21438_O'REILLY, CHRISTOPHER AND DEREK SMITH_19990318

CAMA AND DREDGE AND FILL vd
GENERAL ;' 021438
PERMIT r
as authorized by the State of North Carolina 9
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission ]]
in an area of environmental concern pursuant to 15A NCAC
Applicant Name
Arlrlrccc
City State
Project Location (County, State Road, Water Body, etc.)
Phone Number
Zip
Type of Project Activity
PROJECT DESCRIPTION SKETCH (SCALE: )
Pier (dock) length
Groin length 'Y l
number
Bulkhead length I.
max. distance offshore -
Basin, channel dimensions
cubic yards -- i
Boat ramp dimensions
Other
i
This permit is subject to compliance with this application, site �^ l
drawing and attached general and specific conditions. Any
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.

DEREK S. SMITH
NC 7836496 PH 919-247-4428
107 HAWTHORNE DR
PINE KNOLL SHORES, NC 28512
DATE
Wachovia Bank of North uaroil
Morehead Cjty, NC 28557
FOR
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1543
66-152/531
mcma.e.
oauro en sate.

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGS/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to �rtStnQ1,Q.c`u Is
(Name of property Own )
property located at �e` � !S- S13GT-L
(Lot, Block, Road, etc.)
on Lupo r `V��/ , in � ec Et �Q . ��e , 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 be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
--------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
FT
L:0\0, 5
Print or -'type
Name
Telephone Number
Date: 3
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W!'11", Oil OW111111111111 WA
e �
I hereby certify that I own property adjacent to,s
(Name of Property Owner
property located at —Lof 3
Sa�f�i S�o/'es
(Lot, Block, Road, etc.)
on a , ✓� , in / �, . � C N.C.
aterbody) (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)
5p;-,,`
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1
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Signature
Print or Type Name
a�z - 7,-;2 �3
Telephone Number
Date: �� �`—KD nr