35100D - Hutson

,CAMA/ i DREDGE & FILL
IENERAL PERMIT Previous permit#
New EModification LiComplete Reissue CPartial 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 r-I i 1 i
Ctules attached.
Name C l e i/G 44 lt''"SUrN Project Location: County DIk t i)�t,AJ I C.k
Q c1 5 5 c-GA-t c,_r-,c c,v-e. Street Address/State Road/Lot#(s) L.v f 2.
-. so. n-i- State &. ZIP ,A1-16 bra n4 i c c.i CI'rc(e,,
(' L 3) $S,F-7331 Fax#( ) Subdivision b(a, J 4 I ct Pc ', + _
:dAgent jam.-Y,r�)� Vci.rr ck , ,-' City >(lc, ( ( C (rL ZIP MS.(
❑CW ❑EW ❑PTA >OS ❑PTS Phone# ( ) River Basin LLl i 0 E
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
❑ PWS: ❑FC: Adj.Wtr. Body -5(,,r .l cy -C I r1 (C t nat /n
res / 6 PNA yes / no Crit.Hab. yes / no Closest Maj.Wtr. Body JF1 c-� ( c-4 c I r) (C f/
Project/Activity C.,CY -)S k-r c+ k1 c.t3 (J l Ul k h c. c CU err,c` P 1Ci hAr- 5 him.L I
J (Scale: (tit,
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k)length
s — �. t
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igth
iber ---- __.. _ ° • - .1
/Riprap length ICI i i
distance offshore I
c distance offshore
tunnel
is yards •
p 1"
e/Boatlift I _ r --__
13tr
Ildozing ( i
Length eN c\ t
not sure yes , c V -y
not sure yes V' 1--04-Z
im: n/a yes (� ,
yes L%• �'l r et..-) I c�{ (( �Q_(i_
ttached: yes fro J
g permit may be required by: O n .r\5 w ►C k Co< <c i4--i-1 See note on back regarding River Basin ru

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: &Ave- t c50-r.
ADDITIONAL NAMES:
AEC DESIG: L`D DEVELOP AREA: . PROJ DESC: P -J
(Will only take 6)
(Will only take 1)
WORK: 8 K Gj q
(Will only take 4)
MAINT:
(Will only take 4)
IMP: i t CT 10
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: _11 I /c,.--
CAMA MAJOR DEVEL REQUIRED: L J�f o il- L4 I B (OLE

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DIVISION_OE COASTAI, MANAGE ENT
ADJACENT.RIPARIAN_PROPERTY_OWDIER`N_OTIFICAT10N/WAIVER FORM
Name Of Individual Applying For Permit: 1Jr• �I�J1/2 Nub 5v"h
Address Of Property: LC ck Q YL1.i1tl-,(,/
13riCk( ` u ksKJc Co.
(Lot or Street #, Street Road,
oad, City & County)
I hereby certify that I own property adjacent to the above-referenced property. The individual
applying for this permit has described to 'me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter.
(t.f I have no objections to this proposal.
If you have objections to what is being proposed n_ lleaase_write the Division of Cnastzl
MP nag meat,_12 .North Cardinal Drive, Wilmington North Carolina 78405 or call 910 395-
3Xwithin 1Q.days of receipt of this notice_ No_responseis considered the same as no objection
if you have been notified by Certified Mail
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be
set back a minimum distance of 15' from my area of riparian arcrss unless waived by me. (If you
wish to waive the setback, you most initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
c/O1 I do not wish to waive the 15' setback requirement.

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' vp oNv-u.oDs S 66 S I N

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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete itams 1,2,and 3.Also complete A. SignaturA
item 4 if Restricted Delivery is desired. X / ` CI Agent
• Print your name and address on the reverse '>>t r L-. , -" L ❑Addressee
so that we can return the card to you. B._Baceived by(Printed Name) C. Date of Delivery
• Attach this card to the back of the mailpiece,or on the front if space permits. o rvy t ' (r
D. Is delivery add-ss different from item 1? 0 Yes
1. Article Addressed to: If YES,enter delivery address below: ❑ No
1)11,-. I I.._f hexYt.l I Sr.
l9ID_ Rub
mmrpe_ i ,VC : r-sl l 3. Se eType
Ccertified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
0 Insured Mail ❑ C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
2. Article Number 7002 3150 0004 0 319 6944
(Transfer from service label) ----
PS Form 3811,August 2001 Domestic Return Receipt 102595-02-M-1540
U.S. Postal ServiceTr, U.S Postal ServiceTM
CERTIFIED MAILTM RECEIPT .I CERTIFIED MAIL. RECEIPT
(Domestic Mail Only;No Insurance Coverage Provided) tm
p- (Domestic Mail Only;No Insurance Coverage Provided)
For delivery Information visit our website at www.uspe.come —D
For delivery information visit our website at www.usps.corrte
M0i t0E WC 28112 0'ra m ,: 1
Postage $ $0.60 0462 Postage 1
Certified Feelignil 06 Certified Fee $2.30 0462
Postmark Cl
Return Reciept Fee $1.75 Here O 06 Postmark
r, Return Reciept Fee $1.75 Here
(Endorsement Required) (Endorsement Required)
Restricted Delivery Fee $0.00 O Restricted Delivery Fee
(Endorsement Required) I..rl (Endorsement Required) $0.00
$4.65 12/29/2003 a
Total Postage&Fees 40 m Total Postage&Fees $ $4.42 12/29/2003
L. i I(i N S�. "'
Sent Tom D Sent To 1
\` O
Street,Apt.No.;
lti 3`treet,Apt.No.;
17576
or PO Box No. or PO Box No.
City,State,ZIP+4 City,State,ZIP+4
See Reverse for Instructions
PS Form 3800,June 2002
PS Form 3800,June 2002 See Reverse for Instructio

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1.1 S e c u`ty-n h a n c e d d o c o m e a c k o r d e 1 a i 1 s. (]=P= — --- 2845 . `
VARNAMS DOCKS & BULKHEADS INC `i
s.,y 1574 MONSTER BUCK ESTATES ss nv�l
�,"-`' j . ;/ '',,,, SUPPLY NC 28462 �( 1 62101 'I
'''./: , �f�4 910-755-6861 DATE r +�
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1/ BRANCH BANKING AND TRUST COMPANY ` l<7
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SUP LY,NORTH CAROLINA 3 5106
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