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CAMA AND DREDGE AND FILL
GENERAL 1' m, 020F78 "D
� � NOV 1 8 1998
PERMIT
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coast Reso r es Commission
in an area of environmental concern pursuant to 15A NCAC ,, // .
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Applicant Name r 2W`� h
Address 2 QJ 5vn 5,
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Phone Number+a�
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State
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Project Location (County, State Road, Water
Body, etc.)" S4
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Type o�j rojectActivity U �ctf f
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PROJECT DESCRIPTION
SKETCH Sl£ `t� 1 l� (SCALE: )
Pier(dock)length
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Groin length
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number
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Bulkhead length
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max. distance offshore
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Basin, channel dimensions
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/(5,01
cubic yards
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Boat ramp dimensions
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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.
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
applicant's
applicant's signature
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permit officer's signature
issuing date expiration date
attachmentslr;�_
application fee (JAs-d.. i Y" �� l L_ ['1 f tt, �: 4
054
916 027
0111Z
Receipt for
Certified Mail
No Insurance Coverage Provided
UNItE
Do not use for International Mail
VOST1t SERVKE
(See Reverse)
S% i16
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eet and N
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P , State and ZIP de
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Postage
cenlhed Fee
Special Delivery Fee
"
Restricted Delivery Fee
Return Receipt Showing
to Whom & Date Delivere
Return Receipt Showing,
dresse
Date, and Address
om,
ess
tS
TOTAL Postage
& Fees
Postmark or Date
�.�IISPS
STICK POSTAGE STAMPS TO ARTICLE TO COVER FIRST CLASS POSTAGE,
CERTIFIED MAIL FEE, AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES (see front).
1. If you want this receipt postmarked, stick, the gummed stub to the right of the return address
leaving the receipt attached and present the article at a post office service window or hand it to
your rural carrier (no extra charge(.
2. If you do not want this receipt postmarked, stick the gummed stub to the right of the return
address of the article, date, detach and retain the receipt, and mail the article.
3. If you want a return receipt, write the certified mail number and your name and address on a
return receipt card, Form 3811, and attach it to the front of the article by means of the gummed
ends it space permits. Otherwise, affix to back of article. Endorse front of article RETURN RECEIPT
REQUESTED adjacent to the number.
4. If you want delivery restricted to the addressee, or to an authorized agent of the addressee,
endorse RESTRICTED DELIVERY on the front of the article.
5. Enter fees for the services requested in the appropriate spaces on the front of this receipt. If
return receipt is requested, check the applicable blocks in item 1 of Form 3811.
6. Save this receipt and present it if you make inquiry. 105603-93-B-0218
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Z 054 915 807=m1INS
Receipt for
Certified Mail
No Insurance Coverage Provided
Do not use for International Mail
UNITED STATES
ppSTAl SEA'/ICE
(See Reverse)
Sent to
Ms. Linda Flue el
Street and No
220 Shoreline Drive West
P.O., State and ZIP Code
Sunset Beach, NC 28459
Postage
Certified Fed
1.35
Special Delivery Fee
Restricted Delivery Fee
Return Receipt Showing
to Whom & Date Delivered
1.10
Return Receipt Showing to Whom,
Date, and Addressee's Address
TOTAL Postage
& Feesz
.77
Postmark or Date
STICK POSTAGE STAMPS TO ARTICLE TO COVER FIRST CLASS POSTAGE,
CERTIFIED MAIL FEE, AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES (see front).
1. If you want this receipt postmarked, stick the gummed stub to the right of the return address
a,
i
leaving the receipt attached and present the article at a post office service window or hand it to
your rural carrier (no extra charge).
CC
1
2. if you do not want this receipt postmarked, stick the gummed stub to the right of the return
Cl)
address of the article, date, detach and retain the receipt, and mail the article.
3. If you want a return receipt, write the certified mail number and your name and address on a
U�
return receipt card, Form 3811, and attach it to the front of the article by means of the gummed -
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ends if space permits. Otherwise, affix to back of article. Endorse front of article RETURN RECEIPT
REQUESTED adjacent to the number.
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4. If you want delivery restricted to the addressee, or to an authorized agent of the addressee,
00
0
endorse RESTRICTED DELIVERY on the front of the article.
5. Enter fees for the services requested in the appropriate spaces on the front of this receipt. If
0
LL
return receipt is requested, check the applicable blocks in item 1 of Form 3811.
to
a
6. Save this receipt and present it if you make inquiry. 105603-93-B-0216
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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'Retum Receipt Requested' on the mailpiece below the article number.
2. ❑ ROStrlCted Delivery
N
■The Return Receipt will show to whom the article was delivered and the date
«.
delivered.
Consult postmaster for fee.
a
3. Article Addressed to:
Ms, Linda Fluegel
Town Administrator
Town of Sunset Beach
220 Shoreline Drive West
Sunset Beach, NC 28459
X �-j: ✓ j, zicci
PS Form 3811, December 1994
4a. Article Number
Z 054 915 807
¢
c
4b. Service Type
❑ Registered ❑ Certified
❑ Express Mail ❑ Insured
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❑ Return Receipt for Merchandise ❑ COD
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7. Date Delivery
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8. Addressee's Address (Only if Oquested
and fee is paid)
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First -Class Mail
UNITED STATES POSTAL SERVICE Postage & Fees Paid
usps
• Print your name, address, and ZIP Code in this box •
,
w INC DIVISION OF COASTAL MANAGEMENT
HESTRON PLAZA 11, 151-8, HWY. 24
MOREHEAD CITY, NC 28557
(919) 808-2808
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