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CAMA AND DREDGE AND FILL
GENERAL N? 22388 ` w
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 Phone Numberl�-�-
Address
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
State
Zip �r
PROJECT DESCRIPTION
SKETCH
(SCALE- )
Pier (dock) lengthy
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Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
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Other
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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
issuing date expiration date
attachments
application fee
4
COASTAL MARKETING & DEV. CO. -NEW BERN
303 MIDDLE ST.
NEW BERN, NC 28560
PAY N�- ktoo&D N D/C(it� �(
EXPLANATION AMOUNT
nni I ADc
DATE
TO THE ORDER OF
DESCRIPTION
I CHECK NO.
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Brunch 11-kh,g end'Pru,l C.oy 3 NEW BERN. INC 28562
111002529ol i:053101121i:52LL820&B911'
SECURITY FEATURES. MICRO PRINT BUHDEHS COLORED BRICK PATTERN - WATERMARK ON REVEHSE SIDE MI` in, i PEATURE INDICATES A COI"
66-112
531
2529
CHECK
AMOUNT
too.
ADJACENT RII'AIUAN PROPERTY OWNL+'It STNfEI/II'!.NT
I hereby certify that I own property, adjacent to , f i9Nr'� /�1 '��-T�� 's
(Name of Property Owner)
property located at
If D lyiNo 7`rot Zf4N e�P//
(Lot, Block, Road, etc.)
on A,,
/e //P// l IP faP/t , in ZLs ,S C-G , N.C.
(Waterbody) (Town and/or County)
He has described to me as shown below, the development lie is proposing at that location,
and, I have no objections to his proposal.
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DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
----------- 7 - ----------------- ------
Any comments should be made to
Ted Tyndell, DEHNR Morehead
City, NC 919 000 2008
1,4,V (9-.119,
Print or Type Name
3�l - -?L/ 31/2
Telephone Number
Date: Cc,
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SENDER:
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!n ❑ Complete items 1 and/or 2 for additional services.
H Complete items 3, 4a, and 4b.
❑ Print your name and address on the reverse of this form so that we can return this
j card to you.
` ❑ Attach this form to the front of the mailpiece, or on the back if space does not
y permit.
❑ Write "Return Receipt Requested' on the mailpiece below the article number.
0 The Return Receipt will show to whom the article was delivered and the date
p delivered.
I 0 3_ Article Addressed to:
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Rep (Print Name)
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c 6. Sinnature (Addressee or Agent)
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PS Form 3811, December 1994
I also wish to receive the follow-
ing services (for an extra fee):
1 • ❑ Addressee's Address
2. ❑ Restricted Delivery
umoer
4b. Service Type
❑ Registered 7(Certified
❑ Express Mail ❑ Insured
❑ Return Receipt for Merchandise ❑ COD
7. Date of Delivery
B. Addressee'
fee is paid)
102595-99-B-0223 Domestic Return Receipt
UNITED STATES POSTAL SERVICE
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
___.._.... _.. __........................... _.___.............._
• Print your name, address, and ZIP Code in this box •
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US Postal Service
Receipt for Certified Mail
No Insurance Coverage Provided.
Do not use for International Mail See reverse
Se to
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Stree & Number
Post ffice, State, & ZIP Code
/— C z- FS
Postage
Certified Fee
f
Special Delivery Fee
Restricted gld 8S
Return t wing to
Whom qred
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Return i t Showi Ig
Date, & r ee's Addr
CO
TOTAL
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Postmark or D
ADJACENT RIPARIAN 1'ROPI:RTY OWNE it S'i XFE4 M)<✓N'1'
I hereby certify that I own property .adjacent to //WC (? II11e--Tllcll� J' is
(Nave of Property Owner)
property located at ICI L� GyiNa ' � c L,9A,- , 11 d�10411
(Lot, Block, Road, etc.)
on i c� c v��l� �R P , In -40�, 115 Cl? Co , N.C.
(Waterbody) (Town and/or County)
He has described to me as shown below, the development lie is proposing at that location,
and, I have no objections to his proposal.
DESCRIMON AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be fill d in by individual proposing development)
C'e m
�-J1e, 1t'�
Any comments should be made to
Ted Tyndell, DEHNR Morehead
City, NC 919 008 2008
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Signature
Print or Type Name f ��
/Cege) ///""oIYI
Telephone Number
Date:
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