37980D - Hinson

CAMA/ ❑DREDGE & FILL
IEN ERAL PERMIT Previous permit#
New ❑Modification ❑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 I 5A NCAC 7K•/r2.00
❑Rules attached.
:Name ./': './ ., /fy<r -t •(--- (.f"if.e.�'i.c j Project Location: County O' :Li trick,
/ /c t< 4:..,,, ,;r;tc.( Street Address/State Road/Lot#(s) //?!F
ivv id__ State/VC`.. ZIP `, -� G- ;c'c< /i c. , : L.
( ) Fax# ( ) Subdivision Sea le /rc
Bd Agent c a'. t-5r---7 , aCc ,S City .t (i ZIP Z44,
cfN
❑CW `g EW >PTA ❑ES ❑PTS Phone# ( ) River Basin Z./ir)-)o
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body r4 1/...L)L() (nat
❑ PWS: ❑FC: 4/t-e-X-�-)
yes /'_no PNA yes / no Crit.Hab. yes I no Closest Maj.Wtr. Body
Project/Activity Cu-7-75 /L.e c7' ,,'/e '` 6-eic k
(Scale: / -2
:k)length / (i/.2;fr 1
(s) /U X ZO 1
I 1 11 ' ..I I.c.ld cJ I I 1
I
er(s) — 1
Igth r 1 �-
nber i i , /
— T- —._ _ ---f/Riprap length
distance offshore __ ....._{ '
x distance offshore (C..)'{
cannel .' l , .•_77I,S 1 , I . .
)ic yards • !;
i y
se/Boatlift
it2r
1 i
ulldozing
'
l
I 1 i !
r r - 1 ,- - - - -i .
e Length _ T1 i - -
not sure yes --�- . ' , T 1Y • ' 4 ,
i
1
s: not sure yes odl 1 -._ -._
C�r - I
cum: n/a yes + I , 1c /iGG e! di-
`
+. . -1-yes !hc% l ✓ '�� 7 ` ` :,
; _ . ..
kttached: yes no - : ; " li II ---
ng permit may be required by: 0/--Z(;-).5-t2-i/Ck.: 6-7e7 r/"2* ❑See note on back regarding River Basin r

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: Ma L i ( ic..,_ I/VI.Gre4--6,c-
cnSvy-
ADDITIONAL NAMES:
AEC DESIG: CIA-) P7 DEVELOP AREA:__v ( PROJ DESC: P 12
(Will only take 6) (Will only take 1)
WORK: !!Z , 1
(Will only take 4)
L 10j 20
MAINT:
(Will only take 4)
IMP: OUJ ZCT)
(will only take 6)
ACTION EXPIRATION
DREDGE &FILL REQUIRED: <</14z f //7A -
CAMA MAJOR DEVEL REQUIRED: (6-7/0 - !/74)

l 07 '/ •x- dd--1-,
•
#D/

r16/_004 05:^_� 643651304'� Al FEtICE COMF�PI`f PAGE
t4
DIVISION OF COASTAL
ADJArrwrr RIPARIAN PROPERTY ��f, T
OWNER NOTZFiCA ON/WAIVER FORM
Name of Individual Appl inPermit: �/
Y� q For LU lC�/� 'I`'G( /T � .
Address Of Pro �SO��
Party: / r(p r- � .
A
(Lot or re t 0,
Street or Road, City & County)
I hereby certifythat I own erencQd pro y
property adjacent to the+ above-
re erenc . The individual applying for this permit has
to me as shown on the attached drawing thedevelo
:hey are proposing. A description or drawing, on.
should be provided with this letter. •
with dimensions,
I have no objections to this
Propoda2.
f you have ob ctions to what is bein
ivisions of Coastal Mena ement 12. ro sod _`ease write the
ilmin tun North Carolina �6405� Cardinal DrLLve Extension,
of races t of this notice. No r®s or is
call 910 395�39b0 within IQ
r no ob'ection if ou have been notifiednbe Certifil Mad the same
t•Iail.
-------------
WAIVER SECTION
understand that a pier dock mooring
use , lift or sandbags must be set back apminimum dilings , preancetof , boat
NM my area of riparian access unless waived by me stafce of wish5
waive the setback, you must initial the a ro ri { If you
PP P apte blank below.)
I do wish to waive the 15 ' setback rDquirement.
I do not wish to waive the 15 ' setback requirement.
r,

SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Signature (_J!
item 4 if Restricted Delivery is desired. X `Dldent
• Print your name and address on the reverse �,GL'T fi �`' /❑Addressee
So that we can return the card to you. B. c • ed by(Printed me) / C. Da of elivery
• Attach this card to the back of the mail piece, ��/ ,/, C�
or on the front if space permits. p "U/z)� . D r
�7
D. Is delivery address difi6r f1CNent om item 1? ❑ es
1. rticle Addressed to:6. i 4. /hij, )41-e-7'I C
If YES,enter delivery address below:
(7
b'-6 0:3 . ‘il:66Z2?d21)-4-L A -
L 3. Service Type
4)1A,t-e-ttA-/Re)
71 ❑Certified Mail ❑ Express Mail�J /e ❑Registered 0 Return Receipt for Merchandise
/ i//(�� ❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
2. Article Number 7004 1350 0002 2941 5610
(Transfer from service label),.
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540

".:: : .' I '.,` ' ....;... , 82-40/1021
` .:PAY EXACTLY j
F PAY TO THE
� PA i OgJA^CT.# i. `'ORDER OF aC� ry�
_ •
47 > PURCHASER'S ADDRESS
- -' PU SEA SIGNER FOR DRAWER ,
PURCINSE VSIGN,N YOU AGREE TO THE TERNS ON NT fEV TiOE
Western Union Money Order end Designs a service mark or Western Union Holdings,Inc./Payable ct Wells Fargo 3ank Grand Junction-Downtown,N.A.,Grand Junction,C loreu, 1
e: it 2 b001,,001: 40080 EL. 2 Iu , 2{I'