18215D - Duell

CAMA AND DREDGE AND FILL
GENERAL NY fl18215_L
PERMIT
0 as authorized by the State of North Carolina
Department of Environment, Health,and Natural Resources and the taltal Resources Commission
in an area of environmental concern pursuant to 15A NCAC L"►H. 110
Applicant Name 7JOC\ DAe' Phone Number r 16 *9-1188 I
Address ' f
A 0, LOX 82
City \5fW !
iY1 State �e_.) ZA'p aO&0
Project Location (County, State Road Water Body, etc.) n5 /NA) COO r1 I a q I K;ue.rs►d e.i ;ve.
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Type of Project A t'vity i�t� )� ICI/ 12eT CIi�l1i nA tJA f t or , — /f-T�(,Il�t�etrr a(
�naS •
u +Ctr'I )ocMc 4 \ rd o-F r'Lk
�. ,e tAp a re-�P n 1� rn s+ I�
f I S Or 54-A keS ak NV )Y1A tri A I 1Jn U.:IP 4 1 PrrNC1 S '/f
PROJECT DESCRIPTION SKETCH (SCALE: ^ '„r 7.. )
Pier(dock) length I
Groin length - e t t I .i3O��Y�
M
• r .s.y
number v
Bulkhead length AcO
IANdw+ted of MACSt-,
max.d jstaaee af'fh ore
Basin,channel dimensions
cubic yards
Boat ramp dimensions W V j Yv \Y Vkli kU W QJ `)J v
If v kii i vT (._____Cy
v �+
Other F4,�t�'` - !- 9 •
..-44
ra 1� 14)
O
pL C,klflir 1`,r --FCA1C I 1 e...*
This permit is subject to compliance with this application, site �C��
drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine, applicant's signatun
imprisonment or civil action; and may cause the permit to be- r^
come null and void. k
This permit must be on the project site and accessible to th• i permit officer's signature
permit officer when the project is inspected for compliance 1 .4 oD� \CIC Q t /,. _ ) n�`
The applicant certifies by signing this permit that 1) this pro- ) 1 "t(r1 `�115(,(/' cilt
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 (--( , 110 0
objections to the proposed work. attachments
#$ ►'722

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: n PDt Le I
ADDITIONAL NAMES:
AEC DESIGN DEVELOP AREA: _ aC 'PROD DESC: p - i i
(Will only take 6) (Wtri only take 1)
WORK: Q J 136 Ix vZ
(WM onlytake 4) .Y
MAINT:
(Will only take 4)
IMP: /) 3 o v
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: A/--a a^98 /7- O D-18
CAMA MAJOR DEVEL REQUIRED:

°. SENDER:
v ■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
ai ■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
m ■Write"Return Receipt Requested"on the mailpiece below the article number. 2. IDRestricted Delivery ra/
r •The Retum Receipt will show to whom the article was delivered and the date
c delivered. Consult postmaster for fee. i
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D5.Received By: (Print Name) 8.Addressee's Address(Only if requested 1
and fee is paid) i
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PS o 3811_ seem er1994 102595-97-8-0179 Domestic Return Receipt

c'. SENDER:
•Complete items 1 and/or 2 for additional services. I also wish to receive the
ro •Complete items 3,4a,and 4b. following services.(for an
in Print your name and address on the reverse of this form so that we can return this extra fee):
r. card to you.
d ■Att c this form to the front of the mailpiece,or on the back if space does not 1. 0 Addressee's Address .
permit.
d ■Write'Return Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery i
L ■The Return Receipt will show to whom the article was delivered and the date
c delivered. Consult postmaster for fee. .
0
o 3.Article Addressed to: 4a.Article Number
E 4b.Service Type .
0
u eU1_ / &A / -8/ ❑ Registered �-Certified f
lJ��(, V ❑ Express Mail ❑ Insured
r,i)S u i l l� �(/ ❑ Return Receipt for Merchandise CI COD
a ,W �!_ n b,r�/L/ 7.Date of Delivery
o� / �C— 3-g8
•5.Received By:(Print Name) . 8.Addressee's Address(Only if requested
and fee is paid)
F
1 6.Signature:(Ad ssee or nt)--
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PC Fnrm 3R11_ flor•Amhnr 100 1mSgc-97_R-n17q lnmAstin RAtilrn RARAint

DONALD A. DUELL 265-93-1552 68-749_7_/2660 j~ �, ' 1722
TASHA E. DUELL 243-47-2339 ���`
241 RIVERSIDE DR.
§ P.O. BOX 593 28460
' SNEADS FERRY, NC .0
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g 'EDERAL CREDIT UNION
VIENNA, IRGINIA6ty. ..s62/ gyp
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i: L722.11162299L709 4
i: 25607497►+ __