48351D - Peterson

•
Le-AMA/ al-DREDGE & FILL
7ENERAL PERMIT Previous permit#
]New CModification Complete Reissue ❑Partial Reissue Date previous permit issued
-ized 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 317'. //de
L Rules attached.
t Name '2 /-Cly Pe l faq.j Ad Project Location: County egct to../S v/c k
203 f /Q'64',51, RA/4 /y 11 Street Address/State Road/ Lot#(s) /2 6 o-- .92
/Cke 4 y Stately e ZIP 2 d 4 0/
(87 3.22 - 676/Fax# ( ) Subdivision ed Agent R0/rd, -e ,.,, 71 Z /h i City id
aN e,A t 4 ZIP 2 8%4
❑CW ❑EW +BETA CSfS ❑PTS Phone# ( ) River Basin 46
❑OEA Fl HHF ❑IH ❑UBA El N/A /wW
Adj.Wtr. Body (-WA/47 (nat j(
❑PWS: ❑FC: n/AI k)
yes PNA yes /dal, Crit.Hab. yes / no Closest Maj.Wtr. Body
'Project/Activity K e f L9C�f L x f' 74„) poi, L. 'R ' t1►Lkh...'A[r i _ $T i ii toelL.
(Scale/ ../_
ck)length
i(s) T 1
ier(s) . i F
ngth j j
rnber /
.Riprap length CO „'.' r � .�
distance offshore 4— �� i
� 1 I oc distance offshore �' __- i T—; 1 i I �_.-
iannel '
l - I i.
sic yards 1 i
b
T _
np
se/Boatlift ,aL(' tA /1
ulldozing
__. ....... ......................,7
, ,
�, r 'a
e Length - o -
not sure yes no _
s: not sure yes no / / 2 4, m o2 t,.1 2
(ium: n/a yes no e --
yes no
4ttached: yes no / — -
ng permit may be required by: hi oLc+P✓ 8Qi9c A I I See note on back regarding River Basin r

66-7143/2531 1 7 06
BONNIE WAYNE MINTZ 6001003307
DBA MINTZCONSTRUCTION /��0�
4739 WAY
FOUR SEASONS WAY DATE /
ASH, NC 28420
CO THE AiC /lIt OF I $ a 00,c,,
/4/c0 (,4 6 lF°a.
��� DOLLARS "�
KURnY
wiNcs
BANK
iset Beach,NC 28470 /We`("1
253L7L4301:&Pki00 'BOO 3307ii' 1706

yd -1;41.43 t, ,LA G fc�� S a s f c_.tra+tve •-
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-$ 9415" "f 4
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TION COMPLETE THIS SECTION ON DELIVERY
• Comp. 41so complete A. igpature 1 ,
item 4 it r. y is desired. F , i , /, ‘C-''. ���� I LO
❑Addressee
■ Print your nail., „tress on the reverse V� 0,6
so that we can return the card to you. B. Received by(Printed Name) C. Dat of De ivery
• Attach this card to the back of the mailpiece, ery
or on the front if space permits. ' Cl
. Is delivery address different from item 1 ❑ es
1. Article Addressed to: If YES,enter delivery address belowr No
Z
' ��
t`fiQrIL 01-L )zhcr ��
1 2-.5 6G.I LL COU r--
3. Service Type
C �"�`�y �: / p<Certified Mail ❑ Express Mail
�c V/ r ❑ Registered 0 Return Receipt for Merchandise
❑ Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
2. Article Number
(Transfer from service label) 7005 0390 0003 5186 9121
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
I
I
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Si. ature y
❑Agent
item 4 if Restricted Delivery is desired. X Z ��❑Addressee
• Print your name and address on the reverse
so that we can return the card to you. B. Received by( 'tinted Name) C. Date of Delivery
• Attach this card to the back of the mailpiece,
or on the front if space permits.
site 7Taifferent from item 1? 0 Yes
1. Article Addressed to: If cite
rove
address below: 0 No
J�'/
(-yak- Pt k trSon t , !
2031 to s+ B
ice Type ^.
1- lc I lL3V` i S C .
\1%.1-. ,
Certified Mail 0 Express Mail
I ( 1 v o 0 Registered 0 Return Receipt for Merchandise
(Q ❑ Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
2. Article Number 7005 0390 0003 5186 9046
(Transfer from service label)
-
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