10838_General Permit_19920730

O
Applicant P.
me
Address _P.
city, r
Pro ect Location
� s'
•k,
CAMA AND DREDGE AND FILL
GENERAL
PERMIT (ef Naa
10838
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 15 NCAC -7 / i - / ? !' C)
Type of Project Activity
Phone Number 7 21' - K I/ S
zip db S14
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- A
_applicant's signature
come null and void. 4' d
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.
permit officer's signature
issuing date
attachments
expiration date
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
application fe,# 7 ) Oo C " Xf r r` P 1

K
s�a�r 0
�s

1,17 1 -,
Pilot
Alrmall
O�
-71
ALP

i•
m SENDER:
• Complete items 1 and/or 2 for additional services.
rn • Complete items 3, and 4a & b,
I also wish to receive the
y • Print your name and address on the reverse of this form so that we can
following services (for an extra
fee):
d
V
y return this card to you,
adi • Attach this form to the front of the mailplece, or on the back if space
does
1. ❑ Addressee's Address
N
.. not permit,
• Write "Return Receipt Requested" on the mailplece below the article number.
• The Return Receipt will show to whom the article was delivered and the date
2. ❑Restricted Delivery
f/)
p
o delivered.
Consult postmaster for fee.
°
•a 3. Article Addressed to:
d
4a. Article Number
Cc
!�� (,j� 5 /
c
E
4b. Service Type
at
° }
9�
❑ Registered El insured
cc
y
❑ Certified ❑ COD
c
��� �G 7 7❑
Express Mail ❑ Return Receipt for
Q7.
Merchandise
Date of Delivery
I
H
5. Signature (Addressee)
8. Addressee's Address (Only if requested
Y
LU
and fee is paid)
c
f6
6. Signature (Agent)
_
N,
0
0
2 PS Form 3811, December 1991 it U.9.O.P.O.:1992-307-530 DOMESTIC RETURN RECEIPT

.-Tots i s T MOD" ybk,� T -M-� k)C PLM� Tb
�`! k UGC
(.�j t Lt_
€� Lk p
PAC g_OSS
L,t,� ,2 tit `� t� Fc, �z
� �C� �� , ��� ��i..➢ l 1JTU i f-f C t,�✓a i L-`��- �D��; o�C� FT ,
TVC
u�t�� gC )-4
7 ()S Cf) DUCE C�JN r - C IT t-f� CL- S
C AN1 A . Lit-Tlg1,A-; / v OAclS vF�, wc-L iP!
1'-6pe r �/ T'_
0 uQA Y5
e , , _�D
G 0 7)f

JEROME B. OR DAWN M. WOLFF
RT 2 BOX 627
1029
BEAUFORT, N.C. 28516 66-7172
/ / 0 19 2531
PAY TOORDER THE �. LC L.(, N, f� Q
ORDER OF ��� ��" !l J� SDi OO
DOLLAKS
co
opero luc
•,t `,� SAVINGS AND LOAN ASSOCIATION
BEAUFORT. NC28516
MEMO 14-
is 2 5 3 17 1 7 281: 090 10 2030 il"9