28819_COLLINS, TED_20010809

71� 1 ;i
CAMA and DREDGE AND FILL
G E N E R A La
PERMIT
as authorized by the State of North Carolina 1
Department of Environment and Natural Resources and the Coastal Resources Commission '
in an area of environmental concern pursuant to 15 NCAC
Applicant (` t . S Phone Number/ lr_
PP Name _.._l �- � f
Address
City }€- k ' 7 C' f ^ _ r State t zip
/ I
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION, SKETCH G j_ (SCALE.
Pier (dock) Length
---+ (, .
Groin Length
number
Bulkhead Length
max. distance offshore _ t
Basin, channel dimensions
cubic yards .. 3
joii
Boat ramp dimensions
Other
- J
€ d
a
This permit is subject to compliance with this application, site drawing
and attached general and specific conditions. Any violation of these terms -- �_.. Ocent's'signature
may subject the permittee to a fine, imprisonment or civil action; and ;�'� ( 1
may cause the permit to become null and void.
This permit must be on the project site and accessible to the permit of- permit officers signature
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 iss iing date i expiration date
land use plan and all local ordinances, and 2) a written statement has 1" r
been obtained from adjacent riparian landowners certifying that they�,
have no objections to the proposed work. ,firs-j 3ttachments
In issuing this permit the State of North Carolina certifies that this project
is consistent with the North Carolina Coastal Management Program.—� `' application fee

BYRON T. COLLINS, JR. 66-152/447
LINDA W. COLLINS 531 2490
DL 1023186
2405 SPARRE DR. [phone] DATE
KINSTON, NC 28504
PAY f�
TO THE � �r �iV
OR
ORbER OF — -- � - - -
-- - ----------
jy
ala
WACHOVIA
WACHOVIA BANK OF NORTH CAROLINA, N.A.
/ 7 KINSTON, NC 28501
FOR �io�cS2�S"�J �yn ICU. -r L
iMS3 LO L5 291: 4477 50700SIl" 2490

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TOTAL P.01

MONITORING & COMPLETION REPORT
[CAMA Major Development & State Dredge & Fill Permits]
N
PERM=E' S NAME. PERMIT #
FIELD REP. ( 3
PHONE: DATE REPORTEDLY COMPLETE:
DATE OF INSPECTION
1) Do th sured dimensions of the development differ from those indicated in the permit and workplat?
Y NO [c' cle one].
CO ENT:
2)
disturbed areas?
COMMENT:
[circle one]
Permittee seeded, grassed, or otherwise stabilized all
3) FUTURE MONITORING & ENFORCEMENT ACTION: Is further investigation or enforcement action
needed? YES �7`[circle one].
COMMENT: