25613_NC DOT_20000607

,
CAMA and DREDGE AND FILL . 51613-
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
Applicant Name
Address
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION
Pier (dock) Length
Groin Length
number
Bulkhead Length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
State
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.
Phone Number
zip
fi eAi, <— .
v applicant's signature
issuing date
permit officer's signature
expiration date
Attachments
application fee

DEPARTMENT OF TRANSPORTATION DATE 04 / 19 / 2 0 0 0
DIVISION 02 OFFICE 66-1059 STATE TREASURER, RALEIGH, NORTH CAROLINA
P. O. BOX 1587 531 PAYABLE AT PAR THROUGH FEDERAL RESERVE SYSTEM
GREENVILLE, NC 27835
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PS Form 3811, December 1991 *U.S.GPO; 1992--323.402 DOMESTIC RETURN RECEIPT

UNITED STATES POSTAL SERVICE 111111
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
P.O. Box 1587 {
Greenville, NC 27835-1587
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following services (for an extra
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fee):
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d return this card to you.
> • 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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the article number.
2. ❑Restricted Delivery
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163 Circle Drive
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PS For . 811, Decembe 1991 *U.s. Po:leez-32a-4oz DOMESTIC RETURN RECEIPT

UNITED STATES POSTAL SERVICE
Official Business PENALTY FOR PRIVATE
USE TO AVOID PAYMENT
OF POSTAGE, $300
Print your name, address and ZIP Code here
• TAB( :y'D w 6 t> A)
N. C. Dept. of Transportation
P.O. Box 1587
Greenville, NC 27835-1587

SENDER:
rn Complete items 1 and/or 2 for additional services.
I also wish to receive the
- a) • Complete items 3, and 4a & b.
following services (for an extra
4
UE • Print your name and address on the reverse of this form so that we can
fee):
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4) return this card to you.
> • Attach this form to the front of the mailpiece, or on the back if space
1. ❑ Addressee's Address
does not permit.
ti r • Write "Return Receipt Requested" on the mailpiece below the
article number,
2. ❑Restricted Delivery
a
• The Return Receipt will show to whom the article was delivered and the date
c delivered.
Consult postmaster for fee.
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3. Article Addressed to:
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4b. Service Type
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179 Circle Drive
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, December 1991 *U.S. GPO: 102--a23.402 DOMESTIO'AETURN RECEIPT

UNITED STATES POSTAL SERVICE
Official Business PENALTY FOR PRIVATE
USE TO AVOID PAYMENT U.S.MAIL
OF POSTAGE, $300
Print your name, address and ZIP Code here
• T fH :"o \ n 5 o ri
N. C. Dept. of Transportation
P.O. Box 1587
Greenville, NC 27835-1587
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ENLARGED MUNICIPAL AND SUBURBAN AREAS
CARTERET COUNTY
BRIDGE LOCATION MAP
NORtH CAROLINA
PREPARE) BY THE
NORTH CAROLINA DEPARTMENT OF TRANSPORTATION
DIVISION OF HIGHWAYS - BRIDGE MAINTENANCE UNIT
IN COOPERATION WffH THE