26687_PASSINO, JACQUE; JT SMITH_20000901

la i (�J*
LAMA and DREDGE AND FILL 26687�
G E N E R A L IV
PERMIT
as authorized by the State of North Carolina
Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC
Applicant Name
Address
City
Project Location (County, State Road, Water Body, etc.)
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
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 become null and void.
This permit must be on the project site and accessible to the permit of-
ficer when the project is inspected for compliance. The applicant certi-
fies by signing this permit that 1) this project 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.
In issuing this permit the State of North Carolina certifies that this project
is consistent with the North Carolina Coastal Management Program.
Phone Number
zip
applicant's signature
permit officer's signature
issuing date expiration date
attachments
application fee

THE RIGHT WAY `S6tCj 66-85/531 1550
J. T. SMITH 60 �od(o(P % 0282027235
CHAROLETT M. SMITH , Da
228 SUNSET DRIVE 252-393-7883 DATE
SWANSBORO, fNC 28584
PAY TO THE �'��J ///,,, , ( /l•C/ OQ
ORDER OF— L—
r1 DOLLARS m+
Centura ank 5-
Cape Carteret, NC
M'
MEMO /IlSso
1:0 3 L00850�:028 202 2
---5

%,#V I al Do OUT UIM ` W to: r aaaren X3 I1
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Individual applying for Permit:s•
Address of Pronertv: ;-n)-
(Lot or Street #, Street or Road, City & County) r
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
Ietter.
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, Hestrvn Plaza IT 151-B, Hwy. 24, Morehead City, NC, 28557 or call (252) 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 below.)
---A'— I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Date
PE'nt Name
�L
E �3 Z
e ephone Number With Area Code

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION[WAIVER FORM
Name of Individual applying for Permit: -� 4 (- Q 'J �1 . CN- S S ` 9 o
Address of Property: \ ° k'A " L- a' `"' `z 2 ! C.-�b \.r rz, —,
T
(Lot or Street 11, 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
Ietter.
y1I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, Hestrun Plain II, 151-8, Hwy. 24, Morehead City, NC, 28557 or call (252) 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 below.)
I do wish to waive the 15` setback requirement.
I do not wish to waive the 15' setback requirement.
Signature Date
Y,V,iS
Print Name
Z50 2401 zgSn
Telephone Number With Area Code

LEGEND
EIP-EXISTING IRON PIPE
SIP -SET IRON PIPE
EIR-EXISTING IRON ROD
SIR -SET IRON ROD
qo ECM -EXISTING CONCRETE MONUMENT
SCM-SET CONCRETE MONUMENT
EPK-EXISTING PK NAIL
SPK-SET PK NAIL
EN -EXISTING NAIL
SN-SET NAIL ?
PROPERTY LINE
RIGHT OF NAY LINE--------
UTIL.ITY LINE - - --
FENCE LINE x x x
COMPUTED LINE -
CENTERLINE - - - -
DITCH LINE
REFERENCES
TAX PARCEL // /3-38C-3- / /
OB 444 PG 104
MB 7 PO /8
ADDRESS /07 MULBERRY CT.
✓09 1196133PA
S B7 SO'92'£ 192. 92'
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511RllEY FORT
JACQUEY PASINO
FLORANNE hT PASSINO
L OT 26, 6L OC/I' ,AG
PINE KNCYL SHORES EXTENS/ON SECT/ON / 8
MOREHEW 70AYN511/P
CARTERET COUNTY NORTH CAROL/NA
APRI /6, 1996 SCALE / ' = 50'
CAROl'
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SEAL
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1 FURTHER CERTIFY AS TO THE FULLOMINC� 1 L�ym
❑ iRNEA iiPIIFE iYY ER KNI Ind SIIwMT�NRS NI ONO NANCT
THAT REQ"L ZS I ARMS Or
THAT TNIs is A sLRVEY Or ING PAATEL OF LAND.
i1N7 TFC SLIINEY 1! @' CAI[GORY WILLY
A '
NO. L-3161