24832_SULLIVAN, HARDY_20000301

CAMA and DREDGE
'Ji G E N E
PERM
as authorized by the State
Department of Environmen
in an area of environmental
Applicant Name
Address
t
AND FILL XW
R A L:
I T
of North Carolina
and Natural Resources and the Coastal Resources Commission
concern pursuant to 15 NCAC
City State
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
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 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
WE
issuing date
(SCALE: )
applicant's signature
permit officer's signature
expiration date
attachments
application fee

SULLIVAN'S INC
PHONE 252 726,8074
[ 700 ARENDELL ST
5762
p MOREHEAD CRY, NC 28557 66-30/531
137
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BANKFlat-Citl a a Bank 6 Trust Company
I_ - 1 MurohaadCity.N.C. 28557
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SENDER:
•Complete items 1 and/or 2 for additional services.
I also wish to receive the
•Complete items 3, 4a, and 4b.
following services (for an
• Print your name and address on the reverse of this form so that we can return this
extra fee):
card to you.
■Attach this form to the front of the mailpiece, or on the back if space does not
1. ❑ Addressee's Address
permit.
■ Wdte'Retum Receipt Requested' on the mailpiece below the article number.
2. ❑ Restricted Delivery
•The Return Receipt will show to whom the article was delivered and the date
delivered.
Consult postmaster for fee.
3. Article Addressed to:
14a. Article Number
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4b. Service Type
❑ Registered ertified
❑ Express Mail ❑ Insured
❑ Return Receipt for Merchandise ❑ COD
7 n�to M r).lk ,,
Name) 18. Addressee's Address (Only if requested
and fee is paid)
6. Signature: (Addressee or Agent)
X
PS Form 3811, December 1994
102595-97-B-0179
m 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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Z �;60 464 473
US Postal Service
Receipt for Certified Mail
No Insurance Coverage Provided.
Do not use for lnternanonai mau J- 1-u-
Sent to
Street & Number �I
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Postage & Fees
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