20121D - Sanco

ifts-
CAMA AND DREDGE AND FILL
GENERAL 1��° 02121rD
PERM I TDrkr/
10 as authorized by the State of North Carolina
Department of Environment, Health,and Natural Resources and the j Cep,�st7l-Re rcsoources�Commission
in an area of environmental concern pursuant to 15A NCAC / ikt
Applicant Name G A '1° D /l P (c. .
4 111�n-) Phone Number 0/J) 9 q0--5( 1 3
Address O , '�L 7
City � ��/// !►n i A -f-0 t State A � Zip 2 0� 4,
V" L.
L
Project Location (County, State Road, Water Body,etc.)_�4 0 1 I n a I' D r-t ✓e q f J 4 L(✓1'r 4v Cc - 1i�q
P6�( ,� VC.LL- hi- 134 /✓� ? tiro (14.4 �eac."1 Ale /�QAoveT v.�I
Type of Project Activity o/►S4r�c--+ 6 • r 3.4( p, r— wi ti, Ej ' ?S fl ' # 4/ /k I) r 1-QY4' "j
CIO.-K% at 4' 1tiu+Cr- Wc,rci e . A/i ccr T1`vc_ ram.• S kiff fI h e �' ' tY )14 l$ PI- Infi�o
e h A 4 / /� // f- e x c e e f/1,1 k1 N #1, -a F w,, • -r r� J ut� r► artct�^ Co rr� �r �+ t S a �� �
AD r 4-ti t Curb //A., qe., A 1r'e r' 4c, d l i n e . A•I (o 4 d t. „ Ai � F 0 h i IA o stPo/,
PROJECT DESCRIPTION SKETCH (SCALE: No-i'- -1; sc, (,)
Pier(dock)length V/ k 11 \ y L
vI ,�Z / � T G o S / /'N
4
Groin length )s 1 V
number 111
i
Bulkhead length
max.distance offshore
Basin,channel dimensions
cubic yards 36'
Boat ramp dimensions
Pl- 1-,i
G'
othy� ! l�s !� —xrs ,� j.3 f kAC4 d a ; l__.. ! 1 . :_-i
'J6 a0. II
4
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any f}
violation of these terms may subject the permittee to a fine,
imprisonment or civil action; and may cause the permit to be C.)
applicant's signature
come null and void. _ I�This permit must be on the project site and accessible to the 9.-&I
permit officer's signature
permit officer when the project is inspected for compliance. b / �' - 0
The applicant certifies by signing this permit that 1) this pro-
ject is consistent with the local land use plan and all local issuing date expiration date
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no 1 T •
C a
objections to the proposed work. attachments
CK IL4q
In issuing this permit the State of North Carolina certifies that /� O ✓ R¢�
this project is consistent with the North Carolina Coastal application fee k/'
Management Program.

;; SENDER:
6 ■Complete items 1 and/or 2 for addRionalservices. 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. a
■Attach this corm to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address
v permit. e
3) ■Write'Return Receipt Requested'on the mailpiece below the article number. 2. CI Restricted Delivery i)
• •The Return Receipt will show to whom the article was delivered and the date
delivered. Consult postmaster for fee. 1
5
3 3.Article Addressed to: 4a.Article Number e
i RiCtl I ` 01,4')5 4b.Service Type
❑ Registeredertified c
L ► I C&V' A..1 or,
❑ Express Mail ❑ Insured
u a
t_ 0 Return Receipt for Merchandise 0 COD -
a CO(b t j kr 7. Date of Delivery
z c
D 5.Received By: (Print 8.Addressee's Address(Only if requested i
a and fee is paid) x
✓ 1-
5 .Signatur o en
i.
PS Form 3811, December 1 102595-97-B-0179 Domestic Return Receipt

UNITED STATES POSTAL SERVICE First-Class Mail
111111 Postage&Fees Paid
LISPS
Permit No.G-10
• Print your name, address, and ZIP Code in this box•
Sa.,A.C6 vwts
P. 6 , Boc 31(0 7

.ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
In Complete items 1;2,and 3.Also complete A.Deceived by(Please Print rly) B. Da of qellverey
item 4 if Restricted Delivery is desired. by r 5 d
■ Print your name and address on the reverse
so that we can return the card to you. C. Sign
IN Attach this card to the back of the mailpiece, / n A d Agent
or on the front if space permits. xk 40Lt�t,t ,61 r"T Addressee
D. Is ivery address di fft em 1? 0 Yes
I. Article Addressed to: If YES,enter delivery address below: 0 No
Les 1 'I C. 6r()k- - p 0 a.0X 6g 3
•
!- b`l CaA,,a Or-'-it- CAROLINA BEACH. NC 28421
•
Rck. r - 3. Service Type
v L8'i;ertified Mail 0 Express Mail
JI� 0 Registered 0 Return Receipt for Merchandise
. d Y LTQ S' 0 Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
2. Article JsJumber(Copy from service label) Z. 1 .77 Qs
G 7 .--,..3 7-
S Form 3811,July 1999 Domestic Return Receipt (� 102595-99-M-1789

UNITED STATES POSTAL SERVICE First-Class Mail
Postage&Fees Paid
LISPS
=A`i'ETTEV 1LLE 283 #1 1 15!23/i I ':;_ Permit No.G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
p. o . ex 3!( 7

HARLES ALFRED .' :_=
WALLIN ,:' .
DEBORAH S. WALLIN 910 7so-3613 =•_� :_
LIC. 2736817 66-112/531
4101 WHITEHUAST DR, 5Zi46pp63 14 9
1L7,1GT N 7228409
.. f/uO56EIIIIIIIII17 ,
EDATE✓tee/`5d
$LI--, '40 i
ARS0 7 NO RT e�K
` wK. 1
CAROLINA E HAC K BOULEVARD
MEMO .NC 28428
'�a°� err- -_.smoug z, - v..4. __ 31_ s- L, — hr