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.' • CAMA and DREDGE AND FILL
G E N E R A L �� `�" 2 8221
. PERMIT 0W
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 44 • !)-UU .
Applicant Name F• w„ �1ik.rr\vc‘ n Phone Number
Address �• 0• -t3 d'& \8 8 �I
City JO c°%-e -A \\ 11• State `✓ Zip
Project Location (County, State Road, Water Body, etc.) khc u (Mc!,t,J t C - C b u n
�(o-k-1P,,Y\r), `" e-Ct + Or tr-N -- ski r.�< I" t f\id) I\4Prr\- NlndLi C f<
Type of Project Activity �1�.� r p\-i- p�'-v._,1. -I1�.,pr-- nrt AOC ,
{,J0—c, t.JRra N.Y,c.) o , 10A{ C' u%4 Q'UT tx( rc4 y4. ,,,c, -1,, UT C AMR' MhqJ 11/4) to i.;
PROJECT DESCRIPTION SKETCH (SCALE: WI- "Ti) 1
Pier(dock)Length(
s. iw. ..1 .a..
Groin Length II _ 1 11■� 11
number U �RRU r.
Bulkhead Length � .�.�.
max.distance offshore ■ 111 11r ' �� ■
1111 U ■U
• .;
Basin,channel dimensionsII II II I mi e
•
L mit
unt—iiiikumemorsisimi
cubic yards III
I II El I
Boat ramp dimensions I �7 t ��1�
mon
Other 8 IS. U
itht r I ,,,pliiiir US" [RU
This permit is subject to compliance with this application, site drawing / �, 1�
and attached general and specific conditions.Any violation of these terms (�'� ap licant's signature
may subject the permittee to a fine, imprisonment or civil action; and , --�
may cause the permit to become null and void. t U r , +. '`A. 4
This permit must be on the project site and accessible to the permit f- permit officer's signature
ficer when the project is inspected for compliance. The applicant certi- (,,,,��{,,8)ar0U 7j ,8 }2U0(>
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 ,10 I200
been obtained from adjacent riparian landowners certifying that they
have no objections to the proposed work. attachments
In issuing this permit the State of North Carolina certifies that this project ` Jr 0. v)
is consistent with the North Carolina Coastal Management Program. application fee

GE.NERAL?ERNE�T CO1\ LITER FORM . .
.PP, 1c 2\--s =.ate: F. (,o . Prt l►"\err1
ADDITi oNAL Nimva-S:
AEC D=SIG• `J T\_' 1 E Dr -L OP 4lak:_ IQQ!4'PROD DES C:f - 12
WORD_Alt' �p )L� -
MAINT: .
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C) I (o a
ACTION 124T1ON
-DP GE€. .REQUIP,D: - 3 18 1 o o ( 18 I 0o
CA EL MAJOR .P, QtTiP.ED:

t`. SENDER:
a ■Complete items 1 and/or 2 for additional services. I also wish to receive the
rn ■Co/nplete items_3,4a,and 4b. following services(for an
m ■Print your name and address on the'•Iv:rse of tnis form so that we can return this extra fee):
card to you.
g ■Attach this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address
2 permit. 1
y ■Mite'Return Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery
f, •The Return Receipt will show to whom the article was delivered and the date
c delivered. Consult postmaster for fee. !
o '
v 3.Article Addressed to: 4a.Article Number
I' kG h 6- (�-`ro Z- 3y�on a�'7
E / - 4b.Service Type
0o GJ e4ro/.- c_c.cit, ❑ Registered Certified
L / �/ 0 Ex all 0 Insured
''//r 73!m �rGI f O. ✓P/ 1J etum Receipt for Merchandise ❑ COD
Q 7. Date of Iieli ery
`fr;/.
CC
5.Re eived By: (Print Name) 8.Addressee's Address(Only if requested i
LU and fee is paid) Ic '
I.
g 6.Signatur//j��_'ddress or Age p /4, /(a ei i c y p'
PS Fnrm 3R11_ nAramhAr iQAd Domestic Return Receipt

UNITED STATES POSTAL SERVICE \ P4'°c o g&- as
'- P�^ 0 sPs— .�.._r
PermitN. :ill--
• Print your name, address; I'= ZI- ••e_in , • -- T.,:,. . -
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Cisarie6 / At10
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©c e,,,, l64 (�'-4� ' c,
70,14,7
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," RBL[SION OF COASTAL Me N czFx I'
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION
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Applicant's Name: C,Jor! fbx 11-o mes
Address Of Property: Da ii /5(p &ch Nc Z396
Street#, Street Name, City & Co
unty
. Applicant's Telephone Number %0 57q
I hereby certify that I own waterfront property adjacent to the above-referenced ro
applicant has, videde a ,m of the the proposed development. Please initial the ' The
pro
statement below if you have no objections to the applicant's proposed development Initiallin this block does not constitute a waiver o requiredS
lines .f the IS'setbackfrom the riparian corridor
I have no objections to this proposal.
aku4,4_ /_.27od
Signature e Date
Print Name and Mailing Address
511-028 1
Telephone Number With Area Code
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If you have objections to the applicant's proposal, do not initial or sign this form. You should
contact the Local CAMA Permit Officer listed below as soon as possible to register your
concerns:
Peggy K. Pelasara
3 wpar Third St.
Ocean Isle Beach, NC 28469
Telephone: 910-5 79—70 70

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1 64 8
CHARLES FOX HOMES, LTD.
PH. 910-579-6216
16 CAUSEWAY DR. 66-1t2/531
y/
OCEAN ISLE BEACH, NC 28469 a
DATE 2!)/Q
PAY I ��
e
ORDER
OF TO THE
Dttig — -
t 9 �O% �- - - - nOLLARS rag mom.
62201
BB&T
NANCN NANNING AND NNW COMPANY
HWY 179 AND THE CAUSEWAY ROAD 614:4L ---
OCEAN ISLE BEACH,NC 28469
NI'
FOR_ --
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II'0000 LE, 4811' 1:053LOLL2L1: 52L2L6766711. 62 3 )
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