23839D - Montgomery

CAMA and DREDGE AND FILL
GENERAL N : 23839 -L
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+1 . 1\UU
Applicant Name '5 tU pc t+ tAo t���v car Phone Number 1 1 Q az Co-82.s3
V Doe 1`oc —
Address CD oZrU N , �( ���' {,( ('
City �1 k `vs , r3-k p r--, State 0 U Zip C)84Ua
Project Location (County, State Road, Water Body, etc.) r ji u c' S,iA) t CV-- .( et.krN A-AAI 1 a 9
"lbo\P -;tr. �-k-ceek , 't�o1�.e.,, ,,,wck t(i� MR-r\- �p 'eJ C7_4:NtA \
Type of Project Activity 1Ve in.1 I\ll`o.\"- \\ I A tVA+`c8 Of Lt1L 4 imd S
PROJECT DESCRIPTION SKETCH (SCALE: 6.4. T T.. )
Pier(dock)Length
Groin Length
number
II
Bulkhead Length ' U t
ME
max.distance offshore III 1 .
Basin,channel dimensions 1 IM
Ir
cubic yards s.
Boat ramp dimensions 1 O • ir .,of ii v -
,, i ,r ,v . \. . 4' 1 f
, ,:til 't °
\‘,
. .
Other
._ _ mm
t
pli
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MO 11111 -e a.
9 III II E,_ _ _
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This permit is subject to compliance with this application, site drawing /A 66 -*' ,//71.---
and attached general and specific conditions.Any violation of these terms
ant's signature
may subject the permittee to a fine, imprisonment or civil action; and
may cause the permit to become null and void. , k
This permit must be on the project site and accessible to the permit - permit officer's signature
ficer when the project is inspected for compliance. The applicant ce , -1 1 00 co t . 1 100
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 1
been obtained from adjacent riparian landowners certifying that they r.I,T`t • OO
have no objections to the proposed work. attachments
In issuing this permit the State of North Carolina certifies that this project \50 , i—
is consistent with the North Carolina Coastal Management Program. application fee

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DRY &FEL R.QUIR�D: 1 a( 1 0 0 (Q (a( lob
CANAMa.JORD .REQUIRnR D:

SENDER: 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. Si¢nat re t
0 Agent
• Attach this card to the back of the mailpiece, X l ' ✓ El Addresse
or on the front if space permits.
D. Is delivery address different from item 1? 0 Yew.
1./Arrttiiicle Addressed to: If YES,enter delivery a w: ElNo
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/ 0 Insured Mail ❑ C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
2. Article Number(Copy from service label)
Z VI i rl 101 4 40c '1
PS Form 3811,July 1999 Domestic Return Receipt 102595-99-M-17ef

UNITED STATES POSTAL SERVICE First-Class Mail
111111 Postage&Fees Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
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MINTZ CONSTRUCTION 1536
JAMES MINTZ
PH.910-842-7546
2621 STONE CHIMNEY RD.,S.W. DATE_ 2 I I OO 66-19/56230
NC
SUPPLY, NC 28462-5927
PAYTO
AAl1 ORDER IDE lam+ J �h� ( ORDER OF � ��..7J . 521
I'1 Pad nO I tro
NationsBank
NationaBank,N.A.
FOR 'AN/-
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