20256D - Brigman

14
• CAMA AND DREDGE AND FILL
GENERAL i y` 320256--b
PERMIT
as authorized by the State of North Carolina
0 Department of Environment, Health,and Natural Resources and the Coas/*y4�1 Re -Qurces Commission
in an area of environmental concern pursuant to 15A NCAC r7/ f A �
Applicant Namep„,,.,...4
Ov I .. J rf Mi `" 1 Phone Number
Address kC) �.,D kw a o ., M di k el
City 1 State C- Zip �74 ' -a'
Pro' ct Location (County, State Road,Water Body,etc.) Vo X�-��iA)D ���� N. { u 's`�lt s L'�
44 r b'D r D n A.! W t l /. i8r....lit..., A., k C��,a .�` _/-
Typq�j of Project Activity C r J ri ?� > 3 Pier iv11-. 1-, �y �' �CK d q
itM4-er w ar 4 en pl. Can ) to,--i-r),-� S L I( Le a k heur E1' /&JI jP ea Li,
r /r%,n..//��r a r- r , cf''✓ �i n e G1 A. c+ a 'f /e 4 L+l '7 0 r< L 7'Jr..-, ail/(e ,1 ek i-I,4'r f e i'{
O # /Tl �✓W . 111 cb& 41,^j' zc f- ON- iv/ 0-D s-A0/ Q,,i( ,
PROJECT DESCRIPTION SKETCH (SOLE: g,i_ ; c / )
Pier(dock)length"- X '<".2___- P ' VI 2.-,s-- -
'3a3e
Groin length
/H,
number _If a, NBulkhead length A
max.distance offshore
v,
r r
Basin,channel dimensions rir 323
cubic yards \r`
Boat ramp dimensions il r r f r
/-a(4a ill' ra'. . `--
Other h x "" ' , m��.�..--..-
• - C, Pct r k( r- 'c--• So'
Ci -Porn ( 1)
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 fine,
imprisonment or civil action; and may cause the permit to be applicant's signature
come null and void. n^A^ Ci
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. • / _ �j II- /� ,, (�j
"Ale applicant certifies by signing this permit that 1) this pro-
ject is consistent with the local land use plan and all local issuing date expirati n date
ordinances, and 2) a written statement has been obtained from d
adjacent riparian landowners certifying that they have no 9 , robjections to the proposed work. attachments

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: E D% CJ q v MOJI.
ADDITIONAL NAMES: �`.JJ
AEC DESIG: PTA eS• ?-_US DEVELOP AREA: _. C+ ' PROJ DESC: P- I I
(Will only take 6) (Will only take 1)
•
WORK: PR, 1-I)% 3 -3 I4 I
(Will only take 4) N3Y-M3
MAINT:
(Will only take 4)
IMP: OLZ I 9`4 au) I L%
(will only take 6)
ACTION EXPIRATION
r (�
DREDGE&FILL REQUIRED: • i`�q9 11 • I.5I9
CAMA MAJOR DEVEL REQUIRED:

ai SENDER: I also wish to receive the
O ■Complete items 1 and/or 2 for additional services. following services(for an
n •Complete items 3,4a,and 4b.
1) ■Print your name and address on the reverse of this form so that we can return this extra fee):
4 card to you. a
1.! •Attach this form to the front of the mailpiece,or on the back if space does not 1.El Addressee's Address .
y permit.
■Write"Return Receipt Requested"on the mailpiece below the article number. 2.❑ Restricted Delivery u
cg •The Return Receipt will show to whom the article was delivered and the date
delivered. Consult postmaster for fee. I
o0 3.Article Addressed to: 4a.Article Number cc
a
13
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E 24(, ' 6 re f C�1 ►! � yp
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n C t,j ) , R - ❑ Express Mail ❑ Insured
u 0 34l4- ❑ Return Receipt for Merchandise ❑ COD u
7. ate of Delivery A w
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5. Received By: (Print Name) 8.Addressee's Address (Only if requested
D - and fee is paid) c
S
r 6.Signature: (Addres e or Agent)
TXkiz
n PS Form 3811, December 1994 102595-98-B-0229 Domestic Return Receipt

'a; SNDER: I also wish to receive the
O •Complete items 1 and/or 2 for additional services. following services(for an
N •Complete items 3,4a,and 4b.
a) ■Print your name and address on the reverse of this form so that we can return this extra fee):
2 card to you. a
w •Attach this form to the front of the mailpiece,or on the back if space does not 1.El Addressee's Address
■Write permit.
ri e"Return Receipt Requested"on the mailpiece below the article number. 2.❑ Restricted Delivery Cl
C ■The Return Receipt will show to whom the article was delivered and the date
delivered. Consult postmaster for fee. i
0 3.Article Addressed tto: D 4a.Article Number r.
a
TO1I VC
a `3OQ I, 4b. Service Type a
o U 1 ❑ Registered ❑ Certified a
l) / let NI C�
❑ Express Mail ❑ Insured E
20_- ❑ Return Receipt for Merchandise ❑ COD y
7 Date of Delivery
✓ 5. ec .ved By: (Print Name) 8.Addressee's Address (Only if requested
and fee is paid) c
i
✓ . ignature: (Addressee or A nt) F
oo X
a.
N PS Form 3811, December 1994 102595-98-B-0229 Domestic Return Receipt

• American Fish Company
`,` P.O. Box 11046 [phone]
�� - Southport, North Carolina 28461
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-� Secu rif enhanced document See 6acA•
THE AMERICAN FISH O.
CHARLES H. OR KAREN Z. PERRY
' 62028
P.O.BOX 11046,WEST BAY ST.
itSOUTHPORT, NC 28461
PAY DATE f 66-30/531
TO THE 453
.f ORDER OF
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DOLLARS E� ii
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RST'CITIZENS EL-
Il A,ry K FiM Citizane Bank 8.1`"Company E
Southport,N.C.28461 3
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FOR
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■0 6 20 280 1:0 5
-_, 3 100 3001:004531209922116 ---
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