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• r ' CAMA AND DREDGE AND FILL
r GENERAL l <i ._ 017S19- J
PERMFV . •
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 7 H Ito O
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Applicant Name -So�.a St I t_�, % C'. tamer t �� Phone Number (' /CO 4S-7 54VA
Address VoOS I1.0nis Lywk) D 2
City 1.. -.y 1 d c ., State N C ! Zip g.`34 C^s
Project Location (County, State Road, Water Body, etc.) , ¢ A43d1� 1
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Type of Project A tivity I
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PROJECT DESCRIPTION SKETCH C,,oC kW� c )(,Ly _ (SCALE: , Il 40 I )
SIN D J
Pier(dock) ength
-70 X G- 117111 I( /F-LoaT,ix$�
Groin length
IlJL2'
number I3.`X 14/ L-“E.AD
Bulkhead length r
max.distance offshore
i /` / , :-rotas (em ICC/
Basin,channel dimensions ! 7d X T
/ plea Po-r T© ...s(ceeti P ki
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cubic yards / '(•er I et4 4..s
Boat ramp dimensions
4. I
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Other
«'X 14 / ,
t ( 1 '
n I b�x `EX"f71N�
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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 a licant's signature
come null and void.
This permit must be on the project site and accessible to the 2,,..14. p� permit officer's signature
permit officer when the project is inspected for compliance. 1 � y)The applicant certifies by signing this permit that 1) this pro- �4- �=F )5`
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 "--74-t' I Ze
objections to the proposed work. attachments
1 44 \

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: Job N S-ri LA--
ADDITION AL NAMES:
%, AEC DESIG: W i91- DEVELOP AREA: .1 PROJ DESC: P - 1 Z
(Will only take 6) ——— (Will only take 1)
WORK: PR .7 -
t_L. 0 , 4 S I(Will only take .1 ' t4 I �� (2:6
MAINT: 11O S
(Will only take 4)
IMP: (o
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED:
CAMA MAJOR DEVEL REQUIRED: 2 4- -

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name Of Individual Applying For Permit : 49411
Address Of Property: a,/ -
La`5(45 15:4 f C�/2
(L t or treet #, Street or Road, City & County)
I hereby certify that I own property adjacent to the above-
referenced property. The individual applying for this permit has
described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions,
should be provided with this letter..
XI have no objections to this proposal .
If you have objections to what is being proposed, please write the
Division of Coastal Management, 1.27 Cardinal Drive Extension,
Wilmington, North Carolina, 28405 Dr call 910 395-3900 within 10
days of receipt of this notice . No response is considered the same
as no objection if you Lave been notified by Certified Nail
WAIVER SECTIO1 G
I understand that a pier, dock, mooring pilings, breakwater, boat
house, lift or sandbags must be set back a minimum distance of 15'
from my area of riparian access unless waived by me . (If you wish
to waive the setback, you Jnus , initial the appropriate blank
below. )
T. do wish to waive the 15' setback requirement .
+�( I do not wish to waive the 15' setback requirement .
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/D/2/ /C1
S'_gn a 44-K4 / Al Date
Prin Name
- 9Yrt
Telephone Number With Area Code

a; SENDER: I also wish to receive the
o •Complete items 1 and/or 2 for additional services. following services(for an
rn •Complete items 3,4a,and 4b.
m ■Print your name and address on the reverse of this form so that we can return this extra fee):
Li' card to you.
a, ■Attach this form to the front of the mailpiece,or on the back if space does not 1.❑ Addressee's Address •
y permit. 2.❑ Restricted Delivery
� ■Write"Return Receipt Requested"on the mailpiece below the article number. 1
■The Return Receipt will show to whom the article was delivered and the date Consult postmaster for fee.
delivered. -- .
0 3.Article Addressed to: 4a.Article Number
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a. 4b. Service Type
F`o <0 ( .Cf/ j 6W Li (� ❑ Registered ❑ Certified
u l/ ❑ Express Mail ❑ Insured
�(� / 3 ❑ Return Receipt for Merchandise ❑ COD
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0 7. Date of Delivery ,
o - 1 o MT 1998
cc 5.Fie ed B (Print Name) 8.Addressee's Address(Only if requested
1 i and fee is paid)
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6. ignature: ( ddrssee or Agent)
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2 PS Form 8111, December 1994 102595-98-B-0229 Domestic Return RQceipt

a; SENDER: I also wish to receive the
;a •Complete items 1 and/or 2 for additional services. following services(for an
N •Complete items 3,4a,and 4b.
a) ■Print your name and address on the reverse of this form so that we can return this extra fee):
2 card to you.
> •Attach this form to the front of the mailpiece,or on the back if space does not 1.El Addressee's Address •
m permit. 2.El Restricted Delivery
� ■Write"Return Receipt Requested"on the mailpiece below the article number. i
Y ■The Return Receipt will show to whom the article was delivered and the date delivered. Consult postmaster for fee.
0 3.Article Addressed to: 4a.Article Number
2. J z ►e__ . Pt Alt\AI 1
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cc%O s ,-��- I„CJIV Y``-�. ��,�s tn„j . 4b.Service Type •
U oja ElRegistered ❑ Certified
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w � ` ❑ Return Receipt for Merchandise ❑ COD
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O 7. Date f Delivery
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¢ 5.Received By: (Print Name) 8.Addressee's AAd rg (Only if requested ,
D and fee is paid)
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y PS Fo m 3811, !-cember 1994 102595-98-B-0229 Domestic Return Receipt

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The American Fish Company
P.O. Box 11046 [phone]
1.10' ~` Southport, North Carolina 28461
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THE AMERICAN FISH
I CHARLES _
H. OR
KAREN Z. PERRY _
P.O. BOX 11046, WEST BAY ST. 60[15r]
SOUTHPORT,NC 28461 �7 I PAY ;-�
70 THE / fr
ORDER OF — • DATE ? _ i
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BANK F�rst-aZ'.7.1Bankarr�.tcompe DOLLARS Q ^ a
Soutryport,N.C.28965 ^Y ow.4.�. C
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