38921D - Henley

XI LAMA/ Li DREDGE & FILL I-
3I NERAL PERMIT Previous permit#
ANew ❑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 I5A NCAC , '., . '
❑Rules attached.
t Name .4Z3 6icic'Q )�,-2 /�<<./ Project Location: County bti ii- g i,ci-4._.
P° DUX. Yt Street Address/State Road/Lot#(s) L 014,79
,4-45-4-• )c--r rn f' State /IC ZIP , 7,2 t a tt /Z /---)e,i c1,,:"S74r . 74
ie 0.34 $ 11 -75112Fax#( ) Subdivision �/
zed Agent `1-r7-e 5 C.r-t-e Z.- City Ocean /.31e 4_CIL ZIP o2 F7"(
I ❑CW *VI ;X PTA ❑ES ❑PTS Phone# ( ) River Basin Lt.re,
❑OEA ❑HHF ❑Ili ❑UBA ❑N/A Adj.Wtr. Body Ca--a.-7G.-" (nat I
❑ PWS: ❑FC:
yes no PNA yes / Crit.Hab. yes / no Closest Maj.Wtr. Body , 'f _?
f Project/Activity (✓o v a74i-,l,.�-'7' /-)/c5 y- V- , is 4.(x- /ate'/4< .)
U (Scale: /''.
xk)le pit /6
81t2
,ie s) ' I I I
.ngil 1 r)Ilift.
id/Riprap length i C 1
g distance offshore {
ax distance offshore 1.... I } +II
hannel I { i ,2{0
_ Al
l ai
bic yards l rfg_.14 �— i.......
ripr
use/Boatlift I 1 ! 111...........,
!iulldozing1 I ,
f
i .._
�1 }
'b 1
e Length y.,;; j 1 I I I
— -- .. --• t a I ! ._
not sure yes o �^ L
yes f trams '
s: not sure �— *---' -_. + -_ _.. _--
:
T— .. — _4
7um: n/a yes '�l { V 7 1 _ *- ,
Yes —-r l a-- �, I I 1 !
4ttached: Yes ' I , . '_� } 1
ng permit may be required by: (2Cea,--) 454.. Q ek . 11 See note on back regarding River Basin n

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: AA io ,`
ADDITIONAL NAMES: e7 ee Ke itiy
AEC DESIG: DEVELOP AREA: . C ' PROJ DESC: 1
(Will only take 6) —— —
7 (Will only take 1)
WORK: PR /i X 41
(Will only take 4)
T� 2.0
MAINT:
(Will only take 4)
IMP: OZ./ /VC)
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: 4 .9.05L 9- 9 .0g ' .
CAMA MAJOR DEVEL REQUIRED: k •9 • C>c 9• 9 0w

ti
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Signatu/
item 4 if Restricted Delivery is desired. '/� �ent
• Print your name and address on the reverse X • f./2e.,e. /
so that we can return the card to you. it Addressee
• Attach this card to the back of the mailpiece, B. �Received by Nam) Date of Delivery
or on the front if space permits. (�C.E+'r p �'�G! 5'2/
1. Aticle Addressed to: D. Is deliv�address different from item 1? 0 Yes
If YES,enter delivery address below: 0 No
a tO ✓ � I c
-4-al-T'v(-f f k 0 11A:-D 3. Service Type
trCertified Mail 0 Express Mail
49 )2 0 Registered Cetum Receipt for Merchandise
0 Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article Number
(Transfer from service label) 7149 32a0 OCt7 CYO./ 537y
PS Form 3811,August 2001 Domestic Return Receipt Y
102595-02-M-1540

DIVISION OF COASTAL NLANAGEIVENT
.ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
"ame of Individual Applying For Permit: tl tQYfl
,„
.ddress of Property: 1--01 -it 37 /a -L(4,,- 5 6 ,
(Lot or Street 4, Street or Road)
Dom, 7 £(.4c,i, NC
(City and County)
hereby certify that I own property adjacent to the above-referenced_property. The individual
)plying,for this permit has described to me as shown on the attached drawing the development they
.e proposing. A description or drawing, with dimensions, should be provided with this letter.
I have no objections to this proposal.
you have objections to what is being proposed, please write the Division of Coastal
[anagement, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900
ithin 10 days of receipt of this notice. No response is considered the same as no objection if
)u have been notified by Certified Mail.
WAIVER SECTION
inderstand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be
t bck a minimum distance of 15' from my area of riparian access- unless waived by me. (If
lu wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
g.n Name Date
©lad

5
i 11
\ c -VD
a ,

•
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete ib?ms 1,2,and 3.Also complete A. Si...ture
item 4 if Restricted Delivery is desired. / 0 Agent
• Print you name and address on the reverse X / r��
so that we can return the card to you. — 0 Addre:
• Attach this card to the back of the mailpiece, B Received . (printed Name) C. Date of Deli
or on the front if space permits.
1. Article Addressed to: D. Is delivery address different from item 1? 0 Yes
•
If YES,enter delivery address below: ❑No
Cd-1C 1311/A
aCa“-ifiA)a-41 y.
n KC 3. Service Type
0 a s i t/]JY Certified Mail 0 Express Mail
""-- '777 0 Registered IRtetum Receipt for Merchand
c -5 LE 6.5 ❑Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article Number
(Transfer from service label) 7cgq 3 22o n pc 7 O __13#3
PS Form 3811,August 2001 Domestic Return Receipt
102595-02-M-1!

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: 113 E Oect,e,
Address of Propertti: 1-0"6 7 /a 1144,t-, 5,11(076
(Lot or Street #, Street or Road)
Dew., E56, c
(City and County)
I hereby certify that I own property adjacent to the above-referenced.propertv. The indivi
applying for this permit has described to me as shown on the attached drawing the development
are proposing. A description or drawing, with dimensions, should be provided with this lette
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of CO2
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-2
within 10 days of receipt of this notice. No response is considered the same as no objecti4
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift mus
set bck a minimum distance of 15' from my area of riparian access - unless waived by me,
you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Sian Name Date
AAA

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ERNEST G:-CREWSTCONSTRUCTION, INC secuRrry—SAVING3 BANK,338-*
_ _...._
POST-OFFICE BOX 8888 - ---_-:- - SUNSET BEACH,NC 28470 1 _ .=------:=-- —
SHALLOTTE,NC 28470 . - -.--=:.-7' -----. --- 88-7143/2631 - -- ----=------------ ---:— —
PH.910-579-8988 -
._---.-- --..------ 6/9/2004=2- ---7--- --------=
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-----=--- -"."1-_---= -..-.•:7..____..
.•_=--=---:."-----= ='=::::::-.:. ....:_•„--:.-=.'-
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Y TO THE NCDEMU- .=--.7.-:= $ 00 --------- ---=
DER OF
._.
One Hundred and00/100***************************************************
NCDENR _ _... _ ..
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..______________,_-_________. _._.._-.77_ -___.-----_- ----------=7.-_=-•--'_ '_:-_---.-..---:-.----:::::: ----'---
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