26685_SMITH, MICHAEL D; LARRY ARNOLD_20000831

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CAMA and DREDGE AND FILL��8�
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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
State
Phone Number
zip
PROJECT DESCRIPTION SKETCH (SCALE: )
Pier (dock) Length I _ _
Groin Length
number
Bulkhead Length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
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.
issuing date
applicant's signature
permit officer's signature
expiration date
attachments
application fee

VIO�TEY ORDER
UNITED ST/ITES . P O S Tt1L 1 1 D00
4
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85040741],47 0006� 5 28557 ** 5 D* 0 0
MONTH. DAV POST OFFICE"""'""'"" U.S. DOLLARS AND CEW
SERIAL NUMBER YEAR, _ I", A
CHECKWRITER lt�l 1.�Zyy'k�"� (' I
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ADDRESS
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NEGOTIABLE ONLY 14-T ll.S: AN
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USED FOR
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NEGOTIABLE ONLY IN, kiE,U;S. AND PossE-siichs
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ADJACEN7 RJP"4k'4',YfoCtpERTy 0,4-,ycl�.R Sj,,AT 'EVIr'7r 'ki
(F$,,R 14 �;rEWVtVC0VEREDR9.Aj' t fFn
I horebv certify tIj4 I o',wn propwy adjueflt
s
(NOf
property located at
Road,
on
41
(Watf-rbc dy�
(Taw®
He his deu-6VA W fhe, as shown below, the developrqt--,t %e ;s proposing at that
location, "d, 1 haW,'�,O vb,,U�vns to his proposal, I undentand L; At a pier,,ulcovered beat lift
must be set bark a,
waived by me. 4 dizzarce of fifteen feet (151) from my arom1.6r ,Varian access; itnIess
VLA to kva�ve the setback requirement.
C *-,uve that sftback requirement.
DESCY 10 A24DIOR PRA
hetWed in by in
p,,g,eu r/
Pal —
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39'
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OF PROPOSEnc,,.4�,vt,4,'i-p^, a'.N r:
d proposing
I? 4A4 P
Signature
Print or Type Name
Telephone
AUG 3 12000
Date:

I hereby calf r ttlat I 0,;4m {„
property located at (Name
�. �y'.�
(L40t 9,616W4 Road, etc.)
on in
(Watr�ber i _ r
i'I'own and/or Cowaty)
He has deu-n%,-A w �r;c, as shown below, the develops% t he ;.s i s gas fat
location, a ;id, 1 have �. . ,'� ins to his proposal. I understand 00t a Pier/Wicovereyd bew lift
must be by me.
set a
waived Ln re of faft= feet (15') from MY agoa -,i -;pa ian access unless
---.�--. I dO 4(4 _ ri waive the setback requirement.
'"Ic rIve that setback requirement.
Di`5S (� &Si J/OR DRAWINGOF t.l�o�i7iJLI 6a•}i.. ti•f�it r:
. ® he,mod in by in&v&ud propodng � ;•: ,. •za3
AUG 3 1 2000
HEAD
sigsaatuiz ' v _ r - .'\
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Print or 'i5e Name
. ..� �_-
Telephone Nt�rrtber
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