25603_LEONE, KIRK_20000523

CAMA and DREDGE AND FILL
G E N E R A L
PERMIT
as authorized by the State of North Carolina
Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC 0,1/ 1. /') c- G
Applicant Name �K'� �� ��`� Phone Number
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Address r, /r s, .,// ce./
City Kira �'„� State 1 C Zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity j 4y
'•14 1 A 1101
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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 become null and void.
This permit must be on the project site and accessible to the permit of-
ficer when the project is inspected for compliance. The applicant certi-
fies by signing this permit that 1) this project 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.
11",/ ,/.,
_ / f applicant's signature
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permit officer's signature
issuing date expiration date
attachments
application fee

DEREK S SMITH
BOGUE BANKS JDBA I NCDL 7836496
800 NORTH GATE RD pRINE CON8T MNWMNWN
MOREHEAD CITY, NC PH 25 1905
Pay To The Dote
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■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
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A. Received by (Please Print Clearly) i B.
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❑ Agent
❑ Addressee
Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
ertified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
t 2. Article Number (Copy from service label)
PS Form 3811, July 1999 Domestic Return Receipt 102595-99-M-1789

UNITED STATES POSTAL SERV16E_ N NC First -Class Flail
r Postage. & Fees Paid
USPS
I.r Permit No. G-10
• Sender: Please prin ria4e, address and"ZtP+phis bm-41-
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■ Complete items 1, 2, and 3. Also complete A.
itetn 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you. C.
■ Attach this card to the back of the mailpiece, X
or on the front if space permits.
1. Article Addressed to:
Erw#✓)
Snow K^" I k
S T
byJPlease Print 6�1e2r1 LB. Date of
❑ Agent
D. Is delivery address different from item 1? U Yes
If YES, enter delivery address below: ❑ No
3. Service Type
W:Gertified Mail ❑ Express Mail j
❑ Registered ❑ Return Receipt for Merchandise;
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number (Copy from service label)
-7 C)0o0�
PS Form 3811, July 1999 Domestic Return Receipt 102595-99-M-1789 ?
t

UNITED STATES POSTAL SERVICE
'I
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
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