18600_SMITH, JOSEPH_19980223

CAMA AND DREDGE AND FILL
J V'
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
Applicant Name Phone Number
Address
City State Zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION SKETCH
4 i'4 P �
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
V
r
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.
(SCALE:
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applicant's signature
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

JOHNSON'S CONSTRUCTION CO. 936
PH 919-223-2917
1223 HARGETT ST
NEW PORT, NC 28570 0 ss-ao/ 531
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PAY
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Firsl G izons Bark & Trust Company
RAN
A�,K I3uZ` IAA. 28516
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n50009 360 ':0 5 3 L00 300i:00 S 2t,08069"l
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I hereby certify that I own property ad.fie S J ,
jacent to r t (Tip/ s
(Name of Property Owner)
Property located at 2`f _ —p3 'BCwU'PJ !! , "C ? �7
(Lot, BIock, Road, etc.)
on _C�,,9�S (?4zv-K in L., 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 piermooring
pilings/bcatlifVboathouse must be set back a minimum distance of fifte~n 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.
DESCRIMON AIN-D/OR DR VY-LNG OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
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Print or Type Name
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Telephone Number
Date: 2 /��

cD MAIL • RETURN RECEIPT REQUESTED G
u%. N..0aIr wvL 11•wisc,.
DIVISION OF COASTAL MANAGEMENT
lACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
of Individual applying for Permit:
E'
.dress of Property:— `f2r►+.9,J j2o A /�'l ��rc,z 1 o .J ��.s
2-
(Lot or Street #, Street or Road, City & County)
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
Management, Hestron Pla7-a II, 151B, H►vy. 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 Certijzed Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags mus: be
Set back a minimum distance of 15' from my area of riparian access unless waived by me. (Ifyou
wish to waive 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.
Signature /�i / /' %
Date
Print Name
'Y-µ7/
Telephone Number With Area Code