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CAMA and DREDGE AND FILL 1°4 26238`Z
GENERAL
PERMIT GPSPb13 ('8R
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 N A* R Y\ 1...1 'E \o'4) Y f,'N f \ Phone Number
Address 0,508 ki . Cdc IA)A 4- It',)c.
City geN le.4 . U't1`� State NCI) Zip 26303
303
Project Location (County, State Road, Water Body, etc.) �r u n st,J t C - C.1wv--�-1 1 I 3 I
,""Aport•-k ,s1. iAnkc‘{-ter. �r.,r\c4, . k -m- V\Adti (.v�r
Type of Project Activity Fes' p\^(e J Ip A 11c kc i Ci ' S p-m e� El\,cy\Inc-.r.+ , (e tf\rC_.I
f\ r i)ul( \Dt\c �- ` c 1k7A-i-.t ^cl 6 cic_. , (ciAtrry �tL' nc-�S0� 4, K.od do
PROJECT DESCRIPTION SKETCH (SCALE: , iT Y )
Pier(dock)Length .... ■Vrim-
`,... 1�1 r1- 4�:• ' m■mmu rinams
d� .
Groin LengthIIII .,_11 iiiiiii I 1111111111111111111
number 111
Min III 11111111111111111
Bulkhead Length :1 tJ fll1� 1
max.distance offshore )t
j tr\-,U.!• I 19 imlir....1 .
Basin,channel dimensionsIN
� ���
. ' 1 .111
� r f
cubic yards 111i;,11I 11i' 1
■ , w - W - .
Boat ramp dimensions
Aim6ii..i0,.t._i,m1 1. m1.
1il
E
Y tl`�
Other 311 .tl►► �R I4 \ t► 111 1 _-
1111;l' 1.'
— — —. 11111 — — — — C :— 111 NMI L1111 1 '
Thispermit is to compliance with this application, site drawingnf
subjectP PP l G, i��jA 7/ l i/and attached general and specific conditions.Any violation of these terms • l , a li nt's signature
may subject the permittee to a fine, imprisonment or civil action; and ' C,
may cause the permit to become null and void. -it .a.L_L _
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 certi- 1 )3 1 1 d ', j' 3 b /p I
fies by signing this permit that 1)this project is consistent with the local i suing date expiration date
land use plan and all local ordinances, and 2) a written statement has ,� ( MO
obtained from adjacent riparian landowners certifying that they
have no objections to the proposed work. U attachments
In issuing this permit the State of North Carolina certifies that this project ' 00.U"'�
is consistent with the North Carolina Coastal Management Program. application fee
G .13ERAL-15ERNEUT CONIPUTE'R. FORM
L .
APPL1CPST NAME-. N AklAn-yx I ejoeft frvei-r) - ..
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AEC DESIG: DTI e5 , etk 1 DFVEL PP Ala-A.: 0 I PRD3 DI:SC: 4) - I I •
("Val t:=13-4.s 6) % (ra3.-.13-uk...,1)
VORE:. b‘.., so' ,,c. i22 -1-'6 e‘• Y. 114 - .
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CA.MANIAJDR.D . -"M.;13.-7QUIE -C..:7): 1 i ZI 1 0 I _ g+1 ° I ° I
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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 Clem) B. D.t of D:'very
item 4 if Restricted Delivery is desired. \C . c, . 2, 0(
Print your name and address on the reverse l -
so that we can return the card to you. C. Signature
Attach this card to the back of the mailpiece, X ❑ Agent
or on the front if space permits. A A i 4 ❑ Addressee
D. Is delivery address different from item 1? ❑ Yes
Article Addressed to: If YES,enter delivery address below: ❑ No
1Ytchae).1191and
tige ate 1
aM� /
Iti /V�� /r; �2 J 113 3. Service Type
g.c
Certified Mail ❑ Express Mail
•
Registered ❑ Return Receipt for Merchandise
El Insured Mail ❑ C.O.D.
4. Restricted Delivery?(Extra Fee) ❑ Yes
Article Number(Copy from service label)
i)q i.)14b0 ball 34 I35L)
S Form 3811,July 1999 Domestic Return Receipt 102595-00-M-0952
UNITED STATES POSTAL SERVICE First-Class Mad
111111 Postage&Fees Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
--Torne C , rf) i tt)t--
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6k,p91 , ,Ai 6 5620,
s 7 IttitiittittlttitiittttitItititltittttitiiitilttltltttlittitil
.ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
I.Complete items 1,2,and 3.Also complete A. Received by(Please Print Clearly) B. Date of Delive
item 4 if Restricted Delivery is desired. A.
,'L L /<' n ! / —�3
• Print your name and address on the reverse 7 ! "�
so that we can return the card to you. C. SignatureJJJ
I Attach this card to the back of the mailpiece, i " ❑ Agent
or on the front if space permits. X -�yz'� El Addressee
D. Is delivery addr different from it0? ❑ Yes
I. Mole Addressed to: C� If YES,enter de every address below:CC ❑ No
IL,
Loave, li
3a iv c i IC t"
VA 1 m;(9-hpi\ive_-
8 ,I'`' 3. Service Type
L�U Certified Mail ❑ Express Mail
•
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery?(Extra Fee) Cl Yes
>_ Article Number(Copy from service label)
1-ugq ,� �o r( I 1 \ 5s-7) ,J,
DS Form 3811,July 1999 Domestic Return Receipt 102595.00•M-0952
UNITED STATES POSTAL SERVICE First-Class Mall
111111 Postage&Fees Pais;
USPS
Permit No.G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
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.'s cil r,,and flu,imago.Ion,lu.0 nr t:trk p.not prc,-rni yin w,,„ish. _
MINTZ CONSTRUCTION - .�
II JAMES MINTZ 0 IP /ram', 1.557
PH.910-842-7546
I 2621 STONE CHIMNEY RD., S.W.
SUPPLY, NC 28462-5927 66- J/530 NI:
PAY DATE I $1 b / 6z?a
TO THE t ` — —
ORDER OF A)
— Y10
DOLLARS 1:1 .: ::.
NationsBank
National3arsk,N.A.
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1'' 000 L557u' I:053000 L961: 000659 8 gn`1. ?)71Per
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