.nt, Hestron Pla.:� II, I51B, Hivy. 24, Morehead City, NC, 28557 or call (919) 808-
2808 wirhin 10 days of receipt of this notice. No response is considered the same as no objection
if You have been notified by Certij ed Mail.
WAIVER SECTION
I understand that a pier, dock, moorine pilings, break,.vater, boat house, lift or sandbags must be
set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you
v ish tc '�%'dive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Sisnature Date
Print Name
Telephone Number With Area Code

(FOR A PIER/MOORMG PILINGS/BOATUTTIBOATHOUSE)
SQ S �Tiy
Ihereby certify that I own property adjacent to s
(Name of Property Owner)
property located at Z`f 714e, A-J
(Lot, Block, Road, etc.)
on , in i "� �t v , 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/boatliMoathouse 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.
L.� I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
Signature
Print or Type Name
Telephone Number
Date:

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NOV-18-97 TOE
13 AM PLATURGUNSPECTIONS FAX NO, 9197286643
(iR A NER U00RING PJUNGS1II0ATUFTZ80A2710U5,7
P,
< I hereby certify that I own property adjacent to ,'o 5 ' �} . r� �`T •s
(Name of .Property Owner)
property located at 2#9 7-c"ukj 13ewu4 f;; 0-'� � "Cl n431-4
Bloch, Road, etc.)
on Aa+1 .�, irk s4��-�i , N.C.
---- (Waterbody) (Town and/or Countyf
He has described to me, ag shown below, the development he is proposing at that
location, and, I have no objections to his proposal. I understand that a pier/mooring
pWngs/boatiifWaathouse must be set back a minimum distance of fif =n feet (IS') from my area
Of riparian access unless waived by me.
I dQ_net wish to waive the setback requirement.
I ds wish to waive that setback requirement_
DESCRUMON AMfOR DRAWING OF PROPOSED DEVF.MP'VM.-
(Tv he.ftlTed in by individual pmposing development)
L� # bt.-3
5t-v-
Signature
Print or Type Name
Telephone Number
Date.

NOV-18-87
------------------
AM PLANNING&IIISPECT IONS
FAX NO. 9197286643
P. 1
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VC�'T�= MAIL - RETURN RECEIPT REQUESTED b��1 0 .ft.'M:caftA
K.0ai.r weu+t xeo-ouy
DMSZON OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPFRTy OWNER NGTMCATION/WA.IV FR F0RA4
Na-me of Individual applying for Permit: —3-05, PN A - Sri.,,
Address of property. feyL, I fill a
(Lot or Street P, St=t cr ,Road, City & Couatv)
I hereby ci;,dfy that I own property adiacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
LheY are proposing. A description or drawing, with dimensions,
letter. snanld be provided with this
I have no objections to this proposal.
If you htta•e objections to What is, bsinp proposed, please write the Dirisinn of Ct�astal
Manwgemerz ; Hesrron Plea II, I SIB, H;vy- Z4, Morehead City, I�-C. 28557 or call (919) 8,98-
2808 ► *12 n 10 daps of receipt of this notice. IVO respo,zsr is considered the same as no abjection
ifyou have been notified by Certified Mail.
WAIVER SECTION
I ttnderstant'' that a pier, dock, mooring pilings, breaknvater, boat house, lift or scndbags must be
set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you
wsh to waive the setback, You must initial the appropriate blank be?ow-
LI-1, I do wish to ivaive the 15' setback requirement.
---� I do nut wish to waive the 15' setback requirement.
S�£nature
Date
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