22295_EDWARDS, MIKE_19990630

CAMA AND DREDGE AND FILL
GENERAL NV 2,'�'95
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
c1ty
Project Location (County, State Road, Water Body, etc.) -
Type of Project Activity
State
Phone Number
PROJECT DESCRIPTION SKETCH-
Pier (dock) length
l
Groin length
number
Bulkhead length /
7
max. distance offshore l
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
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.
Zip
(SCALE:
K
I
E
applicant's signature
permit officer's signature
r
issuing date expiration date
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
(- 0c- A/ e--
tl
(J 1638
LD C�C� 66-152/531
DATE �J / /
-v v _
Wachovia Bank of North Carolina, N.A. Gf —
Morehead Citv, NC 285 7
1:053LOL5291: 5461 11321't"I
L638
ONARLAND
S ecu,11Y laeluree
1�a..
�elnlle on Me4.

(FOR A PIERIMOORING PILINGS/BOAnIFTIBOATHOUSE)
I hereby certify that I own property adjacent to R f\Q kR Q? 4\ 's
' (Name of Property Owner)
property located at 1 S -�Ikwe tk 1 1 `, �--/ 7
(Lot, BIock, Road, etc.)
on VS:?� �vu, �z'�� _t (�2�e {Ut� , N.C.
aterbody) (Town and/or County)
He has described to me, as shown beioW, 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.
ESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by iad mot, proposing development)to el -I
.
i
f -iJwSe.
MAY 2 8 1999
Z
Sigpdture
Print or Type Name
1-2
Telephone Number
Date: //- z z - 9 F

trur� A r'�Ct���lOc>tZ[��r"G PjZD;GS/BOAT'ZIFI/BOATHOUSE)
I hereby cerdfy that I own property adjacent to TI ) �__Af P —, 1, 's
(Name of Property Owner) —
propertylocated at 1 S_ I,
(Lot, Bloch, Road, etc.)
on I�� �in e .Zt ,Ae3�t
(Waterbody) own and/or County) C.
—He has described to me, as shown below, --the development he is
location, and, I have no objections to his � proposing at that
Proposal- I understand that a mooring
pilings/bcadirtlbcathouse must be set back a minimum distance of fift=n feet (15) from my area
of nuarian access unless waived by me
J
I do not wise to waive the setback requirement
I do wish towaivethat setback requirement. ( I p r /� _
a� rki, l i v "T �t 5 v✓tK rZ �ti1a s e mro� ",lec Edw4t � "l�fi 7� �-c
DESCRIPTION AND/OR DRAWING OF PROPOSED DEN=OPIMENT:U,j
(To be filled ' b uzdi- pG�� development) �o UIR
Q;'r \ o '�
4'
Si
Print or Type Name
MAY 2 8 1999
GCS 7Iq ` Z28L
elephone Number
Date: `- 01 c