12098_BANKS, NORMAN_19930129

CAMA AND DREDGE AND FILL
GENERAL
E R ,. • r. �.
P MIT
as authorized by the State of North Carolina �91
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC ` t
Applicant Name L Phone Number rr
Address '
City State Zip
,Project Location (County,jState Road, Water Body, etc.)
Type of Project Activity `
PROJECT DESCRIPTION SKETCH,
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
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.
(SCALE
T
applicant's signature
permit officer's signature
issuing date expiration date
attachments
application fee ( ,

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SENDER: Complete items 1 and 2 when additional services are desired, and complete items
3 and 4.
Put your address in the "RETURN TO" Space on the reverse side. Failure to do this will prevent this card
from being returned to you. The return recei t fee will provide you the name of the erson delivered to and
the date of delivery. For ad itional ees the ollowing services are avails le. onsu t postmaster for Fees
.an c eck box(es) for additional service(s) requested.
1.- ❑ Show to whom delivered, date, and addressee's address. 2. ❑ Restricted Delivery
(Extra charge) (Extra charge)
3. Article Addressed t
/ �`._.
v
r
4. Article Number
Type of Service:
0❑ RRee'stered ❑ Insured
Certified ❑ COD
❑ Express Mail ❑ Return Receipt
for Merchandise
Always obyein signatuie f addressee
or agent and DAT DELIVEAED.
5. Signature — Addressee
X
8. Addressee' eqs (ONLY if
requested and s Paid) ,l
�J 4�
6. Signa/( re — Agen
7. Date of Delivery
PS Form 3811, Apr. 1989 DOMESTIC RETURN RECEIPT

UNITED STATES POSTAL SERVI
r.
OFFICIAL BUSINESS
SENDER INSTRUCTIONS
Print your name, address and ZIP Code
in the space below.
• Complete items 1, 2, 3, and 4 on the
reverse.
• Attach to front of article if space
permits, otherwise affix to back of
article.
• Endorse article "Return Receipt
Requested" adjacent to number.
O�% , IVC
PM
0
3 5EP
U.S.MAIL
�(D
PENALTY FOR PRIVATE
USE, $300
RETURN Print Sender's name, address, and ZIP Code in the space below.
TO
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66-851531 536
GRAFTON MARINE CONSTRUCTION
105 SEAHORSE DR. PH. 919-393-6137
SWANSBORO, NC 28584 - 19
PAY TO THE l \ L 1
°1 ORDER
OF
`tcJD D U L L A R y
`�
�.., Centura B^an^^ y l� o
Cape Carteret, NC 2858{; / �
MEMO
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