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CAMA AND DREDGE AND FILL
M . GENERAL Igo 020n31 —D
'1„
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 ' If). I2 o u
Applicant Name 5 .,-. 4I-r'i(ci Phone Number 40-6 0(.U3(D
Address ! c' Ei re cat TeQf\d
City State 1J C1 Zip .:)u° 4 -c( `,�
Project Location (County,State Road, Water Body,etc.) Pe---e de—r- ro un , I (Co ?rou ;�Jn -Moore.. 1�1x�C�
"jUr A� 4 tt)CI ) I NE_ CA PC AC' T;ve.-1'
Type of Projec`fActivity /� J p,e,r-, t,Xe d dock. A-nr1 iF/DA'f
u it rern v... A II por4 i has e it old ,s-t1'u c1 a rt.., fir;or -f-o Cons+h^uc/;on
* r IN n h,f\ A (rf\xt t t-rh o F (- bo Ad s r'\ao r r d I 'cJ
Or) lc_ C lc.r.e-r•k-s — Co rtn di) r 0-7o —91 ID
PROJECT DESCRIPTION SKETCH (SCALE: )
&JUT IT
Pier(dock) length K
Y. t4' vm c.) N. 6 ,C FP E fE-N
Groin length
number
Bulkhead length
max.distance offshore 4 l '>
/
> I
Basin,channel dimensions y/^I 4‹ Rd
1 Flu AI- _
I lV
cubic 15 Sei 60C_ —� ),5 1 5P-1 4^+-
yardsr
Boat ramp dimensions W,
Other lei V• (a' A?)fo)(
r"'expd eiec k- 4,
V
6' )C ICo' fluAT {-`��4� b �t�
ii
'this permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fi ,
imprisonment or civil action; and may cause the permit to e-
applicant's signature
r
come null and void.
This permit must be on the project site and accessible to t e permit officer's signature
permit officer when the project is inspected for complianc
The applicant certifies by signing this permit that 1) this pro- CD9 1 C19 CI `'‹j c> g l C1 q
ject is consistent with the local land use plan and all local 1 issuing date expiration date
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no /') {-1 120U
objections to the proposed work. attachments
�t KAL PERMIT COMPUTER FORM
APPLICANT NA1vE: f b \ +1e rr;
ADDITIONAL NAMES:
AEC DESIG: PT DEVELOP AREA: —(2.O(O PROJ DESC: f - 12
(Wi71 only cake 6)
(Will 1 only take 1)
WORK: 10 R. X i Cot Tc 12±x 12
(Will only take
E L I Co x to'
(Will only take 4)
IMP: O c,J 60 Q (A) 141
(will only take 6)
0 G.) 9Co
ACTION EXPIRATION
DREDGE&FILL REQUIRED: • y-/ -1 19 9 7 /2-9 191
LAMA MAJOR DEVEL REQUIRED:
i
CLEMENTS MARINE CONSTRUCTION
C.A.M.A REQUEST FORM
NAME:S/2:O/1" N 17/L-11N - DATE:"3- 0 99
ADDRESS: I MC 6 2c °rZ
CITY:e/95Th givw C STATE: 4"e a�`-f�9 ZIP:
COUNTY OF WORK REQUESTED: iP /4/
WORK DECRYPTION: Neil Do-k an a sf lea-A./—
A/C O 6 �r
71-7
PROPERTY OWNER, G `'^.,Sa.L✓ )(ADJACENT OWNER
c4" ., )(ADJACENT OWNER
U
2
'S:[�1e1�3ii3:a�6i_=l�f��TS:• ne]�l mavu. T_=__rfa..?�®-v�_l Jbli�i�apwrn..aum-'�inJ T.mor-�hj-iTa`�� --'� -•"' .�
CLEMENTS MARINE CONSTRUCTION °B 30's's 1949
910-270-9110 NCDL 4356789
577 NC HIGHWAY 210 W Date 29 9 `
HAMPSTEAD, NC 28443 -1
Pay tothe _ i I $ ,�� III
Order of �/�/' •
/� �sa.—
Dollars .
i 1
FIIIST CITIZENS 365
r
nAN K Fiaramp Cozaena 0C k2:47z st Company
r.
For/,' 'sif.r4//_� Z1��
-- -- ____________At
1:053L003001:00320LL : ■ II' 0L949 v91 '
-- -- - - - GUARDIAM SAFE re BLUE WDBL
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