23111_SMIHT, JANICE_19990726

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Applicant Name
A 4,4
CAMA AND DREDGE AND FILL CIO 0/
GENERAL !iT«°�1
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
State
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
Phone Number
PROJECT DESCRIPTION SKETCH (SCALE: )
Pier (dock) length 4;
Groin length
number,
Bulkhead length'./�
Max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other I�
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any i 1•
violation of these terms may subject the permittee to a fine, applicant's signature
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's signature
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 issuing date expiration date
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
objections to the proposed work. 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.

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JANICE-M.-SMITH
=_NCDL 1413818 PH 919 225 3281 -- q `66-152/531 CC= - -
-.P. O.BOX 67, 811 SMITHDR
==:ATLANTIC, NC 28511. -- _ —Date --- - -
—Pay To The_
�rder_Of
_ —_ _._ eaeuruy n.wr•• -
-- m.ma•a1u• —
- —" --- Dollars-
-- D•.one.ew. —
- _' —MONEY MADE FROM COMMERCIAL FISHING ---
--Wachovia nk N'A'--
Seo Levd. 28577 --- — — --• — - _
NP
—
4:053LOL5291: 5463 38726011' 94 _
R RUND 1998

!.
JUL-27-99 04:29 PM Janice 9192250184 P.01
r i• • • e • :,�• a .jo:M-Wl f._
I herobY cep f► that I own pf*p" �jssoent to A ,
� , / , Q r,_ e Property Ow'uer
PrOM tY located at
oA
He has described to me u shown below, the dwdgmmt he is pmpot ng at that loculon,
&A4 I have no objecd= ito his pivpoW.
DESCRIPnON AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be JW#d in by hrdty Ud proposix# depokpm#as)
Signature �
t or Nate
3. %2.9
elephont Number
Data:

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P 156 371 527
US Postal Service
Receipt for Certified Mail
No Insurance Coverage Provided.
Do not use for International Mail See reverse
mbar
C
P t i te, YPP Code 95-
Postage
$
Certified Fee
Special Delivery Fee
Restricted Delivery Fee
Return Receipt Showing to
Whom d Date Delivered
Retu ing to whom,
Addressee's QdLess
t;Q A ostage �
$
s5WN& Date Z
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Stick postage stamps to article to cover First -Class postage, certified mail fee, and
charges for any selected optional services (See front).
1. if you want this receipt postmarked, stick the gummed stub to the right of the return
address leaving the receipt attached,Aand present the article at a post office service
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return address of the article, date, detach, and retain the receipt, and mail the article.
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on a return receipt card, Form 3811, and attach it to the front of the article by means of the
gummed ends if space permits. Otherwise, affix to back of article. Endorse front of article
RETURN I3ECEIPT REQUESTED adjacent to the number.
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addressee, endorse RESTRICTED DELIVERY on the front of the article.
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receipt. It return receipt is requested, check the applicable blocks in item 1 of Form 3811.
6. Save this receipt and present it if you make an inquiry.
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■Complete items 1 and/or 2 for additional services.
■Complete items 3, 4a, and 4b.
■ Print your name and address on the reverse of this form so that we can return this
card to you.
-Attach this form to the front of the mailpiece, or on the back if space does not
permit.
■Wdte'Return Receipt Requested' on the mailpiece below the article number.
■The Return Receipt will show to whom the article was delivered and the date
delivered.
I also wish to receive the
following services (for an
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2. ❑ Restricted Delivery
Consult postmaster for fee.
3. Article Addressed to: 4a. Article Number
ervice Type
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7. Date of Delivery
5. Received By: (Print Name) Addre lde's d ss (Only if requested
and f is pai
6. Signature: (Addressee orA e , ����� ^~
X
PS Form 3811, December 1994 Domestic Return Receipt

FireXlass Mail
UNITED STATES POSTAL SERVICE P ees Paid
rmit No. -1
0 Print your name, address, and ZIP Code in thi �o
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