22403D - Wallen

10 CAMA AND DREDGE AND FILL
GENERAL 1��' 22403 L
PERMIT
as authorized by the State of North Carolina
1►0 Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC '71'1 . ►►D U 7 . t 3 00
Applicant Name 13'1 1\ W 1Ic y, Phone Number 9IL) 45D70 '9e8 I
Address cc► u * C k or 1 L-A-"c_
City ' L State Zip 5LcCA43
Project Location (County, State Road, Water Boy, etc.) mod+ le— C U u+^�-,,� , 1�►9�I RY'd
fir\ Jc� , ( 4\c,rocs u 1►2u -k_\ 5�cq I �(v - Meldc� Cat-�At
bt�Ak f �IA. t �ri. ft nc1 Pi, k bP\ I �1r1dC-n4f\1'to n
Type of Project Activity � �
PROJECT DESCRIPTION SKETCH (SCALE: D•)OT TO )
Pier(dock) length
--- TV\ om - �Al
�_ ---
Groin length
number
Bulkhead length (D3 t
5 tA.Y\ncp
max.distance offshore
t\0e(A CI J
Basin,channel dimensions
cubic yards
Boat ramp dimensions ,
�l '�
h Other ►01` X av i (—a" V'
,i
hoA� P 1 c,
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Q %4 `�3' LET
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This permit is subject to compliance with this application, site 411So
� j,,,a
drawing and attached general and specific conditions. Any %-violation of these terms may subject the permittee to a fine, 1� 7
nt'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 th 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 i li )gy �J D, i Li- I 9 6.1
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 q iq • I' UU `• I t U U
objections to the proposed work. attachments

GENERAL PERMIT COMPUTER FORM
•
APPLICANT N_AI : W 1 1
ADDITIONAL NAIES:
AEC DESIG: DEVELOP AREA.:__0 2— PROJ DESC: / -
(will(*lake 6) (R'D1 oniytakn 1)
WORK: bid 83XI• O
(WM1 only take 4i6 P a 20:7
• x
MAINT_
(Will only takr 4)
IMP: S � 8 30
(will oniytak 401110 4 o
ACTION EXPIRATION
DREDGE&:EMT REQUIRED: I Li fq.9 a ! q q /
C_AMA MAJOR DEV;L REQUIRED:

N.
o SENDER:
"y • Complete items 1 and/or 2 for additional services. I also wish to receive the
y • complete items 3, and 4a& b. following services (for an extra
14 • Print your name and address on the reverse of this form so that we can
return this card to you. feel:
y •oesAttach this form to the front of the mailpiece, or on the back if space 1. ❑ Addressee's Address
d not permit.
C • Write"Return Receipt Requested"on the mailpiece below the article number.
- • The Return Receipt will show to whom the article was delivered and the date 2 El Restricted Delivery
c delivered. Consult postmaster for fee.
°m 3. Article Addressed to: 4a. Article Number
°' \ /0 z 21
a FkEQ ./ l
1 �Q�2/�A7r ! 4b. Service Type
5 ❑ Registered El Insured
A (/ 2O m fit L/*zo Mr ertified El COD
o
u T� / �6 7 / press Mail ❑ Return Receipt for
1C1 ,C Merchandise
7. Date of Delivery
t
5. Signature (Addressee) / 8. Addressee's Address (Only if requested.
and fee is paid)
6. Signature (Agent) F
i
PS Form 3811, December 1991 *U.S.GPO:1993-352-714 DOMESTIC' RFTIIRN RCC' IDr

r'.
9 SENDER:
I also wish to receive the
y Complete items'1 and/or 2 for additional services.
y • Complete items 3, and 4a&b. following services (for an extra
L • Print your name and address on the reverse of this form so that we can fee):
CI) return this card to you.
• Attach this form to the front of the mailpiece, or on the back if space 1. ❑ Addressee's Address
does not permit.
2 • Write"Return Receipt Requested"on the mailpiece below the article number.
2. ❑ Restricted Delivery
• The Return Receipt will show to whom the article was delivered and the date
C delivered. Consult postmaster for fee.
v 3. Article Addressed to: 4a. Article Number 1
a,
CD
v zS , �L r 1�S `IL(-( �?Z2 33() lJ5
E I. T �IVD�`31�5 4b. Service Type
I
o 1 ❑❑gRegistered ❑ Insured
1) 533 C.4�� '0U/zj Cam' Certified ❑ COD
1.1 �Ln,Q0.5� c / 'jWrExpress Mail ❑ Return Receipt for
Merchandise
`g� �23?z{"..�/�03 7. Date of Detery i y
Jrc, 7
Q
.jf/(Y', '','
r5. igna re (Addressee) 8. A ressee's Address (Only if requested_
D uiS Le �d`p�4 and fee is paid)
r 6. Signature (Agent) F
5
3
• PS Form 3811, December 1991 tru.S.GPO:1993-352-714 DOMESTIC RETURN RECEIPT

I.:
;o
i' 66-679/531 1313
WILLIAM OR MOLLIE WALLEN 58864006
P.O. BOX 625 5.1
OCRACOKE, NC 27960 !t7 4) ) Y4/
DATE
l'A Y TO THE De:-/vg • •
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