16387_SMITH, ARNOLD_19960225

O
CAMA AND DREDGE AND FILL`
GENERAL
PERMIT
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC %` i',1ee j
Applicant NamehO �'' ' `� Phone Number
Address�� ✓Q' /�' �� �c''
City f 5rCM4 r`� r�' /,�r State A-) C zip
Project Location (Count, State Road, Water Body, etc.)
J �
Type of Project Activity f //u
J
IVA
PROJECT DESCRIPTION SKETCH (SCALE:
Pier (dock) length
Groin length l
number �� ` i_ �LJ%�</� �Cr�i✓� ��: SS �f//If✓n/L
Bulkhead length 1j
max. distance offshore 611
Basin, channel dimensions(1C�ra✓Ss!
_-EJ.4Lkc4CArJ
cubic yards aACkf�tt.
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 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.
j - applicant's signature
permit officer's signature
issuing date expiration date
attachments C) 9/1 • //C*
In issuing this permit the State of North Carolina certifies that / I
this project is consistent with the North Carolina Coastal application feed
Management Program.

EROSION CONTROL SPECIALISTS 5/91
ATLANTIC BEACH CAUSEWAY
P O BOX 3355 (919) 726_2191
ATLANTIC BEACH, NC 28512 Q/
19 C CD
PAY TO THE
ORDER OF
FIRST CITIZENS -
RANK FlrsbClllxem Bank B Trust Company
Atlaannlicc each, NC 28512
FOR
1:0 5 3 LOD 3001: 13 L 2 11,13 5 3 Sum
2215
66-30/531
+m

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
AP,-4pL,2 �J�01 f -rt4 is property
located at /O �%UL�c�2�y �oc�r2T , on
(Lot, Block, Road, etc.)
AaO-ESS C2HAAIAI�Et- in �Ige "c>u- S'Ac>eC—.S , N.C.
(Water Body) (Town and/or County)
He has described to me as indicated below the development
he is proposing at that location and I have no objections
to his proposal. I understand that a pier, pilings and
dredging must be set back a minumum distance of fifteen feet
(15') from my area of riparian access unless waived by me.
I do not wish to waive that setback requirement.
Atl_ I do wish to waive that setback requirement.
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Description and/or drawing of proposed development:
0
(To be filled in by individual proposing development.)
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Date
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1 �!
Sign ture
Print Name
_ <6 Vo - (.`$ % � 4n
Phone Number
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IX

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
;Y7-�/,o12
I hereby certify that I own property adjacent to
,k1C)L� �01 (-rN ' s property
located at /C>,S' /00L$t 2,ey (2VOaT- ,
(Lot, Block, Road, etc.)
�v� �o�N.d
A(20-ES9 (2HAA1x1z5L. in PNg k_-06>u, SuC>eC—.S ,
(Water Body) (Town and/or County)
on
N.C.
He has described to me as indicated below the development
he is proposing at that location and I have no objections
to his proposal. I understand that a pier, pilings and
dredging must be set back a minumum distance of fifteen feet
(15') from my area of riparian access unless waived by me.
I do not wish to waive that setback requirement.
tl
L� I do wish to waive that setback requirement.
Description and/or drawing of proposed development:
e
(To be filled in by individual proposing development.)
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Date
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Signatur
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Print Name
Phone umber