25685_PINE KNOLL ASSOC; JT SMITH_20000614

CAMA and DREDGE AND FILL
G E N E R A L
PERM I T
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 SKETCH
Pier (dock) Length i(
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
M.
issuing date
(SCALE:
applicant's signature
permit officer's signature
expiration date
attachments
application fee

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"JT T. SrhT TVHAy,
CH49DIETT-M * SMITH
228 SUNSET DRIVE 252-393-7883
TOO1V SWANSBP_R0, NC 28584
PAYERTF�1
ORDER �
66-85/531 1531
0282027235
DATE
s
DOLLARS
Centura Bank.
Cape C eret, NC 28584 -10
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l:053 10013S01:0 2a 20 27 236;.-/ L531
NP

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 101Nc' 6,3"LC /9S5'-c: i4rtol� 's
(Name of Property Owner)
property located at %Z/}K5c`y DP- . ENb @
(Lot, Block, Road, etc.) f 1
y in -I ti� NoC L SR&5, -QCT, N.C.
on iN6 nNc� .'AY
(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.
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Signature
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Date:L/I 7� -
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to I"iNc K.—,LC .4S5.-c''WrY-fn 's
(Name of Property Owner)
property located at %Z,&H5E)/ Dp 6JU a+c k,- '
(Lot, Block, Road, etc.)
on A NE i(lvc t L Gu E'L' Gu p y_, in ? . :K " - -CT-, N. C.
and/or County)
(Waterbody) (Town and
He has described to me as shown below, the development he is proposing at that location,
and, I have no objections to his proposal.
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Telephone Number
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