28881_BENSON, FRANK W_20011105

Applicant Name
Address
City
CAMA and DREDGE AND FILL
G E N E R A L "AV
PERMIT
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 15 NCAC
Phone Number
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
State
ana anacnea general ana specmc conamons. tmiy vioiauon of tnese terms
may subject the permittee to a fine, imprisonment 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 of-
ficer when the project is inspected for compliance. The applicant certi-
fies by signing this permit that 1) this project 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.
zip
applicant's signature
ipermit officer's signature
issuing date expiration date
attachments
application fee

THE RIGHT WAY
J. T. SMITH -�,..
CHAROLHTT M. SMITH
P.O. BOX 653 910-326_8766 1740
HUBHRT, NC 28539 Date _ O/
66-85/531
Pay to the
order of✓_
CENTURA BANK
CAPE CARTERET. NC 28584
Security features
t included.
0etails on beck.
For • 71��s4^�
':0 5 3 1008 S �•.0r — M,
_ CK 02820272 i' 1740
O DESIGNER CHECKS � SAFETY CHE

OCT,-26' 01 (FRI ) 10:18
I -I, - -- 1.._. "" .J_V u1'JU Lill: Ill�ll� 1'�i!
P. 001
Q U0_1
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIMMOORING PHJNGSBOATLIFTIBOA?HOUSF)
I hereby certify that I own property adjacent to / h'A�Vk W ,�F7i/So/✓ 's
(Name of Property Owner)
Property located at
ro U,
Jz;:'
(Lot, ls►ock, Road, etc.)
ou MEWC7Rx7vc--A , in :�--/NFSaTT PPAt
(Waterbody) '� N.C.
(Town and/or County)
—
a has described to me, as shown below, the development he is proposing at that
location, and, I have no objections to .his proposal, I ®did that a pierlmcoring
pilinastboadift/boathouse must be set back a minimum distance of fifteen feet (15,) from my area
of ripar+mn access unless waived by me.
I do not wish to waive the setback requirement,
I —42 wish to waive that setback requirement,
DES'CRnMON &ND/OR DRAWING OF PROPOSED DEVELOpMD r:
(To be fzUled in by individual proposin development}
PROSY i
.y "k)- Ate;
hC'peszb
l 16
d
ire
Priest or Type Name
Telephone Number
Date;
1S2 - o2'i9-

-0CT.--26' 01 (FRI 1 10:19
nI 12. 01 ICED 2 0 : 34 F_1t 9] 0 3:'6 8406 The R18LC ltw
P. 00?
Q 0o_
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PIIINGSIBOATLIFT�BOATHOUSE)
I hereby certify that I own property adjacent to
�iVso�✓ 's
(Name of Propertp 0-%mer)
Propertv located at
(Lot, Block, Road, etc.)
oa 1^l1Sc
�V� = in �A//V�S�T l�Ef��-} 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. I understand that a pierlmooring
piliogs/boatlift/boathouse must beset back a minimum distance of fifteen feet (1�') from my area
of riparian access unless waived by me.
I do not wish to waive the setback r uireme
q ilt_
I do wish to waive that setback requirement.
DESCRTMON AND/OR DRAWNG OF PROPOSED DEVELOP; �-T:
(To he}r7led in by individual prapoSirz development)
BE
a.,-6 fl/ Pf o -p -n� I
Signature --
Print or Tyj Name
z s z-
Telephorw Number
Date: Z
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