25602_SMELIK, GENE_20000523

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CAMA and DREDGE AND FILL F1�2
G E N E R A L i is Ltd
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 NamePhone Number
Address '
City State
Project Location (County, State Road, Water Body, etc.)
zip
Type of Project Activity 'i f
PROJECT DESCRIPTION SKETCi-)� �--- ''� (SCALE: `~ )
Pier (dock) Length 2
Groin Length
number
Bulkhead Length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other l
This permit is subject to compliance with this application, site drawing
and attached general and specific conditions. Any violation of these terms
/ 4—A
applicant's signature
may subject the permittee to a fine, imprisonment or civil action; and J I
may cause the permit to become null and void. � ; � 1, f
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 /-�Syi g date expiration date
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
In issuing this permit the State of North Carolina certifies that this project
is consistent with the North Carolina Coastal Management Program. application fee

EUGENE A. OR CAROL J. SMELIK 66-112/531 53 52
PH. 726-0331 1233023767
4304 SOUTH SHORE DR.��
MOREHEAD CITY, NC 28557 DATE
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, QRDER OF /V d'��
5 LLARS B�„a
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2301
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lMMCH MNNMq AND y11Uii COMPM/V
4408 ARENDELL STREET nmc o
MORE CITY, NC 28557
l:0S31011211:1233023767Il' S3S2

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE)
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I hereby certify that I own property adjacent to 6-F-41 P
�n(Name of Property Owner)
property located at I � � � O
j (Lot, Block, Road, etc.)
on Q., C1 , ini�� , 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/boatlift/boathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
—�Zf I do not wish to waive the setback requirement.
I da wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELORMENT:
(To be filled in by individual proposing development)
yF� e a
5
V V
Signatur
J1)r7FS D, 1NULL W
Print Jr Type Name
Telephone Number
Date: �—�-Ocr

ACENT RIPARiAN PROPERTY OWNER STATEMENT'
(FOR A PIERIMOORING PILINGSIBOA TLIFTIBOA THO USE)
I ereby certify that I own property adjacent to � � � � M_ L 't � 's
(Name of Property Owner)
property l I. ted at o /tom
(Lot, Block, Road, etc.) �(
on Z11 t✓ v 11i c� , in N\bCLt i c :'ram N.C.
Waterbody) (Town and/or Count
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 itiift/boathouse must be set back a minimum distance of fifteen feet (15') from my area
of ripariap access unless waived by me.
I do not wish to waive the setback requirement.
V
I d-Q wish to waive that setback requirement,
CRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by indipidual proposing development)
t
tfFT
AIPT
re
Print or type Name
rc?,Iq)
Telephone Number
Date: J 66