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CAMA AND DREDGE AND FILL 016345
GENERAL
PERMIT 8
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resqurces Commission
in an area of environmental concern pursuant to 15A NCAC d
City
Project Location �ounty, State Road, Water Body, etc.)
JType of Project Activity
66�,-- 'i L , J t
PROJECT DESCRIPTION
Pier (doyk) length �g ,
L
I t % i;' e. !,
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
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SKETCH � f- /
State 4- r zip
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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.
f1
(SCALE:
/4
4
applicant's signature
4/1 permit officer's signature
7 `
issuing date expiration date
P r
attachments
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee f d
Management Program.
DETACH AND RETAIN THIS STATEMENT
S. F. BALLOU THE ATTACHED CHECK IS IN PAYMENT OF ITEMS DESCRIBED BELOW.
IF NOT CORRECT PLEASE NOTIFY US PROMPTLY. NO RECEIPT DESIRED.
CONSTRUCTION CO.
DELUXE -FORM WVC-3 V-LU686
DATE I ACCOUNT NO. I DESCRIPTION I AMOUNT
6-24-96
R21HSHE
LU686
521-306
Snipes cama
50.00
S. F. BALLOU CONSTRUCTION CO. 02301 16681
OPERATING ACCOUNT BUT
P.O. BOX 3416 PH. 919-726-0780 79'rN.,.o.m,.,�oMo. '
MOREHEAD CITY, NC 28557 4408 ARENDELL STREET 66-112/531
MOREHEAD CITY, NC 28557
6-24-96 �g
PAY Fifty and no/100-----------------------------------------------DOLLARS $ 50.00
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TO
THE
ORDER DEHNR
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SENDER:
■ 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.
■Attach this form to the front of the mailpiece, or on the back if space does not
1. ❑ Addressee's Address
permit.
■Write'Return Receipt Requested' on the mailpiece below the article number.
2. ❑ Restricted Delivery
■The Return Receipt will show to whom the article was delivered and the date
delivered.
Consult postmaster for fee.
3. Article Addressed to: 4a. Article Number
Atlantic Timber Exports, Inc P 839 632 528
2317 Wilco Blvd. 4b)Service Type
Wilson, NC 27893 ❑ Registered RkCertifiec
❑ Express Mail ❑ Insured
❑ Return Receipt for Merchandise ❑ COD
7. Date of Delivery
5. Received By: (Print Name)
6. Signature: (Addressee or Agent)
PS Form 38 , DecemberlW94
t
z:; �-?a
Addressee's Address
and fee is paid)
Domestic Return Receip
;ENDER:
■Complete items 1 and/or 2 for additional services.
}�Iso wish to receive the
'641owing services (for an
■Complete items 3, 40, and 4b.
■ Print your name and address on the reverse of this form so that we can return this
extra fee):
card to you.
■Attach this form to the front of the mailpiece, or on the back if space does not
1. ❑ Addressee's Address
permit.
■ Write'Return Receipt Requested' on the mailpiece below the article number.
2. ❑ Restricted Delivery
■The Return Receipt will show to whom the article was delivered and the date
delivered.
Consult postmaster for fee.
3. Article Addressed to:
Phyllis Henry
P.O. Box 459
Morehead pity, NC 28557
4a. Article Number
P 839 632 527
4b. Service Type
❑ Registered )a Certified
❑ Express Mail ❑ Insured
[] Return Receipt for Merchandise ❑ COD
7. Date of Delivery P iV 2
8, Addressee's Address (Only if requested
and fee is paid)
PS Form 3811, December 1994 Domestic Return Receipt
N
P 839 632 528
Receipt for
Certified Mail
TM No Insurance Coverage Provided
u.IT D Do not use for International Mail
POSTa SERVICE
(See Reverse)
Sent to
Atlantic Timber -- orts I
Street and No.
2317 Wilco Blvd
P.O., State and ZIP Code
Wilson, NC 27893
Postage
Certified Fee %
Special Delivery Fee
Restricted Delivery Fee
Return Receipt Showi /
m to Whom & Date Delivered O
W Return Receipt Showing to Whom,
Z Date, and Addressee's Address
0
O TOTAL P
& FeeCC $
s G%10 �
00 Pos or Date
) AY ,
a
r, n
P 839 632 527
Receipt for
Certified Mail
Tm No Insurance Coverage Provided
�5T
EDgA Do not use for International Mail
(See Reverse)
sent to
Phyllis Ford
Street and No.
P.O. Box 459
P.O., State and ZIP Code
Morehead City, NC 28555}7
Postage $ ` s
Certified Fee / )J V/S
/
Special Delivery Fee
pRet=
elivery Fee
eipt Showing ) Q
p� Date Delivered r
lLipt Showing to Whom,
Zddressee's Address % J�
TOTAL Postage ,. - �`, EAQ $ r
0 & Fees r' V
C Postmark %tom
coLL
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a Ali%
ADJACENT RIPARIAN PROPERTY OWNED STATEIWNT
(FOR A PIER)
I hereby certify that I own property adjacent to
Name
IZ.`�)NI IMF c
Property Owner)J
is property located at
(Lo , Block, Road, etc.)
on tYt�� in Ezu EE -f' N.C.
(Waterbody) (Town and/or County)
He has described to me, as shown below, the development he is
proposing at that location, and, I have no objections to his
proposal. I understand that a pier must be set back a minimum
distance of fifteen feet (151) from my area of riparian access
unlesst waived by me.
I do not wish to waive that setback requirement.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
C .
Signatu
Print 6r Type
Name
'�4-7-�-( ( 3 (
Telephone Number
5 -J 3
DATE