21448_SMITH, PAUL & NANCY_19990505

CAMA AND DREDGE AND FILL `gyp
GENERAL 021448
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
Applicant Name
Address
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION I SKETCH
State
Phone Number
Zip
(SCALE:
Pier (dock) length
Ij
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
t`I '^- =rA—.
rS
r�
I
cubic yards
t
Boat ramp dimensions
Other
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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.
applicant's signature
permit officer's signature
issuing date expiration date
attachments
application fee

ND �� ����u�- z

Paul D. Shuta 06/89
Nancy P. Shuta 66-30/531
559 Hwy 58 341 4391
Swansboro, NC 28584 q
DATE
PAY TO Tf iE
ORDER OF _ D C , I\l , /Z,
Y -
e �Citizens
9 I WMicrrgnature fine, gray lype and linorork. Firstk logo on back. If not present, do not cash.
DOLLARS
J CITIZENS 341
First -Citizens Bank & Trust Company
3 nsboro, N.C. Sgq
FORE. /9/�1 � � ��`�--
I:0 5 3 100 3001:00 34 i 760 7 1 1 2u 9
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CERTIFIED MAIL - RETURN RECEIPT REQUESTED ",A Th. qo Erm ,�
uM Hea[A and Naty I Rezoircee
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual applying for Permit: 4,,:=z,17A
Address of Property: -7-9u 1'LI,141.. 31�7JI9' e,.�ele
(Lot or Street #, Street or Road, City & County)
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter.
I have no objections to this proposal.
If you have objections to what is being proposed, please )vrite the Division of Coastal
Management, Hestron Plain II, 15IB, Hwy. 24, Morehead City, NC, 28557 or call (919) 808-
2808 within 10 days of receipt of this notice. No response is considered the same as no objection
if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be
set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
ignature bate
Print Name
Telephone Number With Area Code

CERTIFIED MAIL a RETURN RECEIPT REQUESTED d A roa�mo E,,;,;,a,,,,,ert.
UL1-�i Heaah and Nalu l ResWces
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual applying for Permit:. �� �� y ShAk 7 t�
Address of Property:-
(Lot of Street #, Street or Road, City & County)
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter.
I have no objections to this proposal.
If you have objections to ivhat is being proposed, please write the Division of Coastal
Management, Hestron Plan II, 151B, Hwy. 24, Morehead City, NC, 28557 or call (919) 808-
2808 within 10 days of receipt of this notice. No response is considered the same as no objection
if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be
set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
f
Sig aturer / Date
Print Name
Telephone Number With Area Code