16282_FORD, THERESA_19960523

CAMA AND DREDGE AND FILL ,j 016282
GENERAL 3
PERMIT C eA
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC /- Id 11e
Applicant N!' -' '' r Fr el Phone Number
Address ci �i G` -, ,S a.. (- , z -
City 4- -t -} State /9 C zip
Project Location (County, State Road, Water B�pdy, etc.) �— %� / /�'f 7 C f Ci tiy+ y t� 04/
Type of Project Activity % d 1t 91
PROJECT DESCRIPTION
Pier (dock) lengthy
ri mil''
SKETCH
w"
/0 frh (SCALE: )
Groin length
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t _ _
) -a r` r, j"i " S ' r s••.�� f,71 s'..,�
i j ; y , ,. .- e
te„
:
Z 1 r
�Z _ 7 (/_ i tic _ ..? > > -7
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number
Bulkhead length
max. distance offshore
(
Basin, channel dimensions
cubic yards
Boat ramp dimensions--
Other
i
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{
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,
imprisonment or civil action; and may cause the permit to be-
come null and void.
This permit must be on the project site and accessible to the
permit officer when the project is inspected for compliance.
The applicant certifies by signing this permit that 1) this pro-
ject is consistent with the local land use plan and all local
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
objections to the proposed work.
applicant's signature
permit officer's signature
issuing date expiration date
attachments ,-�, e'# i % P 1 ? t'7 C
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
application

THERESA PAGE FORD
DL 673578 PH 393-8785
259 PEARSON CIRCLE
NEWPORT, NC 28570
L)
4182
66-7704/2531
/ moivaae°.mros
DOLLARS
State E p ees' Credit Union
62 More add City, North Carolina
FOR �1'l�- l e-� C�1�V� M'
1:2S31770491: 086 0SL644S0111 4182

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If
�1l4Y b 19% i Theresa P. Ford
259 Pearson Circle
Newport, NC 28670
,�,,.•....Hssta�►�1�L [phone]
Bill Page
5017 Cindy Dr.
Raleigh, NC. 27603
I am enclosing a copy of the proposed pier for 259 Pearson Circle. This plan has
been drawn up by Prestige Survey Company and meets the criteria for setbacks,
length, etc. set by the county and state. This plan has been inspected by Charles
Pigott.
You may send any comments you have to:
Division of Coastal Management
NC Dept. of Environment, Health and Natural Resources
PO Box 769
Morehead City, NC 28557
Any comments needs to be mailed within 10 days of receipt of this notice. Thanks
for your attention to this matter.
Si cerely
4Jz,-o
Theresa P. Ford
May 8, 1996

■ Complete items 1 and/or 2 for additional services. I also wish to receive the
■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. j
■Attach this form to the front of the mailpiece, or on the back if space does not 1. ❑ Addressee's Address
permit.
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■The Return Receipt will show to whom the article was delivered and the date p O
delivered. Consult postmaster for fee.
3. Article Addressed to:
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6. Signature; ddr, se r en
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PS Form 3811, December 1994
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7. Date of Delivery
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UNITED STATES POSTAL SERVICE ti,\GH NV First -Class Mail
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usPS
Permit No. G-10
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SENDER:
ems t and/or 2 for additional services.
I also wish to receive the
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:Complete items 3, 4a, and 4b,
following services (for an
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■ Print your name and address on the reverse of this form so that we can return this
extra fee):
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card to you.
■Atttach this form to the front of the mailpiece, or on the back if space does not
1. ElAddressee's Address
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■Write'Return Receipt Re uested' on the mailpiece below the article number.
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2. ❑Restricted Delivery
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delivered.
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PS Form 011, December 1994

UNITED STATES POSTAL SERVICE
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USPS
Permit No. G-10
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US Postal Service
Receipt for Certified Mail
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