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CAMA AND DREDGE AND FILL
Y_ GENERAL NY n18179 - 1 .
PERMIT
as authorized by the State of North Carolina
0 Department of Environment, Health,and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC `7 14 j Z 0 c)
Applicant Name 10l'n toy Pr51-1/!1z.w vi- r0 C • Per 0'y Phone Numbe01 O) 14S-7— C-41 lip
Address 23O4 k1 . V`42-11 ca 1.3 17E_
City L cry,,,A a c-L State IJ G Zip 4-
Project Location (L�ounty, State Road, Water Body, etc.) ck-riN.Q. .et'a1ZA1"e- , PrDi f=t— U LS
C ?) r u t,s3 L L. Cep .
Type of Project Activity
P - 1VA—T-S -1 ( E1 ..
PROJECT DESCRIPTION SKETCH (SCALE: 1 1i= SO )
Pier(dock) length 31r �1;aU , I ti�.-_ A 8' --i .��
-t IS? ,c 4 t-- 1 TC4 Pc L Le1'4 4-
Groin length /" i
Nt7T -1-0EXrePC�
number
Bulkhead length
I
max.distance offshore
e
Basin,channel dimensions -x
i
cubic yards i i
Boat ramp dimensions
_-------
M 1-1 W
Other I I .i
FLoa* I (ox
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any / �c1
violation of these terms may subject the permittee to a fine, ap icant's signature
imprisonment or civil action; and may cause the permit to be-
come null and void.
This permit must be on the project site and accessible to the permit officer's signature
permit officer when the project is inspected for compliance.
The applicant certifies by signing this permit that 1) this pro- 5 -3 -99 .3 i9 n
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 I—i 1 Z O 0
objections to the proposed work. attachments

ut:1v EKA,L YEKMIT COMPUTER FORM
APPLICANT NAME: b � h-� (4,7\ C
ADDITIONAL NAMES:
AEC DESIG: 1 DEVELOP AREA: . l PROJ DESC: - 2
(Will only take 6) ——--
(Will only take 1)
WORK: T [ S'7 •y-
(Will only take 4)
-S [ b r3
MAINT:
(WM only take 4)
IMP: (Oc� `
(will only take 6)
ACTION EXPIRATION �[
DREDGE&FILL REQUIRED:
CAMA MAJOR DEVEL REQUIRED: )- t ` t 9 ���

4, • • '44
The American Fish Company
P.O. Box 11046 [phone]
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' Southport, North Carolina 28461
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name Of Individual Applying For Permit : 7
Address Of Property: f JC72 W//�,X 4:z A
/ K�/zG"
(Lot oreet #, S re t or Road, City & County)
I hereby certify that I own property adjacent to the above-
referenced property. The individual applying for this permit has
described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions,
should be provided with this letter.
Z I have no objections to this proposal .
If you have objections to what is being proposed. please write the
Division of CoasLal Management, 127 Cardinal Drive Extension,
Wilmington, North Carolina, 28405 or call 910 395-3900 within 10
days of receipt of this notice . No response is considered the same
as no objection if you have been notified by Certified Mail
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat
house, lift or sandbags must be set back a minimum distance of 15'
from my area of riparian access unless waived by me . (If you wish
to waive the setback, you must initial the appropriate blank
below. )
I do wish to waive the 15' setback requirement .
I do not wish to waive the 15' setback requirement .
:31A11A0J ignature /Yn •
Date
TQrtS lOrIlS -
Print Name
70 - �e34 33
Telephone Number With Area Code

$
SENDER: I also wish to receive the
- •Complete items 1 and/or 2 for additional services. following services(for an
w •Complete items 3,4a,and 4b.
•Print your name and address on the reverse of this form so that we can return this extra fee):
card to you.
;a') ■pAeettach this form to the front of the Tailpiece,or on the back if space does not 1.ID Addressee's Address
■Writert'Retum Receipt Requested'on the mailpiece below the article number. 2.0 Restricted Delivery i
2 ■The Return Receipt will show to whom the article was delivered and the date Consultpostmaster for fee.
« delivered.
g 3.Article Addressed/t , G 4a.Article NumberI
a /�C 1�(' �(� 4b.Service Type Z
7 (� J f'1'�'�`(� C ❑ Registered ❑ Certifio
LkI;�LS f1 .L /� LJ1 /) . ❑ ExpressMPI ❑ I _f
0 Return Receipt for Merchandise ❑ ::OD °�
6/2 it- ii: e )(') A '')
/ " 7. Date of Delivery
5.Received B Pr' 8.Addressee's Address(Only if requested Y
l� /'t /I.'��i and fee is paid)
6.Signature: Addressee o Age�t)
fX `1,;,
2 PS Form 3811,December 1994 102595-98-B-0229 Domestic Return Receipt
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E CHARLES THE H.AMERICAN KA FISHEN CO. * r:F mar , ,_„ ,.,.
P.O.sox 11046,WEST BAY srpERRY 61 186
SOUTHPORT,NC 28461
PAY
C TO OR TIME r � DATE_ 3=`-<L — GG 3U/453
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` ■(L' 'IC South lo, N Bank R Trust Company
1J` Soufhporl,N.C.28481 �'
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