18306D - Woodard

.4-
CDCAMA AND DREDGE AND FILL
GENERAL 018306
PERMIT ki
as authorized by the State of North Carolina
0 Department of Environment, Health,and Natural Resources and the Coastsy Resources Commission
in an area of environmental concern pursuant to 15A NCAC ri T
Applicant Name - v W, Afd �j Phone Number O 7 --a3E)
Address /Qy 6- OIIc/ 6i.e-i -P,--) (klci
City 2UC & of State Aid) Zips J •
Projec ocation (Cou ty, State Road,Water ody, etc.) iit�ele r do.t of ► �1a 11 y `5f e l fE.r
leoAd , ock1 in- , I\JU, f J E. CAPE f EAry 'Mkt
Type of Project Activity
kk&.&J dsckf , romp p itymcd cork Uo' (io, i1;nc dcL,
PROJECT DESCRIPTION SKETCH (SCALE: , 1 To )
NOTPier(dock) length N.E, CA PE fE/c1e._.
Groin length
number
Bulkhead length
max.distance offshore
/6l
Basin,channel dimensionsI U fiT ea`
cubic yards
Boat ramp dimensions 31
LL�, __
Other_� I / `�C,old at bec{C.
I
, i
d t x la) deck, 8o► / 0 �.-
On I Prnd v ,f- Q U
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any45t----
violation of these terms may subject the permittee to a fine,
imprisonment or civil action; and may cause the permit to be applicant's signature
come null and void.
44
This permit must be on the project site and accessible to the permit officer's signature
permit officer when the project is inspected for compliance. ZU iggG j-----(Ally Wi /Ci
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
objections to the proposed work. attachments
u

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: \/ Kir Wvcd f- '
ADDITIONAL NAMES:
AEC DESIG: P r, 6 u f DEVELOP AREA:— CO ZPROJ DESC: f' - /a
(WMM only take 6) ---
(Will only take 1)
WORK: TC.: X I Co
(Will only take 4)
MAINT:
(Will only take 4)
IMP: Q (AJ / YO
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: 413 O/ 1zj6 '1 /3 C I98
CAMA MAJOR DEVEL REQUIRED:

Z 286 765 701
US Postat Service•
Receipt for Certified Mail
No Insurance Coverage Provided.
Do not use for International Mail(See reverse)
Sent
SSleet&Nu err ,�k���/J�r
Post" ate,&ZIl!P'�Cod�e / c�n
Post",
!)-� -o/5
Postage $
Certified Fee / -3
Special Delivery Fee
Restricted Delivery Fee
rn Return Receipt Showing to / /
Whom&Date Delivered V
a Return Receipt Showing to Whom,
< Date,&Addresseh's Address
0-
0TOTAL Postage&Fees $ ,1477 CO
M Postmark or Date
E
u_
U)
d

CLEMENTS MARINE CONSTRUCTION
577 NC HWY 210 WEST
HAMPSTEAD NC 28443
910-270-9110 FAX [phone]
/� CAMA PERMIT REQUEST FORM
NAME:,
ADDRESS: lars /4-C4oJ4- Iz
CITY: 6.4/ow' STATE: /v C - ZIP: PHONE: 7c1 t " 73'
DECRIPTION OF WORK AND LOCATION: /?,1)47 (90 ./,t'ç
SKETCH:
fear
°/1/4-
---- 11P _
/d
Applicant's signature
Owner adjacent �^G�^/
Owner adjacent

960 '
66 301531
365
'' CLEMENTS MARINE CONSTRUCTIOND�
910-270-9110 NCDL 4356789 ,/
4 AY210W Date`s
5T1HA NC HIGHWAY 443 n
I�4 Hp,NIPSTEAD,NC 28 $� Of-,
a .s
i Pay to the Z Dollars ' °�` "'
Order of
r
j
i RS"1'
'ITIZENS 765
ANK F1rst-CitizoN��Ze4�4�j�t GomP'^Y —_
IiJ Hampstead, _`____� �-
l�
I' II.00 • 0 GUARDIANS SAFETY BLUE WOOL
�� For �--
�i �:0 5 3 L00 300�: 3 5 3 2011130 B__,_,.
4 •
1