38598D - Hewett

:.AMA I ❑DREDGE & FILL
ENERAL PERMIT Previous permit#
Jew El Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
:ed by the State of North Carolina,Department of Environment and Natural Resources r�
lastal Resources Commission in an area of environmental concern pursuant to I5A NCAC /y//O Ell Rules attached.
Name �, f
., ,, `i/ / Project Location: County ✓t'r/i J5tcJ/C k.
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/ 7.3$. ere ilC /I C'6`-d Street Address/State Road/Lot#(s) / 7_%
/zrt /(v 1 State ik(C ZIP;1`' S! (1 r"a/)C_,dc4...d
( ) Fax#( ) Subdivision /-1 en�i %"c`c_ �t
r j City rSAI�CC-oi iGJ ZIP ;�S`fS6
:dAgent (ar5Url , COS JS
❑CW ❑EW ❑ River Basin �e w�PTA XES ❑PTS Phone# ( ) �
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body 6g/LLB (nat(
❑ PWS: ❑FC: Closest Maj.Wtr. Body /�/!CJlcJ
yes G PNA yes / no Grit.Hab. yes / no
Project/Activity 00/-) ="/YL1 c...f b Lf I k h end
(Scale: /': ;
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f 11 : �
ier(s) 11111i - 1 ' Mil I I .
ngthF Mr i 1 •p I (I !I
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d/Riprap length /GUI -
g distance offshore ;... i �'
ax distance offshore 11
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Ibic yards
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ine Length 1
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not sure yes
sgs: not sure yes ao� —
orium: n/a yes I' —�..r i �► I I __ r
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S: yes --._ .. —- r - C — [—I—
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r Attached: yes n l
ding permit may be required by: / l'Lir)Sw/C k GG<<i ) `
See note on back regarding River Basin

. , . GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: /3 6,. y e c '' 7�
ADDITIONAL NAMES:
AEC DESIG: 55 DEVELOP AREA:_ .G' 2 PROJ DESC: P -/I
(Will only take 6) (Will only take 1)
WORK: 51-71 /0 0
(Will only take 4)
MAINT:
(Will only take 4)
IMP: //6 /000 •
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: l b f )70 f
CAMA MAJOR DEVEL REQUIRED: ? - / b f ONOL/"

5-19- 4; 13:58; 9108466980 => EVANS SAFETY CONSLT; #1
05/19/04 WED 14:04 FAX [phone] ORIGINAL MARINE CONST
/Iv ktlL--?9D
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: G %%3 // 77
Address Of Property: / / 3J ole,9NE �jh--2)
(Lot or Street #, Street or Road' 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.
'x I have no objections to this proposal.
If you have objections to what is being proposed , please write the
Divisions of Coastal Management, 127 Cardinal Drive Extension,
Wilmington, North Carolina, 28405, or call 910 395-3900 within 10
days of receipt of this notice. No response is 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 access unless waived by me. ( If you wish
to waive the setback, you must initial the appropriate blank below.)
X -r I do wish to waive the 15 ' setback requirement.
400 I do not wish to waive the 15 ' setback requirement.

!D: 6-19- 4; 13:68; 9108466980 => EVANS SAFETY CONSLT; #1
05/19/04 WED 14:04 FAX [phone] ORIGINAL MARINE CONST
7o
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: Se.,6j!, A)Piw e,7T
Address Of Property: J 725 l-r.z, e D001 0j
(96_ Cz n ..Lt&)e Bea oA !V. C . ??4 69'
(Lot or Street fit, Street or' Road, City & County)
RrV"s c�;4 COd�
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.
I have no objections to this proposal.
If you have objections to what is being proposed , please write the
Divisions of Coastal Management, 127 Cardinal Drive Extension,
Wilmington, North Carolina, 28405, or call 910 395-3900 within 10
days of receipt of this notice. No response is considered the sax - '
a 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 access unless waived by me. ( If you wish
to waive the setback, you must initial the appropriate blank below.)
VVI do wish to waive the 15 ' setback requirement.
I do not wish to waive the 15 ' setback requirement.

THE HACK OF TIP I ODCUYENt CONTAINS AN ARTIFICIAL WATER MARK-HOLD At AN ANGLE TO VIEW
WESTERN ONEY INTEGRATED PAYMENT SYSTEMS INC.•ISSUER
U N I O N I I MO R D E R` Greenwood Village,Colorado
08-146021441
AGES'i 3291t33 DATE 070104 .1 (110(10 82-40/1021
HL 1350 04 El 6
081 r/0?1 t414 LOCATION 003487•=.�.5,,- r; ,! 'CVO
(ISSUING AGENT)
V. PAY EXACTLY ONE HUNDRED DOLLARS AND NO CENTS VO** **:4'**T
PAY EXACTLYPAY TO
ORDER OFE !JE—V/e- PAYMENT FOR/ACCT.#gAli �
) }+- UF vl Fj.� DRESS
r r NAME.SIGNER FOR DRAWER
PURCHASER IT SIONWG YOU AGREE TO THE TERNS ON THE REVERIE SIDE.
Western Union Money Order and Design Is a service mark of Western Union Holdings,Inc./Payable at Wells Fargo Bank Grand Junction•Downtown,N,A.,Grand Junction,Colorado
I: LO 2 100400': 4008 L460 2 144 14ii'
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