22243_PATMAN, BILL AND DEREK SMITH_19990617

CAMA AND DREDGE AND FILL
GENERAL M 22 243 - (' ,
PERMIT �15-
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 Phone Number
Address
City State Zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION SKETCH+(SCALE: )
Pier (dock) length., \
Groin length
number fat
Bulkhead length
max. distance offshore r
>`F�r Sri i
Basin, channel dimensions J i
cubic yards
Boat ramp dimensions
Other
l,�L•;` � ='L=' 1S ~� `- t:.S. �\'.�i:. ,`- i.�1 %�.i..� `.>ti; ic`T''y �,i`
i
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
1
i r-
issuing date � % expiration date
attachments li • , - J _i(
application fee

DEREK S. SMITH
NC 7836496 PH 919-247-4428 1 6 2 5
107 HAWTHORNE DR C 66-152/531
PINE KNOLL SHORES, NC 28512 DATE G /
PAY TO THUL '�/ik Q /00 ^
ORDER OF V\ ap
LO� j se�u.nr rearu..: I
J$' DOLLARS 0 oeiau: a"� mix
�TACHOVIA
Wachovia Bank of North Carolina, N.A.
rchca( Ci , NC Y8537
1:05310L5291: 545L LL32L4III L625

05/17/1999 14:20 919-7820761 PATMAN STUDIO PAGE 01
FROM : Patman Construction Co.
PHONE NO. : 910 E73 6251
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