28305D -Julian

CAMA and DREDGE AND FILL
G E N E R A L 2S305-1
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 , 1 . 11(l0 F I2OU .
Applicant Name L.d tsi PrY CI .SU 'VI H-\ Phone Number
Address I D I Lf� Cr v * C. ' Th c 't ' f .,
City 6 `b -r I r_ State Ki C 1 Zip tOU I
Project Location (County, State Road, Water Body, etc.) r u r\ Sti t C (--• (IlUt�-n'-1— 12 1
f-t, -(0 t d r._.P+ t -*\u 1 d , '. ,c..6 c l.,_ , M Prr - M A6 CAIN 1
Type of Project Activity 13 U,\V-1 t1c.‘ TE-f)o C f-'t'n F Kt- 11 E V) --DUC k---. '-r'•(1 V Ion
) C }-ems - rn eil r Co r\ Ac)r- - J►ry\,1 /Y1 I of 7 - rn► ,f\e9 silk)
PROJECT DESCRIPTION SKETCH (SCALE: 0... • i L, )
Pier(dock)Length 91,Gi 1�_ .. Ti I • 1
Groin Length Z
�l �__ . I a MIN
number _...._��l ,.. oAt _
rill
Bulkhead Length .10itA t Al., 11 r
max.distance offshore 0 79
Basin,channel dimensions 4' I )Al." annum I
i ,, .0 ... c, . 1 , . ...„ tg
cubic yards
! , g PI ',IL l• 1141i1
Boat ramp dimensions t
IIIII
yC 4 U ' _ -I _ .
over 1 O ' - _->� - ' ;....__.,_ . 1111111111
'''Ci dock,_.
.......
— _.. i _ ��
}
IP
pi___,.. : t r,. ill, ' R,T (5 t a $. ._`.lam
This permit is subject to compliance with this application, site drawing ;�
and attachedgeneral and specific conditions.Anyviolation of these terms -l� /r it -
P applicant's signature
may subject the permittee to a fine, imprisonment or civil action; and /
may cause the permit to become null and void. t N a.-0
This permit must be on the project site and accessible to the permit ofy permit officer's signature
ficer when the project is inspected for compliance. The applicant certi- 10 -2 ei_ O 1 I 2 9 -cam
fies by signing this permit that 1)this project is consistent with the local issuing date expiration date
land use plan and all local ordinances, and 2) a written statement has ,,``
been obtained from adjacent riparian landowners certifying that they rlii • I tOO f -74\ • Roo
have no objections to the proposed work. attachments
In issuing this permit the State of North Carolina certifies that this project ; 00 . 9"U
—
is consistent with the North Carolina Coastal Management Program. application fee

1\r. 1.•. 111 cuNt'UTER FORM
2?1J C.=2 NAME.: F a(k)prrd txj1
fi.DDI T10KA1 NTES: •
AEC DE Slir. T EW es DE'-MAP AR=�� .0 2- PROJ DE SC: Q — 12,
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WORK: SOX 1 � Tim I d
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ACTION =ELATION
DRMM€PET. REQUIRE): • 10 12q 1 0 I • 1 ) 91.02._...
COMA MAJOR .RyQJlP,� 1\9 l��1 a I f I >111 0 Z

.ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
■ Complete items 1,2,and 3.Also complete A. Received by(Please Print Clearly) B. Date of Deliver
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you. C.�e
■ Attach this card to the back of the mailpiece, X ❑Agent
or on the front if space permits. ❑Addresse
D. Is delivery-•• different from item 1? 0 Yes
I. Article Addressed to: R.,..,expi If YE ntl$(de ry-•dress below: 0 No
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Me.,...e.-4/ 4'64L/A1417 I._ ‘,il, ,
3. Se �� Qt
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1).(—. t_• :- hied Mail V P Express Mail
/v 0 Registere. ❑ Return Receipt for Merchandis
O/ZZ-5.- ❑ Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
?. Article Number(Copy from service label)
'S Form 3811,July 1999 - . Domestic Return Receipt 102595-00-M-0952

UNITED STATES POSTAL SERVICE First-Class Mail •
111111 Postage& Fees Paid
LISPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
;24'01/ 1/4..,cipite,(-- -1_-fr,-7/t/-?--7 ie‘i
/I/ix-J.2 (;)4.-4(--41-1-`

:ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
I Complete items 1,2,and 3.Also complete A. eived by Please Print Clearly) B. Date of Deliver
item 4 if Restricted Delivery is desired. r 9 — / C
I Print your name and address on the reverse Pt. /�" "'
so that we can return the card to you. C. Sig .t;
I Attach this card to the back of the mailpiece, X //. ir ❑Agent
or on the front if space permits. Ad - jk ❑Addresse
Is deli -ry address di a._en • item 1? El Yes
I. Article Addressed to: �If YE ,enter deliv- address below: El No
el g-Z- 1e1:74,gi&-/
A)/011.I.-1
3. Service Type
ll ,��(�/ ' �Q Certified Mail ❑ Express Mail
/ 7�,)� El Registered ❑ Return Receipt for Merchandis
v ❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery?(Extra Fee) ❑ Yes
?. Ale NuOmger(Copy from Serv)iolabel, 55�)
lRJ I��\JJl\ U ►1511 lT. (v}Ivl �V( 1
,S Form 381 1,July 1999 Domestic Return Receipt 102595-00-M-0952

UNITED STATES POSTAL SERVICE 1111 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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Compliments of Miller Printing& Design
754-8663 or 754-8662
Memo ' s
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MINTZ CONSTRUCTION
l� JAMES C MINTZ PH.910-842-7546 � I
66—„2,2621 STOD SW ' I — 62402
11 SUPPLY,NC 28462 DATE I•'
PAY
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