16109_SMITH, AL_19960508

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CAMA AND DREDGE AND FILL K� U6109-C
GENERAL j
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PERMIT 10/2
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 0�711• /Zoo
Applicant Nam �`' `�"''
Phone Number
Addressov'
City al, lc,rc:
State
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zip 6
Project Location (County State Road, Water Body, etc
S� 1302
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Type of Project Activity"5���
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PROJECT DESCRIPTION SKETCH
Pier (d©ckT length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
12,
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(SCALE:
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74`
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/301
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.
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applicant's signature
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permit officer's signature
issuing date / expiration date
attachments
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee
Management Program.

AL S. SMITH
MRS. AL S. SMITH 66-152/531 3281
PH 910-746-3519
RT 2 BOX AY 2
AYDEN, NC 8513
low
Wachovia Bank of Noah Carolina, N.A.
Vanocboro, NC 28586'
FOR m-'t'
I: 53LO15291: 7957 607726um 328L

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Al and Brenda Smith
(Name of Property Owner)
I
property located at Adj . SR 1302 at the mouth of Dawsons Creek
(Lot, Block, Road, etc.)
(Mouth of Dawson Creek)
on Neuse River yin Community of Janerio in Pamlico Co. 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
W e w s 1, } o (To be filled in by individual proposing develop a t)
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Signatur
Print or Tylk Name
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Telephone Number
Date: '� /0 -- �(

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Al and Brenda Smith 's
(Name of Property Owner)
property located at Adj . SR 1302 at the mouth of Dawsons Creek
(Lot, Block, Road, etc.)
(Mouth of Dawson Creek)
on Neuse River ,in Community of Janerio in Pamlico Co. r 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)
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Signature
Print or Type Name
Te ephone Number
Date: t z a
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