21095_SMITH, STUART & SUE_19981209 (2)

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CAMA AND DREDGE AND FILL �� O�n _ C
GENERAL
PERMIT70MLkL-L-� C0. 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 _C-7 ti- -I lcw ti c --I t-I
Applicant Name
;.,�) E jt..i 't« Phone Number -9550
Address S3vu ���Ja3—>J tN�
City State ivC. Zip
Project Location (County, State Road, Water Body, etc.) (Z�.r }.,;,� Iv7F
(�i\;� l F�-r Ctif� ' �a �(` �F >~ ' % Jr•ti.. hc� — L4)15F_ L-Atria _JleNl((.Ld5
Type of Project Activity jr-J �T.4U _ u v,;:­7, V�, e-�x-r -?U r—
i iJ l0 5 I Z F-r. v 2» A N�) A aa , !✓ ; ` !y Cda r fr.-
PROJECT DESCRIPTION SKETCH (SCALE: NONC )
Pier (dock) length
:^V�) �r: ••. [ �i`, e-•} 1i. r1f L?- -R. �c:•- -_ ,� lZr�. ' .. _ I ^� , Groin length
0C i`T,
number IAi1k I
Bulkhead length "�� W �Ti7U
C`J7 -- "
t _
max. distance offshoreiny
�c' i u►�' Uy
j 3
Basin, channel dimensions
cubic yards '
Boat ramp dimensions
Other
LD
This permit is subject to compliance with this application, site
drawing and attached general and specific con ' ns. n _-
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 O" 7 V • $'LAD 1"• ') u N_Y_�D
application fee �� �� �� Cam'

01/03/1995 23:38 9193210611 COASTAL LEAF I D. PAGE 01
(FOR A PIERIMOORING PtL1NGS BOATLifFTIBOAMOUSE)
I hereby certify that I own property adjacent to _►'l oy l� �,Jt r 1s�'s
' (Name or Property Owner)
Property located at e— Loa ,1(-
(Lot, Block, Road, etc.)
on in__.Ylim II L. 0 ��� 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 pier/mooring
pilings/boatlift/boathouse must beset back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
I dodo 09t wish to waive the setback requirement.
! I do wish to waive that setback requirement.
APR 0 5 1999
DESCRIPTION AND/OP, DRAW NG OF PROPOSED DEVELOPMENT:
(To be fulled in by individual proposing development)
peor'6
i
Print or Type Name
) q �— — & �//
Telephone Number
Date:
04-01-99 10:53 RECEIVED FROM:9193210611
P.01

01/03/1995 ?S 91 lt CI`-W)STG''AL Lf:•J I II _ I'r1 l III
V (FUR A PIERAHOORING IYII.INGS ()A77.IFTIROA 111011ST)
r�
I hereby certify that I own pruperty idjactnt to r _ <�}
' l y (Name of Property ( ),viler)
property located at
(trot, Block, Rood, el.c.)
on
I C-,, in _ ka P-I C..
(Waterbody) (Town And/or Corruty)
He has described to me, as shown below, die development lie is proposing 'It thal
location, and, I have no objections to Iris proposal. I understand dial a picr igloo ring
pilings/boathWboathouse must be set back a minimum distance of fifteen fCCI (15') from ►ny arr:i
of riparian access unless waived by me.
r I �du__vul wish to waive the setback ccqui►ement.
I dowish to waive drat setback requirement. APR 0 5 iggg
DESCRIPTION ANWOIt DRAWING OF PROPOSED DEVELOJIMENT:
(To be filled in by individual proposing development)
�- 6uE�-
W 61A
Poo('
�` IP'4-6
Signature
/I l/e
Print or Type NaJne
!Telephone Number
Date- _ �. %r / � t