26926_SMITH, BILLY_20000925

CAMA and DREDGE AND FILL _
G E N E R A L 6926 r
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 i I(."�,Q
Applicant Name "'' �" Phone Number �57, 4 ? •rah,
Address
City A ' t ` r� State zip r
Project Location (County, State Road, Water Body, etc.) r t,, ti, "t
c M 0tJ- M r4or f ANAL Q' 3 0 ;3c;Gu � ) t;uti'p
Type of Project Activity rl t,(,Fmt tIT a I-' x if 9CA-1-1 t FT VJ iT ri tN `' C-'yrsT /0VJp f"CC7- PP1AJ7"
PROIECT DESCRIPTION SKETCH
Pier (dock) Length
Groin Length
number
Bulkhead Length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
other
ors. Fv+.�,PT
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.
(SCALE: lJ� N E
applicant's signature
it l
issuing date
permit officer's signature
expiration date
attachments
�f:/c�G•G�?
application fee

ERIC B. ELLIS NCDL 65047
JASA M ELLIS PH(252)726-6775 1820
205 NOTTINGHAM OR.
MOREHEAD CITY, NC 28557 Date- 66-30/131
33
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Order of 0 O, O
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FIRST CITIZENS -
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ch, N.C. 28512 Qg5t
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P. 01
TRANSACTION REPORT
SEP-25-2000 MON 10:05 AM
�c DATE START RECEIVER TX TIME PAGES TYPE NOTE M# DP
SEP-25 10:04 AM 7262267 49" 2 SEND OK 854

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGS/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to L�� ���rnif� is
(Name of Property Owner)
property located at 0 Y
(Lot, Block, Road, etc.)
on ,� �r 0� 6i c_ �C�c�.<f-C1 , N.C.
(Waterbody) I(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/boatlift/boathouse 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.
I do wish to waive that setback requirement.
DESCRIPTION
(To
AND/OR DRAWING OF PROPOSED DEVELOPMENT:
be filled in by individual proposing development)
,� �,�m
Signature
Print or Type Name
/v'� -7,;Z?,-0S/8�
Telephone Number
Date: �7� Grp

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGS/BOATLIFI'/BOATHOUSE)
I hereby certify that I own property adjacent to X Sp y S"2 4 /-t is
(Name of Property Owner)
property located at
oZ a ✓r`
(Lot, Block,
etc.)
on / ,in Z8-/ A,) -/ C,<e 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/boatliftlboathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
1/ I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
Print or Type Name
Telephone Number
Date: - ID 7-)