32938_HOMER SMITH SEAFOOD_20030127

CI CAMA / ❑ DREDGE & FILL 3 2 ' 3
• 1 GENERAL PERMIT Previous permit#
❑New ❑Modification []Complete Reissue ❑Partial Reissue Date previous permit issued
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 15A NCAC
❑ Rules attached.
Applicant Name
Address
City
State ZIP
Phone # (� }
Fax # ( )
Authorized Agent
Affected ❑ CW
C EW ❑ PTA ❑ ES [=1 PTS
AEC(s): ❑ OEA
] HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
❑FC:
ORW: yes / no
PNA yes / no Crit. Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City_ ZIP
Phone # ( ) River Basin
Adj. Wtr. Body _ (nat /man /unkn
Closest Maj. Wtr. Body
Type of Project/ Activity
Pier (dock) length
Platform(s)--
Finger pier(s)
(Scale: )
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Groin length
number
Bulkhead/ Riprap length
avg distance offshore
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max distance offshore
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Basin, channel
cubic yards
Boat ramp —
Boathouse/ Boatlift
Beach Bulldozing__
Other____
-
4
1
1 I,
11
-16
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Shoreline Length
SAV: not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
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❑ See note on back regarding River Basin rules.
- 1 (� � f� %-• 1 ^, — - i '�� �=
Agent or Applicant Printed Name
l;'
Signature ** Please read compliance statement on back of permit*
Permit Officer's Signature
Issuing Date
Expiration Date
Application Fee(s)
Check #
Local PlanningJurisdiction
Rover File Name

Statement of Compliance and Consistency
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 or criminal 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 officer when the project is inspected for compliance. The
applicant certifies by signing this permit that 1) prior to undertaking any activities authorized by this permit, the applicant will
confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian
landowner(s) .
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
❑ Tar - Pamlico River Basin Buffer Rules ❑ Other:
❑ Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the
River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of
Water Quality. Contact the Division of Water Quality at the Washington Regional Office (252-946-6481) or the Wilmington
Regional Office (910-395-3900) for more information on how to comply with thesebuffer rules.
Division of Coastal Management Offices
Central Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888-4RCOAST
Fax:[phone]
Elizabeth City District
1367 U.S. 17 South
Elizabeth City, NC 27909
252-264-3901
Fax:[phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead City District
151-B Hwy. 24
Hestron Plaza II
Morehead City, NC 28557
202-808-2808
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-395-3900
Fax:[phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
www.nccoastalmanagement.net
Revised 10/05/01

HOMER SMITH SEAFOOD INC.
SALTER PATH ACCOUNT
PH. 252-247-3676
P' 0- 1368
SALTER PATHOX , NC 28575
PAY
TO THE
ORDER OF
WAACU11117 A
LA_CHOVIA
'ac Rank, N.A.
NC
FOR 1�2rl/Y711
Ila
0000 4 20 2no •
053 10 IS 2qj:
................ '- '�:.m
4202
DATE 66-152/531
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HOMER SMITH SEAFOOD
WHOLESALE AND RETAIL
P. O. Box 68
❑ Salter Path, North Carolina 28575
Telephone [phone]
101 Cedar Street
❑ Beaufort, N.C. 28516
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Rom(/- �`r>'ttc(, �>e-f (-m')A 's
(Name of Property Owner)
property located at J- p T N0. q '2 ` O Sk `) r i ve,
(Lot, Block, Road, etc.)
on , in S Oe r K-�, ^( r le4r , N.C.
aterbody) (Town and/or ounty)
He has described to me as shown below, the development he is proposing at that location,
and, I have no objections to his proposal.
-------------------------------------------------------------------------------------L----------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
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GOLDSBORO EYE CLINIC, LTD.
Print or ] CHARLES S. ZWERLING. M.D.
2709 MEDICAL OFFICE PLACE
GOLDSBORO, N.C. 27530
Telephone Number
Date: /o

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Koff) r oA L, -Akx)A 's
(Name of Property Owner)
property located at L bT I) o, 2 scr-4,on z 10 a S k or f_ i)r.
(Lot, Block, Road, etc.)
on J In 46je,^ N.C.
Vaterbody) (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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
• � � r I I �rD�OScp
proposed
S��ps
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Signatu
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Print or Type Name
Telephone Number
Date: C) CA-, 3 Q 1 2-0 0,2--

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