20040D - Smith

" ` CAMA AND DREDGE AND FILL
't' GENERAL S2 020114O-D
PERMIT
as authorized by the State of North Carolina
0 Department of Environment, Health,and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC i }') .f 2W - . isuU
Applicant Name GAe-tr f C--'it6 nv Phone Number 9 1 O 89 r7' 5-82-%
Address 8314 LAS 4 a 1 ` S
City E y % .1t r\ State NCJ Zip c> 6 3361
Project Location (County, State Road, Water Body, etc.) (9 "SIM,.) (Dv-vki , 409`1 (4 '�'-i-fref
�u(C (72,41 N c ) Net , - N1rdc, C�'Ac.r, 1
Type of Project Activity 1S-leti T_rrr p ?et 1flce-time .-1-, New TocL, u kV- d Apt r
A MA set r- oc n. 1 xoA-i s r-v be J Inoo ro ci ® psi S Stru c 4-uo ( .lc.1 s k:,
boA-\S i' c-e_, cor 5,c1e,rec1 6oAks)
PROJECT DESCRIPTION SKETCH M�� M�e A I (SCALE: NOT To )
Pier(dock)length
Groin length
number 6'
Bulkhead length
max.distance offshore
Basin,channel dimensions
cubic yards
i 0 � 1�l
Boat ramp dimensions
��1. I r r- - ---
Other )O\ X IUD .51 ` t 1 0fk,"re M,t` jnCE-<-a}
f7XP�, AUc I 0t �,
L i
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any /J ' ' J.
//�violation of these terms may subject the permittee to a fine, .C4i
imprisonment or civil action; and may cause the permit to be applicant's signature
come null and void.
--6'r1
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. I
The applicant certifies by signing this permit that 1) this pro---, _ ' I cl • 1 i
ject is consistent with the local land use plan and all local I issuing date lexpiration date
ordinances, and 2) a written statement has been obtained from ,
adjacent riparian landowners certifying that they have no �� �� r' ' (30U
objections to the proposed work. attachments
,y - -

L: r_r`-jL rI✓t t"ll 1 u J wLIk' U 1 E.K F ORM
APPLICANT N AI.E: Cefrs 1 6 fiN°1
ADDITIONAL NAMES: •
AEC DESIG: Pr E (,J I ES DEVELOP AREA
C�(�`� PROD DESC; P
( only take -
v��
(Will only.take I)
WO �.�
P 8' x '
yir only take 4) � � ' U x lot_
QK� SxJo '
MAI2vT:
(WHI only take 4)
IMP: S(2 (n 0 OW 10 0
(will only take 6)
ACTION EXPIRATION
DREDGE&'FILL REQUIRE): • col I `t ci ci ` I I 1
C_AMA MAJOR DEVEL REQUIRED:

\ ) &) torh ,
? (1) P !� I )('
)
frAl‘ 1 Lr,_,_109Ad
r .........._
i '
r; , ), i
d `
J°, 2
V
.- r _ —
e
3,__` JO s - 1,1
4c I
}C
� iis; 1
a �
o„-
' 4 D o7 P E' C ) - eC b 2 - °16
Se0- "a
6t r-fl Q / / i mt 7

RPR.28.1999 12:23PM NCDENR WIRO hi0.259 F,9,13
ADJACENT RIPARIAN PROPERTY OMMR N.CL Frrd TT Ni3viv .R FORM
Name Of Individual Applying For Permit: S r 1 C Z q , : S
Address Of Property: Lf(q 9 (1- - _0/4 Snuffers ea_
Su), -c C' A y i A%
(Lot or Street 40, Street of Road, City &
I hereby certify that I own property adjacent to the above-referenced property. The individual
applying for this permit has described to"tee 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.
I�+Q_ u_ hry� �}Zj t; ' hP' propt?srk p]roc" maite„ .--T .iSi4.n_of _Coast21
_91TJu�hhr 1ria ofrrrp
''R4i'.5 nr ^all 9 i4,,,�45_
yam----�1p $us. .. No recparAp iR nn iiktu thr._zaratasmo obipztinn
�11Ail
r
WAIVER SErTION
I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be
set back a minimum distance of 15' from my area of riparian access unless waived by me, (If you
wish to waive the setback, you mud initial the appropriate blank below.)
/../KA I db wish to waive the 15' setback requirement,
1
I fin not wish to waive the 15' setback requirement.
,,,4 vcirA
./4. / • ,e;.,, ,}1e-Tt_.
C1L-d
�q� .'e Date
�r
?-- 1-7 ? A+
Pr
9*% 7 Zi - `7$��� NCDENR
Telephone Number With Area Code Nam,c.,Ro,.NA „.r m,.
EIWIRQJND1rMD N.4Lgny R.-beURC�

APR.28.1999 12:22PN NCDENR WIRO N0,259 P,9i10
TIrVTsjfN C} rsiAsTAL MANkCYIn:M'PN
TY OWNER NinTTFTfA NAVATVpR FORM
•
Nurse Of Individual Applying For Permit ZL-)a ;i2
Address Of Property: 14-Q q c Si-, ( ( _& lile($ RPcc_c
�S
(Lot or Street#, Street r oad, City & County)
I hereby certify that I own property adjacent to the above-referenced property, The individual
applying for this permit has described to the 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.
I�.y ve nhies�ticmz_�vuhar !C }1Ain9 n fllrs3a , wn1P T1Tcnnaw
-�—:- -- n of rinagittl
39�"�LtYltitin 1'tt Ra� �T erEm� t / 405 nr call 41 tom_
yS. ,L r D_ f tl,i��t ND ree p,' naid
i 11 C b notified by Cerrifs d MAil no�,l tan
syloVPR 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 rin rot wish to waive the 15' setback requirement.
— - ---
Signature Date
.16-th ' r) lT,e.14.n,9tiPrint same
rwr.rr
fio— , — 6-<94 D
Telephone Number With Area Code ern,CARth.lrr,.NT oP
EIYVIRONpo r,Mts NATURAL FeSOURCL3

•
CARL D. __ _...
OR ELAINE D. SMITH ss as " I
LIC. 225708 LIC. 1925888 531 350 '
8374 US 421 S. PH. 910-897-5823 8073
ERWIN, NC 352001555
28339
S _ DATE l� q
I
PAY TO THE • i
ORDER OF on
X
. c{` c � Sal _J /'
Central Carolina Bank DOLLARS B r; {
and Trust Company 350 1 I
Erwin,North Carolina 28339 •
1
MEW 4
.lffeilt• (.5.&-___.e..x..ca-- • ‘C.74i/ Ap 1 :
465i
,:. 5 3 100 ••
35 20015550 80 ? —
3 � I'
• ,
i