19828D - Wise

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,• CAMA AND DREDGE AND FILL NCI19828
GENERAL
"Y"
PERMIT
as authorized by the State of North Carolina
0 Department of Environment, Health,and Natural Resources and the,coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC 7 tl• j IUU c , 124C)
Applicant Name " -A f LJ h UJ'se-- Phone Number
Address .Sio5 ^Ei Ve- r T(A\ 1
City .-&,t+'�it`11� State i�� Zip C9(02,-��
Project Location (County, State Road,Water Body, etc.) Pc'.ne1' Cou.n S e'5 ''ZI Jer d fll
CHof( of A-li3O Tu.r taw , k)J, PJ.£ . Cn E r
Activity �P'vJ A,r,d T ([�P4,n ei pGk.Type of Project U �k.�Q.IFY� n� ('P M P U
PROJECT DESCRIPTION SKETCH (SCALE: iNoT TO )
Pier(dock) length 'M _ �+
nf-C b U1 k-timed -N. C, P\P C:. Fa
Groin length C,
number LU
I
Bulkhead length 'l
"t UJIr‘cl tn)AOS
max.distance offshore�— < '(DI
-a MAX . 151
P c'oPuseci
Basin,channel dimensions Sep 6F)cl�. r w 15
f 1�. T 5e-1 b"c K--
cubic yards 9-tiDClU°k1- .d
Boat ramp dimensions 1
Or,r Al X )CC ' 1 00 1 �co`%(.)sed bUI -- l
Ho et-1- 9 to r.
\ V
tA-
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, ("---;:)%1 e-11
imprisonment or civil action; and may cause the permit to be- applicant s signature
come null and void.
This permit must be on the project site and accessible to the permit officer's signature
permit officer when the project is inspected for compliance.The applicant certifies by signing this permit that 1) this pro- 02 a 9 a9 2 2
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 I I(�o F 12-pU
objections to the proposed work. attachments
IL- -.

��11 rircAt rEtuvii l' COJYIf LITER FORM
APPLI CANT?SAME: M Ar0'i rN, tarSE
ADDITION AL NAMES:
AEC DESIG:
PT , ES , Et-0 DEVELOP AREA: _ 006 PROJ DESC: e - 11
(wil)only lake 6 —
( ill only take 1)
WORK: 6 $ too ?k e: — I
, (Will only take 4)
HO xCo
MAINT: \ ,
(Will only take 4)
G
IMP: '5 Q o b
(will only take 6)
Olt 9(t)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: • n2 jaa,/9 9 4cDal / 9
CAMA MAJOR DEVEL REQUIRED:

Z 231
I71 1a4
erv►ce Mail
us posts►t for Cert�f�ed
` ed
ReCe%P Coverage? Me See reverse
,� No►np1 ran for►nte I
Do use ��l�+� <
•� $ent to c
lio 1
ZIP Code 4' Q_ ,
CLEMENTS MARINE CONSTRUC ip►fice. ' !'
577 NC HWY 210 WEST
HAMPSTEAD NC 28443
910-270-9110 FAX [phone] caedFee
rlifi
seepal Delivery Fee
CAMA PERMIT REQUEST FORD tdctedpelWIF"
Marvin andBertha P '*1..101011.1.-- 'IVO
NAME: Wise
ADDRESS: 565 River Trail rn Return/lee°� ,i/,4,*.�- !M
°' om&pattie.e
CITY:Burgaw STATE: N.C C. ZIP:26425 PHON. -- m _ ;�I,, �t
DECRIPTION OF WORK AND LOCATION: "/. To7ALPosta9e lice t �
`� \ °-fl Postmark or Date &Q
U-
(1) _
a
SKETCH:
CoXICP I
1.1
Applicant's signature If one party has any reason why this project
should not be built please contact the c.a.m.a
X Owner adjacent office with in 10 days of this letter or a permit will be
issued.The project owner is responcable for obtaining
Owner adjacent all signatures.

66-30/531 t
CLEMENTS MARINE CONSTRUCTION 365 1734
910-270-9110 NCDL 4356789
577 NC HIGHWAY 210 W pia
HAMPSTEAD, NC 28443 [bite Z"-�Z-9;r /I
Pay to the L !
Li Order of $ So at3t '
FY ST CIT: fE :
1:0500020LL8030 01734
Clarke Mrerran GUARDIAN.SAFETY BLUE WDBL
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