18535_SMITH, RONALD_19971119

CAMA AND DREDGE AND FILL 1
GENERAL 4,
pyy,, :_ ("1 8�35
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 I 1 '` ! /i ?� i Phone Number
Address i. ` ^7 A /27
City�-
Project Location (County, State Road, Water Body, etc.) 4
Type of Project Activity
PROJECT DESCRIPTION
Pier (dock) length
Groin length _
number
Bulkhead length
max. distance offshore
Basin, channel dimensions_
cubic yards
Boat ramp dimensions
Other
State 1— Zip
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C . f. ,•, r.
SKETCH (SCALE:IV
)
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F -A
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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.
attachments
U applicant's signature
issuing date
permit officer's signature
expiration date
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee
Management Program.

RONALD L. SMITH NC 2873807 0229
MARY J. SMITH NC 2872078 68-1621631 CC
626 ISLAND RD PH 919-728-6201 �/
HARKERS ISLAND, NC 28531 ' _ 19 1 7
Pay To The $ 50.0v
Order Of
yy _Dollars
Wachovia Bank of North Carolina, N.A.
Harkcrs Island, NC 28531
Memo
i:053LO45291: 5465 L95953111 022
HARLMD 1992

CENTRAL PERMIT OFFICE OF
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1� BEAUFORT. M. T -•�—'� ' C. 2931 0-18fld
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CAwTtw[r CC'UMr CouffrNousC @U'Lo1NG& ►Ao*ILC "C"M [LCCTWCAL, PLUNg p4C. MCCHANKAL
ADJACENT RIPARIA2i PROPERTY OWNER STATEMENT
I hereby certify that I awn property adjacent to:
property located at: 27 l��K�2S �SI,A�1n©A
near (water body)
in (county). C L11 `I E2V1—
The applicant described to me as shown below, the development
he/she is proposing in that location and:
I have no objections to this proposal _
I do have objections to this proposal
Description and/or drawing of proposed development:
��� ��0v�,,fl47 �vuc� Sw2or7 SO -
Signature:
Name:
Phone Number: '4 2/ L 45�2 /
U.

. MrJ
CGGU ZNT--Y
COURTHOUSE SOUAR[
SEAUFORT. N. C. 2e1 I a.1 eae
72e.e3As
el"C'NCif. M06IL[ "ORAM CL[CTPhCAL. ft UMMNG, Y(CNA440CAL
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to:
property located at: ff TZ
near (water body)
in (county)
The applicant described to me as shown below, the development
he/she is proposing in that location and:
I have no objections to this proposal
I do have objections to this proposal
Description and/or drawing of proposed development:
RWAR OLK 41TP t TkC3, F I LL- '690 S '006 'RWCA4-�
Wl
Signature:
Name:
Phone Number
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1 36. 28' W
SURVEY FOR
BACK SOUND JOHN BLANTON
I IARKCR' S 1 SLAND .TOW14SI I I P
CARTERET COUNTY, N. C.
MARCH 27, 1.996 SCALE 1" •60'
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SURvrrrD BY
POWELL SURVEYING COMPANY, P.A.
P. 0. BOX 616 BEAUFORT, N. C. 20516
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