39766D - Hill

AMA/ ❑DREDGE & FILL
I,/E' NERAL PERMIT Previous permit#
New Modification i 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 7 f1/. /..h1''
les attached.
Name IC lA 55e1/ #I( Project Location: County C)VS/0\AJ
/_) Ut, , I, 'ef Street Address/State Road/Lot#(s) L i' /0
9/ (/iit State/tie ZIP 31a Ok C ''i 0--Pk-a ik-02.0C /11,4-/f,eInAy bf
(9/i) yr-1.X( Fax#( ) Subdivision 0 6.040gegamomopeolos— Pik Ge j�
:dAgent '. .6t [l r r%Idy City SNr �S very ZIP 0g• Y6
me6c, l�Ew TA I$ES/' ❑PTS Phone# ( ) River Basin WN;to
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
Adj.Wtr. Body W 1M 40,
❑ PWS: ❑FC:
des o PNA yes / no Crit. Hab. yes / no Closest Maj.Wtr. Body ASk"0 V
Project/Activity R2,U#klp Pi e R.
(Scale:
:k)length 6)( _i33,
(s) 1 D'X/O g t
er(s) .7 Py .3(,� p?'t/� ice744
:_
igth .
nber Jp. 0
I/Riprap length 1 : _G Z
distance offshore > 44. l YZ
x distance offshore 1 .1.r.,,..
I rr
cannel I
,ic yards r _
s 13'Xi3 _I -". gr_
a
illdozing 4' 0
. 4. rs — -
e Length J
not sure yes no e
__, ( R 7<‘
s: not sure yes no x
cum: n/a yes no
yes no
\ttached: yes no
ng permit may be required by: U y S/O\pJ See note on back regarding River Basin r
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• GENERAL PERMIT COMPUTER FO
APPLICANT NAME: uc.,S eI I l
ADDITIONAL NAMES: P� l S `( Wl 6(2-e-
AEC DESIG: CAA] w e S DEVELOP AREA: 6 .0 PROJ DESC: -1
(Will only take 6) (Will only take I)
Q
0 v
WORK: PR 2 h FP Di a , 1
(Will only take 4) ► t U
MAIN 1
(Will onlyy take
ake 4)
Be: O Yc
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED:
CAMA MAJOR DEVEL REQUIRED: 1.)-0 7-3 1( 6-22-0 7--0,5--

j2IXsION OF COASTAL mAmaomma
ApJammT RIP.4RIAN PROURTY want somarrsanggprazuRmgr.!
Name Of Individll Applying For Permit : /oJJ.EZ
Address Of Prope*ty: nj /Q
JV,%2J / 'v (
(Lot or Street #/street or Road, City & County)
I hereby certif that t own property adjacent to the above-
referenced props y. The individual applying for this permit has
described to me s shown on the attached drawing the development
they are propos g. A description or drawing, with dimensions,
should be provi with chin letter.
?1\4) I ha a no objections to this proposal .
If you have obi - •lions Lo what is being proposed. please writ the
$ilminatnn. • Carolina. 2)405 or call 910 3g, -390D within 3C
dayk of ulowipt this poke. No pone is considered the same
As no_ obi action f voq have been notified by Certified J4ai .
mankaAmmas
I understand tbs. a pier, dock, mooring pilings, breakwater, boat
house, lift or a- •'• go must be set back a minimum distance of 15'
from my area of parian access unless waived by me. (If you wist
to waive the a •ack, you gust initial the appropriate blan)
below. )
I Flo wish to waive the 15'setback requirement.
I doinot wish to waive the 15' setback requirement .
t f Z z c 4
Sigkature Date
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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
- • Complete items 1,2,and 3.Also complete A. Signature
t item 4 if Restricted Delivery is desired.
• Print your name and address on the reverse X L L. ❑
so that we can return the card to you. B. Received by( ' to r'-- Date
• Attach this card to the back of the mailpiece, �•`
or on the front if space permits. '/
D. Is delivery adds.t t from ite ❑
1. Article Addressed to: If YES,enteri ve a b elo 10ss
Gfi/01 A vo ' ,� ^o/��j rq. r 27,...?"
V v� �iL// �cJ�L �i� � eSp
r/ 3. Service Type ,,
❑Certified Mail 0.6xpres�s mil
❑
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1fy)�j C NUL�LI �/ �_ Registered 0 Ret'urrrN ipt for
!I �7� f/ ' 0 Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) [
2. Article Number 7004 0750 0001 0086 5878
0 ,, (Transfer from se
% = PS Form 3811,August 2001 Domestic Return Receipt toe.
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1 a SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
1 c0
` 1 • Complete items 1,,2,and 3.Also complete
rf l item 4 if Restricted Delivery is desired. ffilli - ❑
II Print your name and address on the reverse 0
1' so that we can return the card to you. B. Re eived by(Printed Name) C. Date
• • Attach this card to the back of the mailpiece,
or on the front if space permits.
a D. Is delivery address different from item 1? ❑
1. Article Addressed to: If YES,enter delivery address below: 0
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S\N
Z Yi) .2 .\. ❑ Registered 0 Retum Receipt for M
(mil m T a 0 Insured Mail 0 C.O.D.
P. °`• �D 2 id /66 4. Restricted Delivery?(Extra Fee) 0
N „^ m \ •
z („.,a.; t b 2. Article I
. o (TransfE •
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