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LAMA and DREDGE AND FILL
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GENERAL
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 i it 12OL' .
Applicant Name l)f1 V t 6r- \V n U1t M t P\ Phone Number
Address c2ci4 '-1.J 7e1flW(rrt-,a r;JC.._)
City 0 -` -: k--V t \\c,._ State NU Zip : `8 304
Project Location (County, State Road, Water Body, etc.) )C unS 1.i,)�t c -- C!U k. i j z 5
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Type of Project Activity Ne'-u.) \t e- I d oc k- fA-rC.. �C- UiNA'k (\) d UC
PROJECT DESCRIPTION SKETCH (SCALE: OT 1b )
Pier(dock)Length !!... a, ._ �.F -. b_ ._.P` , __ .._ .
Groin Length '
number 1 iii —
Bulkhead Length
•
max.distance offshore I
Basin,channel dimensions 4 ��M 4 III
' C
. !
t
cubic yards
i
Boat ramp dimensions -;
P f a
Other
.. V_ V, - ' . , t- e_‘ki-__ s.
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This permit is subject to compliance with this application, site drawing ( —i1> �1 ,, % 1/' _
and attached general and specific conditions.Any violation of these terms '/��bJ applicant's signature
may subject the permittee to a fine, imprisonment or civil action; and ! �.�.
may cause the permit to become null and void. /• �n�. �1 ' -C-_ '
This permit must be on the project site and accessible to the permit of-
permit officer's signature
ficer when the project is inspected for compliance. The applicant ceri1= j 0
1 ... U i I 1 2. I 0 2_,
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 ri 4 • 12 DU
have no objections to the proposed work. t 100. ptl attachments
In issuing this permit the State of North Carolina certifies that this project
is consistent with the North Carolina Coastal Management Program. application fee
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ACTION =PIR4TION
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CAMA MAJOR DV .R=QtJIN=. I 1 2 b I I ` •2- / b�-
.ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
■ Corrolete items 1,2,and 3.Also complete A. Received by(Please Print Clearly) B. Date of Deliven
item 4 if Restricted Delivery is desired.
IN Print your name and address on the reverse
so that we can return the card to you. •,49 tore
■ Attach this card to the back of the mailpiece, `�""C n 0 Agent
or on the front if space permits„ 9 . 0 Addressee
D. Is delivery address different from item 1? ❑Yes
I. Article Addressed to: s
d� If YES,enter delivery address below: 0 No
tied f/0 06465
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„LA / /G iy '� �Q 'Certified Mai
l 0 Express Mail
✓ .29� ❑ Registered 0 Return Receipt for Merchandise
❑ Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
Alla Number(C y from service label)
60 ° bnzi 1557- ` 965
'S Form 3811,July 1999 Domestic Return Receipt 102595-00-M-0952
UNITED STATES POSTAL SERVICCE S First-Class Mail
'I r ;1 Postage&Fees Paid
cD USPS
tr. Permit No. G-10
• Sender: Please Eyirl oi9 me, address, and ZIP+4 in-this bob '
3" 7.PS 7/7/ IYZ
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•
.ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
■ Complete items 1,2, and 3.Also complete A. Received by(Please Print Clearly) B. e of Deliver}
item 4 if Restricted Delivery is desired. lent
INPrint your name and address on the reverse
so that we can return the card to you. C. Sin ure
Attach this card to the back of the mailpiece, ID
■
or on the front if space permits. X �� ...114)�� ❑Addresser
D. Is elivery add ti - ..•m item 1? ❑ Yes
I. Article Addressed to:
s-tIf YES,esi&-very addr:N: 'I w: ❑ No
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R �Ql��AI( 3. Service peg/ ertifi ail ❑Expres .ail
• 0 Registered fa' • n Receipt for Merchandise
///���
" /G Q 0 Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) ❑ Yes
!. Article Number(Copy from service label
W, (Aid) bo 6155 t lQ,I 'e.
'S Form 3811,July 1999 Domestic Return Receipt 102595.00•M•0952
UNITED STATES POSTAL SERVICE 111111 First-Class Mail
Postage& Fees Paid
LISPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
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J AMES C M RD SW DATE I
2621 STONE CHIMNEY $ I l.L-' '
SUPPLY,NC 28462 ��,
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