18243D - Tomlinson

. i
CAMA AND DREDGE AND FILL
• ` GENERAL
-� N 018243 :D
PERMIT
as authorized by the State of North Carolina
0 Department of Environment, Health, and Natural Resources and the Coa tal Resources Commission
in an area of environmental concern pursuant to 15A NCAC 7 fi , 1200
Applicant Name '" h ' O.r) Pal SO t Phone Number CP"70 -q I'no (9
Address 004 E1 U I I fie'O d U
City f'Fl M p5 `1 State Zip 49 � I3
Projec Location (County, tate Road, Water Body, etc.) �CI'e✓' COW n l 13O'I Y14 II T ond dla'c_
Po,',,t SNb. f)M sf-eid Nlxun r��
Type of Project Activity a o .3 x (5 170A-1; r 4 clock, A d d i c t or1 Orr{v� c26 x
F/oilf - eX7S4Tnei Tofq I 5fruc+Ltrc. w; 11 bey 1. X 8"
l rot- , f v f' I or Ll�I(p ,u')r^ - feet
PROJECT DESCRIPTION SKETCH (SCALE: )
n Nor T�
f\kPier(dock) length I. r- N nat. L'�r\>� 1
Groin length , L
number
Bulkhead length
max.distance offshore
Basin,channel dimensions
cubic yards i�.r.->
�t,� sae 8�
Boat ramp dimensions �../'3� Es.t 5'E1 r'• 1
'X 14 ' r°e°5�d
Other $ 51
f IoA-t r v%+4.
t p� 1 nc E,�;sk►IN Cl ''Su,‘V--V Z
pp
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, .�i//�l�l�f .lid, applicant's signatur
imprisonment or civil action; and may cause the permit to be-
come null and void. 0
In
4 /
This permit must be on the project site and accessible to the This officer's signatun
permit officer when the project is inspected for compliance 1p�q Oak,{ptt / 1y�' ' �
The applicant certifies by signing this permit that 1) this pro- 15 1 1 IV J
ject is consistent with the local land use plan and al4 local issuing date expiration dat
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no 1 120°
objections to the proposed work. attachments
.._ _1

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: 1 CI Pr.\ I n
ADDITIONAL NAMES:
AEC DESIG: r T (,J DEVELOP AREA: O d/PPROJ DESC: p- / Z.
(Will onlytake 6) (Will only take 1)
WdRK: To 3L I x 8 I
(Wanly take 4) qq
MAINT:
rkS
(Will only take 4)
IMP: n) a 7
(wIll only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: • / i S 'l8 10 I I S1 &
` C
CAMA MAJOR DEVEL REQUIRED:

SENDER: I also wish to receive the
■Complete items 1 and/or 2 for additional services.
■Complete items 3,4a,and 4b. following services(for an
■print your name and address on the reverse of this form so that we can return this extra fee):
card to you. a
■Attach this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address c
permit. a
■Write'Return Receipt Requested'on the mailpiece below the article number. 2. El Restricted Delivery car,
■"she Retum Receipt will show to whom the article was delivered and the date
delivered. Consult postmaster for fee. 5
a
3.Article Addressed to: 4a.Article Number
' --i,C_/Z 5 4b.Service Type
(, 11
� ; j2j2
❑ Registered 0 Certified a
❑ Express Mail c
❑ Insured
v
0 Return Receipt for Merchandise 0 COD
*11401.:) — k, C , 7. Date of Deliver-4w
�B((y , 7-1-- �
5.Received By: (Print Name) 8.Addressee's Address(Only if(requestedc
and fee is paid) a
t-
6.Signet' . (Add sse Agent)
• X /
' PS For f 81 , er 1994 Domestic Return Receipt

7•• SENDER:
■Complete items 1 and/or 2 for additional services. I also wish to receive the
m. •Complete items 3,4a,and 4b. following services(for an
H ■Print your name and address on the reverse of this form so that we can return this extra fee):
tz 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 •
permit.
O . ■Write"Return Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery t
L, •The Return Receipt will show to whom the article was delivered and the date
c delivered. Consult postmaster for fee. .
0
13 3.Article Addressed to: 4a.Article Number t
E M2-'iOtPL)- ------C
2-- 2TC - 76'5- -Li2-4b.Service Type
o
o 0 Registered Certified t
in -
w 304, �L,tt ❑ Express Mail ❑ Insured .
o a 0 Return Receipt for Merchandise 0 COD
a e> I1 t1 i� FA , A i� 7. Date of Delivery •
m5. Received By: (Print Name) 8.Addressee's Address(Only if requested
w and fee is paid)
i
g 6.Sig re: (Addressee or Agent)
O r/t
N
PS l'rm DeEember 1994 102595-97-8-0179 Domestic Return Receipt

t,' SENDER:
■Complete items 1 and/or 2 for additional services. I also wish to receive the
w ■Complete items 3,4a,and 4b. following services(for an
y •Print your name and address on the reverse of this form so that we can return this extra fee):
c card to you.
j •Attach this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Addl.(
d permit.
O .■Wdte'Return Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery
t„ •The Retum Receipt will show to whom the article was delivered and the date
c delivered. Consult postmaster for fee.
0
v 3.Article Addressed to: a Article Number
Ti
c R12( 114k5yP
4b. ervice Type
O '` ❑ Registered --a.Certified '
l O L I\fi 0/tVi f ❑ Express Mail 0 Insured
CI , ❑ Return Receipt for Merchandise ❑ COD
o ��t\A � 7.Date of Delivery
aJm 5. Receivedrai_r_74
(Print Name) .Addressee's Address(Only if requested i
and fee is paid) t
1
I.
6'Signature. Addressee orAg t)
O X
u) 1 .
PS Form 3811, December 1994 102595-97-B-0179 Domestic Return Receipt

FUNCTION=> A NEXT PERMIT=> GENERAL PERMIT ENTRY/UPDATE RRD16I
PERMIT NO: GP18243D DISTRICT: I COUNTY: PENDER
AEC LESIG: PT EW APP FEE: 50 . 00 REGIONAL REP: RUSSELL
APPLICANT NAME: TOMLINSON, TOM
MAILING ADDRESS : 304 GULL ROAD
CITY: HAMPSTEAD STATE: NC ZIP: 28443
LOCATION: 304 GULL RD WATER BODY: NIXON CREEK
LOCATION ADDRESS : (WHEN DIFFERENT FROM MAILING)
CITY: HAMPSTEAD STATE: NC ZIP:
DEV AREA: 0 . 06 PROJECT DESC: P-12 STATE PLANE COORD X: Y:
WORK: to 34 8 00 0 0 0 00 0 0 0 00 0 0 0 00
MNT: 0 0 00 0 0 0 00 0 0 0 00 0 0 0 00
IMP: 0w 272 0 0 0 0 0
ACTION EXPIRATION
DREDGE AND FILL: 07 15 98 10 15 98
CAMA MAJOR DEVELOPMENT:
MESSAGE: INV ACTION DATE,
PF1=HELP PF2=MAIN MENU PF3=PERMIT MENU PF4= PREVIOUS SCREEN PF5=ADD NAMES

•
4
G P l 4l-1) 3D
. ..... ... . .-. ..
ss_ae 3936
THOMAS J. TOMLINSON NCDL 8854713 46 1
PH. 910-270-4776 / /�Q
304 GULL RD. 'mil_ 19 j r/
HAMPSTEAD, NC 28443
I' Pay to the ', __
Order of
Dollars
r— 4.. ______---------
C Central Carolina Bank Nankingand Trust Company 531
Wilmington,North Carolina 28403 Signature
For
,:053100►+65i: 53 20 11176210 3936