19867D - Mintz

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0PERMCAMA AND DREDGE AND FILL
* ' GENERAL �-*' �71�86� -D
—1�
IT
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Besourrcces Commission
in an area of environmental concern pursuant to 15A NCAC r Pf soo� 4
v't/�l� �1�� � Phone Numbe r/ O ( `^ 7 5 H�
Applicant Name r
Address �b)-1 5 'el�C C A/At A r./ ��
City ' '4 p 11 State • Zip % L
Project Loc tion,(County/St Road, ter Body,etc.) f 0 9 S4 /s vnl S O/1 m u A -/k a CY (
C U to a / /' D it{n// '✓e.at,in / r„.„)hSGvr t_ K (" Os) kt4 1
Type of Project Activity rtL4T, ,-+ 7/ X 91 CK d• /6y x '244.4"/;;, ei �L-k �l�k/Kt(rw� C•1d a & ' X 2' Qlcr'_ , /I C+.�.It t1-J . 4 A 3J
9 tl( u p1 . Cn S-1 ., ,;,. Kt/ Ac,4 -ex AJ 44 t-e i-A, 1 H A( AA el it
P �
PROJECT DESCRIPTION SKETCH rtPqr,4, Carrtdo^' / ,h C. (SCALE:A/ / �e* setrf )
Pier(dock) length
Groin length
Ci
number 1
Bulkhead length
max. distance offshore r y r 1, e
Basin,channel dimensions T ,,,i( le
cubic yards i' N' /` Xi S.Trh� J al k kea ci
i
Boat ramp dimensions J V Cy
Other
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4e‘k ` r/� (. o q 54bc ZLir'\, S
( 1 /
F-Ii'tki) O& 9 ' x!6'
A / (41 geL( LL-,
This permit is subject to compliance with this application, site i
drawing and attached general and specific conditions. Any n,/
violation of these terms may subject the permittee to a fine, ��/ 1 _.----
signature
imprisonment or civil action; and may cause the permit to be-
come null and void. a- . _.
This permit must be on the project site and accessible to the p rmi officer's signature
permit officer when the project is inspected for compliance. ,applicant certifies by signing this permit that 1) this pro-
ject2/ s2/9Y-
The is consistent with the local land use plan and all local i suing ate expiration date
ordinances, and 2) a written statement has been obtained from !�, ��
adjacent riparian landowners certifying that they have no !/
objections to the proposed work. attachments
. . . . . . . .. _ .. . _ .. .-. r e. 0-0 e

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: r i
ADDITIONAL NAMES:
AEC DESIG: V t DEVELOP AREA:__. +:-.. I- PROJ DESC: P -
(Will orly take 6)
ii (Will only take 1)
WOR. (l� L i t Q
(Will only take 4)v.
•Y)/
MAINT:
(Will only take 4)
IMP: C>la 9 o-- oar Q 3
(will only take 66z ( as
ACTION EXPIRATION
DREDGE&FILL REQUIRED: (�� Q n Q ('�
CAMA MAJOR DEVEL REQUIRED: b -`'I1 O r Ol 0 i`'1'1

m SENDER: I also wish to receive the
:9 •Complete items 1 and/or 2 for additional services. following services(for an
y ■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):
card to you.
CD •Attach this form to the front of the mailpiece,or on the back if space does not 1.❑ Addressee's Address •
d permit.
'' ■Write"Return Receipt Requested"on the mailpiece below the article number. 2.❑ Restricted Delivery f
at The Return Receipt will show to whom the article was delivered and the date42 delivered. Consult postmaster for fee.
,
g 3.Article Addressed to: 4a.Article Number
-o
f
111
is. 7 Cc� r G 4b. Service Type
o l Fs .c Q�10. y f f l t•v� ❑ Registered i� Certified f
❑ Express Mail ❑ Insured
Return Receipt for Merchandise El COD
1"U G Ll l Ck�• '
2�SG—`� 7. Date of Delivery
5.ReCeijted By:(Print Name() 8.Addressee's Address (Only if requested •
( 6: I C 'o- r r L I and fee is paid)
6.Signa :(Addressee or Agent) i
6.
,'o, X V' ' '( �`ii`-,, -%
2 PS Form 3811, December 1994 102595-98-B-0229 Domestic Return Receipt

ate, SENDER: I also wish to receive the
:0 •Complete items 1 and/or 2 for additional cervices. followingservices(for an
in ■Complete items 3,4a,and 4b.
Ct ■Print your name and address on the reverse of this form so that we can return this extra fee):
card to you.
> •Attach this form to the front of the mailpiece,or on the back if space does not 1.❑ Addressee's Address i
y permit. 2.❑ Restricted Delivery
■Write'Retum Receipt Requested'on the mailpiece below the article number.
d ■The Return Receipt will show to whom the article was delivered and the date
delivered. Consult postmaster for fee. 1
g 3.Article Addressed to: 4a.Article Number
J 1 r- C' C:i
aE 1 uY t' e \� 4b.Service Type I • ,
b I)G (-3(/ `; \' s '7 El Registered Certified i
UJC -CO
\\11 1 El Express Mail 0 Insured
�•,`/A \--'\I 't \� /U� Return Receipt for Merchandise ❑ COD
-2.--
LI-7 2- 7.Date Delivery
5. Received By: (Print Name) 8.Addressee's Address(Only if requested
and fee is paid)
6.Signet (Addre r ant) i
8 Qe..,)
2 PS Form 38 I', December 1994 102595-98-B-0229 Domestic Return Receipt