16477_SMITH, LONNAINE_19960823

If
CAMA AND DREDGE AND FILL
GENERAL
PERMIT
016477
�U1fr(Y/
C, G --) t _f, , -.0 _� - C
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Re, ources CoTmi sion
in an area of environmental concern pursuant to 15A NCAC {--/ ,J $' �
Applicant Name 4— C n "1 2
Address
•7 ,�
Phone Number /y? �, a c;,- — () t ��
City
State Zip a �,
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION SKETCH IF-(Z f ' i' S (SCALE: )
Pier (dock) length D
r
Groin length
f
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
x
i
cubic yards
Boat ramp dimensionsAr
�tl{
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 be-
come 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) this pro-
ject 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.
applicants signature
permit officer's signature
issuing date expiration date
attachments /' CA
application fee

BRANCH BANKING & TRUST COMPANY 4780
617 FRONT STREET
CHADWICK -SIRE CO., INC. BEAUFORT. NC 28516
688 HWY. 70 E. OTWAY 66.112/531 CHECK NO.
BEAUFORT, NC 28516
Ml HELIN PHONE [phone]
AMOUNT
DATE 049
r� Sz's /b '5
PAY
TO THE T
ORDER
OF n � `j n�� �.y� _�Z AUTHORIZED SIGNATURE
11l00478011' ':0S31011 2 LII: L 2 2 103479811'

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to l—of (- ` I I `P �;I r I I +�)%- * 's
(Name of Property Owner)
property located at ,
j (,(Lot, Block, Road, etc.)
o ✓4��r , 1� , in C',L , 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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
Print or T` oe Name
CqTephone Number
Date: q,

u-0 ��� �,n b ��6 ��-��
7 eft
v .Pee- �v
Ago-/ rog�p?,p
re. ---ell
1'
#f,
-Z4
Post-W Fax Note 7671
Dam .g- y
pages
?o � R i
L `mac/w C k
"! ! ,Nm
ColDeDi
C9cA yt
p9 "
Phone N dt 3 7
Fax u l o