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• CAMA AND DREDGE AND FILL
GENERAL N9 22589--.a�
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 '?ft • POO
Applicant Name -lore T 4N to r Phone Number q 10 511- (32.66
Address 1061 MI 1T e,AC h I i i S
City U ear TSI(.., State K) Cl Zip ...)t &c1
Project Location (County State Road, Water Body,etc.) t(NStWJ�t C k-- Co u^4 I (,q 8 Skfl ((o'E . -1:"Ic-
..Dc )(_ StA.) , eRcur\swtLk._ AIvJ‘A)
Type of Project Activity .CAA) ‘S%e—C Pi-4—NA dock..,
(r 0' Pt t' kt-r,cr-F'LN Cs 1u`-* COININ t t..)44. (of. P< cult- s, c o(, Se-1-1c,va L CPt1tt'tri",-,
fa, - or ATJJ C.4.r\ c \ o r Prf_1 c Rc ri-Nt.t s t 5 I-No r 1-r-Y ' \C-.( • C k e( K. 0 );4-4-,
' , -1—r,r 1e'vr- l t SQ t o A-'—, -.- (oc c s of Cn�t n P,I',`) ' 0 n Ft,r1 t rsc1 "o r\ ' -
PROJ ECT DESCRIPTION SKETCH WI h)t,J a I (SCALE: NOT )
Pier(dock) length (O U <-----
X /'- L) ki r.X G1 c,Uc k A
Groin length 10
y i 1
number 6'
Bulkhead length
(C()I QC 1c- %A:.
max. distance offshore j
Basin,channel dimensions ,r -" ir' '. f..r.4- . r"
cubic yards 4 f
4 ,,, yAY
Boat ramp dimensions t,Y V
vtr �, ,1,-
VE y_ V' ,
Other i ) X . -"t <___ --_ - — -- :_
0 LoT
This ibermit 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 fine, i applicant'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- - 1 2- 1 2 ( a ', 3 ' 2 / 2000
ject is consistent with the local land use plan and all local issuing date 111 expiration date
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no 1+' • I2-(X)
objections to the proposed work. attachments
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ACTIONIR._ATION
FEL : • 12421 9 / .� �- I 1_0 00
C_ V.a MA)OR DEVELR3QU,Y:
u SENDER:
, • Complete items 1 and/or 2 for additional services. I also wish to receive the
D • Complete items 3,and 4a&b. following services (for an extra
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n • Print your name and address on the reverse of this form so that we can fee): >
1r) return this card to you. `y
B • Attach'this form to the front of the mailpiece,or on the back if space 1. ❑ Addressee's Address 0
does not permit. +•
v • 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 U
delivered. Consult postmaster for fee. ,
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Express Mail ❑
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ly if requested Y
D 5. (Addressee) and fee is paid) a
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cc 6. Sig;rature (Agent) I
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> PS Fnrm 3811. December 1991 *U. .GPO:1992-323-402 DOMESTIC RETURN RECEIPT
u SENDER:
• Complete items 1 and/or 2 for additional services. I also wish to receive the
D • Complete items 3,and 4a&b. following services (for an extra Si
Pi • Print your name and address on the reverse of this form so that we can fee): >
5 return this card to you. y
p • Attach this form to the front of the mailpiece,or on the back if space 1. ❑ Addressee's Address N
does not permit. ••'
D • Write"Return Receipt Requested"on the mailpiece below the article number. G
2. ❑ Restricted Delivery •�
• The Return Receipt will show to whom the article was delivered and the date
delivered. Consult postmaster for fee.
D CC
n 3. Article Addressed
/�to: ,t�� 4a.�Article Number L S1 7 q 3 `
4b. Service Type CC
m
❑ Registered ❑ Insured
a
/�l /�j�//y� ,� / Certified ❑ COD 5
L / d�/�/ V�/� /may Express Mail ❑ Return Receipt for co
Merchandise
a // 'i/ 7. Date of Deli er 7
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Z i 8. Addressee's Address (Only if requested_v
Signature (Addressee) c
II /„ _ and fee is paid) c
cc 6. Signature (Agent)
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T PS Fnrm 3811. December 1991 *U.S.GPO:1992-323-402 DOMESTIC RETURN RECEIPT