38919D - Hewett

LAMA / DREDGE & FILL
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"EN ERAL PERMIT Previous permit#
-New _Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
rized by the State of North Carolina,Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC IN C
/ i a� ❑Rules attached.
nt Name eri//7Iket. /f Project Location: County �iiire,u)iC ki
s •- L`7 c c /"e 6 , ,,,, Street Address/State Road/Lot#(s)
.Cci .� i
,plcrc � StateN6 ZIP;;7�_Vc- `% Llicer/i)%jzrrlj# ( '/v) ` S: Fax#( ) Subdivision �'
ized Agent City ()Ceati /ilC. 5cach ZIP ..q?`/G
d CW A'" [ TA ❑ES ElPTS Phone# ( ) River Basin L i i
OEA ❑HHF ❑IH ❑UBA ❑N/A
Adj.Wtr. Body 6.1 . t-,ez_( (nat
PWS: FC:
Closest Maj.Wtr. Body /4-1 w<<
yes / no PNA yes /(5::) Crit.Hab. yes / no
of Project/Activity %-7 16-2.«f /6/6' Y 6c ;
(Scale: /1/•
dock)length
I ,
Irm(s) 6 K /!v 1 ....__+-- _� �_ t y ...._ +..
r pier(s) —i_. _ I -} + 1 1 I ' I
I I . I
ilen h I
gt .
number II � ! I I /
ead/Riprap length I I -i . 1 j
avg distance offshore
max distance offshore --+' -�--- _.._i 1_. f ..... , /."r5 y...❑ "P• - t7. t T
channel i { E� 6 ... I f
r r -j. f -� -...__ j _ 11 t
cubic yards + I. i e�, _� j/�} ... - r...
—
ouse/Boatlift
1 Bulldozing Ti4"6G///1- I j J
/�5'fc� .c 4 ' — I f 1 1 1
line Length O ' 1 1 .y
Y
not sure yes V I ' j I ' i
ags: not sure yes ' I �.._ I :a i —. — — —
:orium: n/a yes I - ` f ,
s: yes ,- t._.. � I—..
1. -- .._. w_ 1 _-- _
r Attached: Yes I I L....._
ding permit may be required by: r") / I_ 5trc/3 n See note on back regarding River Basin
/)// �._ _L ._ ._.- - L .-, -i . .

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: 67 // //t° ��
ADDITIONAL NAMES:
AEC DESIG: LZv P r DEVELOP AREA:_ .G / PROJ DESC:/2 -
(Will only take 6) (Will only take I)
WORK: F, 5-
(Will only take 4)
TL" ,llc+
MAINT:
(Will only take 4)
IMP: 0\A,/
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: '1. t 3 v-}- (O- 13 0 { '
CAMA MAJOR DEVEL REQUIRED: -1. 13 •04+ to • 13 .04

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BRUNSWICK DSS PAGE 01/E
`2004 03:29 9102532077
BRUNSWICIK COUNTY
DEPARTMENT OF SOCIAL SERVICES
P.O. BOX 219
BOLIV'IA, NC 28422
PHONE: [phone]
FAX: [phone]
*************** FAX ***************
DATE: 7
TO: f t -- ?Js
FAX# : J� " 3 5-a ` oD1
PRONE # :
FROM:
PHONE*:
NUMBER OF PAGES: 2
3e************:k**************:l4********fit
RE: � a_ �
Urgent Please Comment For Review Please Reply

2004 00:29 910253207
ERUNSWICK DSS PAGE 02/
ADJACENT RIPARIAN PROVERTY OWNER NOTIFICATION
Applicant's Name: k.61` \A
2 �tl lath 3
Address Of Property: tk• trums.131
at County
streak Street Name, City
Applicant's Telephone Number ,4 • � S
I hereby certify that I own waterfront t property arrjacent to the above-referenced property. The
Please of the the s development
applicant has 's development I»tir�Il+�►S
this
b1oct below if you have noobjectionsf the the required 151 se r corridor
this block es-ram a waver of
lines. •
1/ nave no objections to this proposal_
Signatur Date
c. k(_ � °tv� lAcu2:1 r\)6ka, Si-, M
Print Dante and Hwang Add
Telephone Number With Area Code

SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete Id A. S on. .
item 4 if Restricted Delivery is desired. .., a,6„. ❑Agenl
■ Print your name and address on the reverse r N-jall Addre
so that we can return the card to you. Be\Ige ive. bymfe Na
• Attach this card to the back of the mailpiece, -) C. Date of De
or on the front if space permits. —
D. elivery addre c ' erent om item 1? ❑Yes
1. rticle Addressed to:
If YES,en
telilcy s below: ❑ No
�G� 6°Cyr\ ,�rIrc�� a �U")\? L orKS\-i',cQ IS: ,�
3. Service y,Qe�
N\�� 0`R I IA ' C' leCertifie ' d ess Mail
Z-12(."2 ❑ Registered Return Receipt for Merchar
iE•!
k, ❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery?(Extra Fee) El Yes
O C
2. Article Number 7003 1010 0003 k128 9021
4 ‘ (Transfer from service lab,
PS Form 3811,August 2001 Domestic Return Receipt 102595-02-N
69
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