41707_SMITH, ROBERT_20050512 (2)

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GENERAL PERMIT Previous permit#
DNew LIModification DComplete 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
P Rules attached.
Applicant Name_ ��� `�� r�� Project Location: County
Address Street Address/ State Road/ Lot #(s)
City ✓" ' State /� /<. ZIP > / ) (—
Phone # C,) e(1+ 1 1 i Fak* (i) Subdivision
Authorized Agent City �'� f'��! l f ZIP 2
CW . E-EW -E3PTA ❑ES ❑PTS Phone # ( ) River Basin
Affected ❑ OEA ❑ HHF ElIH [IUBA El N/A AEC(s): Adj. Wtr. Body _ (nat I -an /unkn)
� 7 PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Mal. Wtr. Body <
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length_
avg distance offshore
max distance offshore
Basin. channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
i
Shoreline Length
$AM not sure yes ono
Sandbags: not sure yes fno )
Moratorium: n/a yes no)
Photos: yes nv
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
Agent or Applicant Printed N
1
t
Signature ** Please read compliance statement on back of permit
(Scale: • )
_ _ See note on back regarding River Basin rules.
Permit Officer's Signature
i"
Issuing Date Expiration Date
J�_
Application Fee(s)
Check# Local Planning Jurisdiction
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, certifythat 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 Elizabeth City District
Mailing Address: 1367 U.S. 17 South
1638 Mail Service Center Elizabeth City, NC 27909
Raleigh, NC 27699-1638 252-264-3901
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888-41RCOAST
Fax: [phone]
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

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it Vil 1 i�Ltl�. i/Lii u-ii�T a 1��i.�:li7 ��i+nil ��ii�v}i��� �JL�Li:� - �,•
I hereby certify that I own property adjacent tv'oaFWH, : - &: 2AI F,
(Name of grdperty Owner)
located at 3'D
-& mil] , in-&&9 zur i , N.C.
(Waterbody) (Town and/or County)
He has described to me, as shown below, the development he is proposing at that
ation, and, I have no objections to his proposaL I unde6tand that a pier/mooring
ings/boadift/boathouse must be set back a minimum distance of fi#een feet (15') from my area
riparian access unless waived by me_
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED .
(To be,llled in by individual proposing deve
%Y E&J 4(jk- RA6 4DD 4)/
Signature
Print or Type Name
3 doo"- �
/-ql�-119)-- 30,1'rJ
Telephone Number
4

May 9, 2005
Memorandum To: Town of Emerald Isle
Subject: Adjacent Riparian Property Owner Statement
IS
ell
I plan to apply for a pier permit from the North Carolina Environmental Health and
Natural Resources, Coastal Management Division (Coastal Management). Coastal
Management requires that a copy of the statement attached hereto be executed prior to
issuance of a permit. The property is located adjacent to the West side of Fifth Street,
therefore this to request that the Town execute the statement. In view of time, I prefer to
pick up the signed statement and take it to Coastal Management along with other required
submittals.
Should you have any questions please give me a call at 919-622-9081 (Mobile):
i
spectfully Submi d,
bert A. Smith,

MAY-W-Mb lUh Ui' : V M NU V I v Ur Who i Nt. 0111 v l r tin IYU& 4 1 , Vr-
AU.Irtt'E,NT RIPARIAN PROPERTY OWNER STATEMENT
(1 CAR A 1'U;l�' i 1001?ING PILIiYG,VIUO.-ITLITTIBOAa-IIOVSIi)
t hcriby cmif;y that I own property adjacent to p l�U1 Liil's
(Name of Property Owner)
property to nte-d at �._ /��% ��. Y✓f�l (�F _ _.
(Lot, Block, Road, etc.)
Oil 12 45 in li
(Wix(erbody) (town and/or County)
Ile has described to me., as shown below, the development he is proposing at that location,
arid, I have n(i ol)jections to his proposal. I titxdcrstand that a pier/nzooringpilings/boatliNboaihouse
trtust be set. LiCu;k a miizimtmm dismuce of fi tieen feet (15� from my area of riparian access unless
Waived— tc.
I do not wish to waive the setback requirement.
I (10 wish to waive that setback rNuircnient.
-----
DESCRIPTION ANWOR )HAWING OF PROPOSED DEVIN;LOPMENT!
(To befflied in by fudivulual proposing devclopmeno
TPH6dIA4 14TrHCxf�"� !AM�-7`o
Signature
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Print or Type acne v.--
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Telephone Number
Date:

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M1-1P OF LOT PA/D PROPOSED-EMPROVEMENTE-) �
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PAY TO
ROBERT A. SMITH, JR.
DOROTHY C. SMITH
3508 GUCCI DR.
nwnv wlr 137ri7
Central Carolina Bank 173
Rakigh, North Carollm 27606
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1:053 i004r39: i7 23494341I'
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ss_4s 173 1740
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