19881D - Clark

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LAMA AND DREDGE AND FILL `; 7�9881 -1_.GENERAL ' 1.
-Y"
PERMIT
as authorized by the State of North Carolina
Department of Environment, Health,and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC -2 j- l. -r)O .
Applicant Nam Q6 C Lam - Phone Number C_°.fI 0 •S''1�{1-r
Address ,, � ,1C&
C) O a G H i .
City t.A J I L. YIt t.. F © _ C-TState fU C— Zip 7 5 4-0 -1
Project Location (County, tate ad,Water Bo y,et ) ` Tom.�O� i
iJ
fr. A�_ ' E i�i. 4 k u-et r i&1,,5 '+r]
Type of Project Activity ,'_ � ,.,v..
T-ce
PROJECT DESCRIPTION SKETCH \ij N./ v, (SCALE: ` I : �0 1 )
Pier(dock)length 1 _
Groin length t tll`.
i a
number ,(,�VI .&@ Vh L.J.A.3 I
'1' W -.. -.a
Bulkhead length {
1 �
max.distance offshore 1 le.1 4r/ , . ,(\r1 A i cF.Q 7 �G _c4 Sa,(.t
.'
Basin,channel dimensions ,...+
cubic yards tr! 1x 6�
Boat ramp dimensions �, �f�D - v `r,
Other, -
1(13')(18 ' .
6n
(c)--7CA., -ee. , \-/ c--4-
This permit is subject to compliance with this application, site /�jf
drawing and attached general and specific conditions. Any ...,a1 /v
violation of these terms may subject the ptrmittee to a fine, /'��
imprisonment or civil action; and may cause the permit to be applicant's signatun
come nulnd void. n't-
This permit must be on the project site and accessible to the permit officers signatun
permit officer when the project is inspected for compliance. �--71 ' r{O _ �� ) 0 _ ' / �q
The applicant certifies by signing this permit that 1) this pro- / {p I
ject is consistent with the local land use plan and all local issuing date - expiration dat
ordinances, and 2) a written statement has been obtained from adjacent riparian landowners certifying that they have no _ / H. , 206
objections to the proposed work. attachments

kP\9LkNrNAME: 119
I ADDITIONAL NAMES:
t. .
AEC DESIG: DEVELOP AREA:__1_ PROD DESC:V - �a
(will only take 6) (Will only take I)
•
WORK:(Will,only
_
•1 (E iO3(11f2
MALN'T:
(Val only tzke4)
•
( tar.O j•
6)
ACTION PLR ATTON
DREDGE&FILL REQUIRED:
CAMA MAJOR DEV REQUIR.=D: I - Ike "L( ' I 0 r ((0�I 1

m SENDER: I also wish to receive the
n •Complete items 1 and/or 2 for additional services. following services(for an
i •Complete items 3,4a,and 4b.
2 ■Print your name and address on the reverse of this form so that we can return this extra fee):
r card to you. 1
d ■Attach this form to the front of the mailpiece,or on the back if space does not 1.❑ Addressee's Address
y ermit. 1
li
m ■ rite"Return Receipt Requested"on the mailpiece below the article number. 2.El Restricted Delivery
_ •The Return Receipt will show to whom the article was delivered and the date Consult postmaster for fee. 4
- delivered.
0 3.Article Addressed to: 4a.Article Number 1
E 20 / /`irc A/ 5: 4b.Service Type
o• /� b ❑ Registered .'Certified j
❑ Express Mail 0 Insured
1, ✓-- ❑ Return Receipt for Merchandise ❑ COD
�� 7.D e of Delivery
5.Received By: (Print Name)
6.Sign*ire:(Addressee8. ddressee's Address(Only if requested
and fee is paid)
jt.
i
/ �,�or •
o - X: ( �2-4 2/
T
2 PS Form 3811, December 1994 1 102595-98-B-0229 Domestic Return Receipt

ai SENDER: I also wish to receive the
9 •Complete items 1 and/or 2 for additional services. following services(for an
w •Complete items 3,4a,and 4b.
rN •Print your name and address on the reverse of this form so that we can return this extra fee):
card to you.
N• •Attach this form to the front of the mailpiece,or on the back if space does not 1.El Addressee's Address
• permit.
■Write'Retum Receipt Requested"on the mailpiece below the article number. 2.❑ Restricted Delivery
Y ■The Return Receipt will show to whom the article was delivered and the date Consult postmaster for fee. 1
delivered.
0 3.Article Addressed to: 4a.Article Number
i Ed rug G BiII►0is1tY .2Ki cz -3 c20
a 4b.Service Type
o / II B d QC h 54 ❑ Registered ertified
o •
• , I El Express Mail El Insured 1 ,4 � 't .� rAWV ` A g� Return Receipt for Merchandise ❑ COD
fLJ11� {• p)� 5 7. Date of Delivery
5. Received By: (Print Name) 8.Addressee's Address (Only if requested
and fee is paid)
6.Sig ure:(Address,4e o>r gent , i
2 PS Form 3811,December 1994 102595-98-B-0229 Domestic Return Receipt

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/�� � DOUGLAS
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C. CLARK 66-2/531
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NANCY J. CLARK NCDL 8090243 /6 19Qj 18 �'
d � 6902 ESCHOL CT. PH-[phone] I �
„ V WILMINGTON,NC 28409 i
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