56619D - Lanning

,CAMA / DREDGE & FILL
3"ENERAL PERMIT Previous permit #
lNew, ❑Modification j'Complete Reissue Partial Reissue Date previous permit issued
rized by the State of North Carolina, Department of Environment and Natural Resources
:oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC �% �G
ules attached.
t Name kc c ^ / 7 Project Location: County _N/zVAls , ,
I% 3 �n C{� ,- 111 7-7 .Aw. Street Address/ State Road/ Lot #(s)
,Zc/F,.State,IV`t ZIPS g y,4 Z
Fax # ( )
:ed agent _ t c% ; # e , �, t 7,*"
❑ CW [-4E'W L; PTA , ES PTS
❑ OEA ❑ HHF ❑ IH UBA '-'N/A
❑ PWS: ❑ FC:
Subdivision
city //,1 d,P,-, zip Z d %0
Phone # ( ) River Basin L u�,,
Adj. Wtr. Body Ci�i`'A L 04r /0/L✓6✓ (n
yes /,rr6 PNA yes / no Crit.Hab. yes / no
Closest Ma). Wtr. Body /77/64/A/
Project/ Activity AFL e cC G 09W
(Scale: /
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x distance offshore'
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ric yards
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not sure yes
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not sure yes no,
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Urn: n/a yes
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no,
I.ttached: yes ..
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ig permit may be required by: ,�Idd p.✓ 3eF2c h ❑ See note on back regarding River Basin rt

9
A.I) AC C N`I RIPARIAN !'R "F,RTY OWNER STATEVIENT
I hereby certify that I ow11 Property adjaceni to.
kLr1,L-r14th,� prol�crty locale(! at (Name t►f Property bw)ier)
l��Q
,t _.,�1Qhjnf�z.�
(Lot, Block, Road, ctc.) '�� " -- __.........._,
01)
(Wa(erbody} �v (Town anc!!or Cocunty) "' N.C.
'lpplicant's phone N: if -' is',/�'_ _ ;•
Mailing
He has described to nte, as shown below, the deveioprnent he is proposin 1 /
have 110 objections t0 his Proposal. g at that ocation, and,
Drt'SCRIPTTOM ANI)/Oil DRAWING -f)P PI2t:)MSEll - --------------
f 7b be filled in by prop"rt u V L()f'iYll~ N'i : --
orvr,er pruposiag develaptncnt)
T J
------------------------------ ----------------
- -- -- --- - - - ----- - - ...----------------- - -
nfurmatton for S'roperty Owner Applylitg (Itipa Propce.tp (honer Tnforrnation)
far Permit)
Mailing
% 'ignatt r<-
City/State/Zip
x - Print '[YPe Name
Te hone Numb
V j-- _.)..._.._ Telephone
ne Number

A()JAC EN'r RIPARIAN! k'RO ",,Rly OWNER STATEMENT
1 jicreby certify that I own property adjwml to
{Yierpe of Pruls<rt;v C cr1
propmv lo,;al ;il at
(L-W, I3fock,RRoad, etc_) l`
�c
(Walerbodv) fTusvn indhrr C'outlty} -.- .•`_._.
Ajrplic ant's phone #:. Mailing Adelrexs � % -S �.C_T`'1 ` ',� � ". ' ✓'�'
k ip d crihed (o me, as shown the tievelc)pntr--rat he. is jn�7per;ing at that location, 3rxi, i
hav no olijec.t}�m� to his proposal.
-- ------ _
- ; DESCRI1'T ON ANUOR DRAWLNC OF PROPO "4ED DEV IKLOPMENT: - - (To be filled in by properly oopner proposing development)
4.
--.__.._•-
(Information for Property Oisner Applying (Riparian Pro
for Permit) perty Chvner tnformytion)
MarllingAddrem.__...
na r
11C
City tatclLiI+ - _. _.---.�- - _ _._ . ... �
�/ Print r.r. 'ypr iVart►e+

)licant:
e:
/y/:,
Permit #: 6 — �
scribe below the HABITAT disturbances for the application. All values should match the name, and units of measuremer
nd in your Habitat code sheet.
)itat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts)
FINAL Feet
(Anticipated fin,
disturbance.
Excludes any
restoration and,
temp impact
amount)
L
Dredge ❑ Fill'k Both ❑ Other ❑
/7'
Dredge ❑ Fill ❑ Both ❑ Other
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑

Consent for Use of General Permit 7H.1200
Lot Number/Address:
County: Re 4,wxcv, cit Subdivision:
Criteria:
(check all that apply)
12�.-.Primary Nursery Area.
,14 , Less than 2.Oft deep.
❑ Greater than 2.Oft but less than 3.Oft,
❑ Submerged Aquatic vegetation.
a Bottom habitat.
Comments:
Decision:
❑ Issue General Permit
o 'Elevate to Major Permit
ision of Marine Fisheries Representative
0//S-//
Date
NC Wildlife Resources Commission Representative Date

Dlicarrt: Yti d -y d
te:
311/1/1,
Permit
scribe below the HABITAT disturbances for the application. All values should match the name, and units of measuremer
nd in your Habitat code sheet.
)itat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts)
FINAL Feet
(Anticipated fin
disturbance.
Excludes any
restoration and,
temp impact
amount)
�y )
W
Dredge ❑ Fill ❑ Both ❑ Other
�j/s�
' SZ
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑

Ricky Hewett Construction
u or Ci H ewett th. 10-842- 17
1481 SW&N PJSW
Supp�, NC 8462-6037
Pay to the .1 (� /�
Order of fy .V
ZIZ4111 Date
BRANCH BANKING AND TRUST COMPANY
1-BOO-BANK BBf BBT.eom
For k .
i:053 10 L L 2 1i:0005 L9B3B595BllI 035
3035
66-1121531
$ 1460. 6 C)
Dollars