23064_NC DOT_19991008

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r CAMA AND DREDGE AND FILL _
GENERAL
PERMIT FEB 0 2 2000
as authorized by the State of North Carolina COASTAL M.ANAGEMEF
Department of Environment, Health, and Natur
in an area of environmental concern pursuant to 15A NCAC �' iu
J Resources Commission
Applicant Name lw '—�� Phone Number 3 lL LO31i'
Address
City State `aL_ zip`h`fhU
Project Location (County, State Road, Water Body, etc.) l .}�, v SR k ILA
Type of Project Activity h_ c �_ ct. r0r\Q
PROJECT DESCRIPTION SKETCH
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
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.
(SCALE: )
/ applicant's signature
permit officer's signature
issuing date expiration date
attachments
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
application feeL����-

HR.MRINT.NEW BERN Fax:[phone] Sep 8 '99 14:10 P.02iO3
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2. ❑ Restricted Delivery
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N PS Form 3811, December 1991 *U.S. GPO: 1882�23 ao2 DOMESTIC RETURN RECEIPT

UNITED STATES POSTAL SERVICE I
Official Business
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TO AVO YM T OF POIYE, $300
1999
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N. C. Dept. of Transportation j JAN © 3 2000
P. O. Box 1587
Greenville, NC 27835-1587 .0A-- S 1 ^AeA=_
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SENDER:
y Complete items 1 and/or 2 for additional services.
I also wish to receive the
• Complete items 3, and 4a & b.
following services (for an extra
fE •'Print your name and address on the reverse of this form so that we can
fee):
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m return this card to you.
m • Attach this form to the front of the mailpiece, or on the back
if space
1. ❑ Addressee's Address
~ does not permit.
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_ • Write "Return Receipt Requested" on the mailpiece below the article number.
2. ❑Restricted Delivery
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" The Return Receipt will show to whom the article was delivered and the date
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w &VForrlf J8'n , EVcbmber 1991 *U.& GPO: 1992-323.402 DOMESTIC RETURN RECEIPT
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UNITED STATES POSTAL SERVICE
Official Business
PENALTY FOR PRIVATE
USE TO AVOID PAYMENT
OF POSTAGE, $300
Print your name, address and ZIP Code here
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N. C. Dept. of Transportation--�'�L�;J !LL
P. O. Box 1587
Greenville. NC 27835-1587 JAN ® 3 2DOp
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