18022D - Thompson

..,.L. a- 74r-,,
lc Al
CAMA AND DREDGE AND FILL
-1� GENERALN'-: 018022_D
PERMIT
as authorized by the State of North Carolina
0 Department of Environment, Health, and Natural Resources and th7 fo?st F�esoi,ttces Commission
in an area of environmental concern pursuant to 15A NCAC / fri 4.so(.)
Applicant Name 41 -14, Q. d n Phone Number(91o) ifS17— CS.., /
t
Address /m b )'IVCr D r (ye
City Sa,) 44 po,-.4 Sate /(4v Zip $ y6 /
Projec ocation (County, tate oad, Water Body, e ) /0 6 kj u r °v r'v f , S .J�h p f'`�
rat Sk.1Ltc �,�, o ^ �p (qr /tt ✓Fr" 1 ,/
Type o Project Ac ity Co' S/rJ L- 6 ' Wide /(� A o pi"s e Xc f J '90 fit uv%'1+ q
(u a-• 6"Db 51, Fi. s r /.e $. Alt (,2,1 S ./r�L-6'. .1 c41i/ �C R74 (<4)1L �'F (4Sf(�
eck c rf\uriv Corr(' or //;% t . AJ �orpt � F E'i ' e«I r� (J cA4/( Q pal , A// co.% diii=N)
o- a u6c3 r/ . /a1/400 5'/ (f a P/ ,
PROJECT DESCRIPTION SKETCH (SCALE: Aio, JS cCq/c )
i
Pier(do k) length X et v(f` 'r2._._. s.
2--. C G p c /--r q (---
Groin length
number y
Bulkhead length '�'-- ?/5 t /" F 7'/51
max.distance offshore
Basin,channel dimensions
cubic yards
Boat ramp
s ( ( fti fry V�mp1 A? — >+DO
OA/Other
...,
/
3 r
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any `
7
violation of these terms ma subject the ermittee to a fine �s (,��(`, ` G`- J
y p applicant's signature
imprisonment or civil action; and may cause the permit to be-
come null and void. pA� a \ c4AL_-k._...__
This permit must be on the project site and accessible to the Ci C+ permit officer's signature
permit officer when the project is inspected for compliance. / �� �/ --,2 )-- 9 ,'
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 ^,/ / 2 r,�
V adjacent riparian landowners certifying that they have no ,/
objections to the proposed work. attachments
1

lJr Pam, �,• d
Z 170 008 214
US Postal Service
Receipt for Certified Mail
No Insurance Coverage Provided.
Do not use for International M See reverse)
Seny{o
Street N mb/ / rt -
Port Offi L� Y1 C cat (
Postage ,( $ 32
Certified Fee / 3
Special Delivery Fee
Restricted Delivery Fee
rn Return Receipt Showing to !1/ 0
Whom&Date Delivered
a Return Receipt Stowing to Whom,
< Date,&Addressee's Addre y\
0 TOTAL PostaggFtireS
Postmark ornate
a

ai SENDER: I also wish to receive the
■Complete items 1 and/or 2 for additional services.
re •Complete items 3,4a,and 4b. following services(for an
H• •Print name and address on the reverse of this form so that we can return this extra fee):
card to you.
j •Attach this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address
F2 " permit. I
y ■Write'Retum Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery j
5 •The Return Receipt will show to whom the article was delivered and the date '
c delivered. Consult postmaster for fee.
o '
"3.Article Addressed to: 4ati�Number / 1
d L �% o Oo z
E 4b.Service Type 1
O ❑ Registered Certified
I
vi 0 Express Mail 0 Insured J
cc ❑ Return Receipt for Merchandise 0 COD
0 7. Date of Delivery
Z
cc
5. Received By: (Print Name) - 8.Addressee's Address(Only if requested
w and fee is paid)
6.Signatur • dressee or Agent)
occ
PS Form 3811, De emb>3rr 1994 102595-97-B-0179 Domestic Return Receipt