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- CAMA AND DREDGE AND FILL
GENERAL 595 D
--„fik PERMIT ?./
0 as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coas''Itl s ou.fcees Commission
in an area of environmental concern pursuant to 15A NCAC odd
Applicant Name � )m 5 /� Phone Number
Address "1 G °1 V• ' L ^
City 0 4 k LS G,n (I State G Zip .6
Pro'-ct Location Count , State ' sad, Water Body etc.) 5a 0 iI e C I C,a/s r 1 V t 'On 54 S 4nC�
• <<n -� -� 1 t c k r n � C O h '�-
Type of roject Activity on c-' ' O o c , ffAIMEEIIMIZSIPAr / rG ``'
q A C. / ' I s! - C e! , or a
GIV1 /
f SC 4c. 't:o , tr iS Q CS( o F4- cc N a MIL)
/ -e . I. l 3/, , r r.Ii 711N1 vT 4 / 4 I 0
PROJECT DESCRIPTION SKETCH (SCALE: Alo 1. 1 c i )
Pier(dock) length e?....----- •
,Du V(S C r(e k -2________>,
Groin length Jpl
�/
0 0
number 1 1 X 13 1-- D#Bulkhead length I ' o 0L
L
max.distance offshore
Basin,channel dimensions o
0
to F—xis F/n
cubic yards
Boat ramp dimensions //''��
Other51' (�1�' r�
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iC 1 ° ' X A '
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This permit is subject to compliance with this application, site
7,--7-
44-
drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine, plicant's signature
imprisonment or civil action; and may cause the permit to be-
come null and void. 9--tir ° ' ,
pe it officer's signature
This permit must be on the project site and accessible to the
permit officer when the project is inspected for compliance. 4-1/7 j] _�I j _ ���O
The applicant certifies by signing this permit that 1) this pro- /
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 attachments �� ' / 3 J
objections to the proposed work.
._. 4' r i^-. (NC\ I .. 1J / --I P;.r'NC,

ci SENDER: I also wish to receive the
a •Complete items 1 and/or 2 for additional services. following services(for an
rn •Complete items 3,4a,and 4b.
a1 •a Print your name and address on the reverse of this form so that we can return this extra fee):
;n card to you.
> •Attach this form to the front of the mailpiece,or on the back if space does not 1.❑ Addressee's Address
d permit. 2.❑ Restricted Delivery"Return Receipt Requested"on the mailpiece below the article number. i
2 •The Return Receipt will show to whom the article was delivered and the date Consult postmaster for fee.
delivered. .
0 3.Article Addressed to: 4 rticle Nu ber
13 e'Lth i.)L. Gc�/t/T�ttiMk' .� � ,�
a6 • �`u //� �, 4b.Service Type
E lip' / ❑ Registered ❑ Certified
o
/.-1'f / /L,(`// /fir, C , ❑ Express Mail ❑ Insured
co ❑ Return Receipt for Merchandise ElCOD
cc
o , 76,6 2 —062 , 7. Date of Delivery
rn
Q
¢ 5.Received By: (Print Name) 8.Addressee's Address(Only if requested
D and fee is paid)
w
Er 6.Sigma ( d ee or Age tJS
o X• PS Form 3811,21f111) 'i'2'h
cember 1 4 102595-98-B-0229 Domestic Return Receipt

a; SENDER: I also wish to receive the
70 •Complete items 1 and/or 2 for additional services. following services(for an
Cl) •Complete items 3,4a,and 4b.
rN r 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 •
d ■Write permit.
"Returh ❑ Restricted Delivery
Returh Receipt Requested"on the mailpiece below the article number. t
d ■The Return Receipt will show to whom the article was delivered and the date
delivered. Consult postmaster for fee.
0 3.Article Addressed to: Article Number
-6? K , o--s'-53 f
£ P'U B' 7-- 6_� 4b. Service Type
E ❑ Registered ❑ Certified f
C OU-H)C Iv/
�/ LI Express Mail ❑ Insured
c ,?)-3S ❑ Return Receipt for Merchandise El COD
7. Date of Delivery
"M .
5. Received By: (Print Name) 8.Addressee's Address ( my if,requested
and fee is paid)
6.Signature (Addressee or f
T X
r-
2.) PS Form 3811,December 1994 1o2595-9e-13-o229 Domestic Return Receipt

i;4 4;,..40; ';‘ '; •' "
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
•
Name Of Individual Applying For Permit : - 10(\ 74,1
..) S
Address Of Property: g,S ) U) • riAtifil%-j
ML. (:21-1(K
(Lot or Street #, Street or Road, City & County)
I here' y certify that I own property adjacent to the above-
referenced property. The individual applying for this permit has
described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions,
should be provided with this letter.
I have no ohje :tions to this proposll .
If_you have_ohdect.ions_ to. whe„..i.g_leina proposed, please w-ite the
Division of Cp a I .L ManaileTent, 1.27 SarciThal Drive E).. Lens.1=
Wilmington, , Nth rarolina, 2$405_ gr call 910125-3900 w thin 10
(lays of_receipt of ,:his N2 response_is consieed r_he same
gs_no objaption if you -.1 berF:n not_ fiQd Ly Certified M4i1
Yeah 111111M11•1100=0.00011R,
ITAIMALMIQN
I un•der6tand that a pier, dock, mooring pilings, breakwater, boat
house, lift or sandLags must be set back a minimum distance of 15'
from my area of ri .,_Jarian accins unless waived by me . () f you wish
to -waive the setback, y 1 muJt lAitial the appropria' a nank
F *444- 4;.:4 " • 4-1144i
A.40,5,0v!:«,
• I do wi.h t waive the 15' setback requirement.
I do not wi3h to waive the 15' seUack requir -ment .
11/1 4=MOMM.11110.1•14.11■00.
6 0 ivioq 1401./
Signature Da
r Ey Ewe: 57-FT -ore..7) Mtlt
Print Name 336 - 9?6 - 3551
Telephone Number With T . Code

The American Fish Company
L 1 P.O. Box 11046 [phone]
�' Southport, North Carolina 28461
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9 m Srcu rif enhanced document. See bock or detoile
THE AMERICAN FISH
O.
CHARLES H. OR KAREN Z. ER --
P.O.BOX 11046,WEST BAY ST.PERRY
62809
SOUTHPORT, NC 28461 r / r��
PAY Z
DATE �� 66-30/531
TO THE 453
t ORDER OF
1 $A,---- ;
It i
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gyp' DOLLARS
BANKCITIZENS 463
FirethPozone Bank d Trual Company 1
Southport,N. .26461 El
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g FOR_
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