37973D - Konecyn

No
I CAMA / ]DREDGE & FILL
GENERAL PERMIT Previous permit#
ANew Modification ❑Complete Reissue EPartial Reissue Date previous permit issued
orized by the State of North Carolina,Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 7N/2 '-'
❑Rules attached.
.nt Name � KOr7ec�ri Project Location: County Ent nScu.c
s it3 /-1 J 6 e,bY✓� �i d Street Address/State Road/Lot#(s) 7Z /3 A
c cn-/-zrk- rc.LCS State Ng- ZIP 67724 !�. e.-p Lc.J��14e� ,-ii;-e-
#(Y a) 343 i Z cj G Fax# ( ) Subdivision it)/no f 1•n j lam.:ver
ized Agent 2l-1:174 r 5/c. L-715�"-e-t''�1/f City 52cf.) .2 �
-(y ZIP �
❑CW ) EW )4PTA ❑ES ❑PTS Phone# ( ) River Basin 4t L I
d ❑OEA ❑HHF ❑IH ❑UBA ❑N/A �
Adj.Wtr. Body /./.cc-k E c--) c..0/zYl "e o-i., naC
:i
❑ PWS: ❑FC: J
yes / 5 PNA / no Crit.Hab. yes / no Closest Maj.Wtr. Body Gc C.K 'z� j,
,f Project/Activity (e.).-,,f,c.c-r i is r c.rlc_
(Scale. /A
lock)length ' x j'~ TrNiGm/6 ..rN J
•m(s) /.7 AZ It , I i —
)iriyN�iS i —I i — -4 -+ 1 — -_-
pier(s) X Z�L- "way.. I i I ;_ i� L .fir.,
length i•—i j +--•—r- 1 f .i- i I }- y i i
camber I
I l i j I I j l j
ad/Riprap length t i ` I -- r—r 1
I vg distance offshore I - I• ' i ��__-- r ! , li
nax distance offshore - ' —I
bl t of (,tiA D f , 1
channel ___I / ; I
I _.� .1.._ i _T i I -I- =4. I
ubic yards I l ; -t- _�..._.
1 ' f z. l _.I.._
--
amp .r { -_. i e -f I --I_ _ 1- _.t-.�... �...
j
>use/Boatlift - _
1
- -_, IS.
Bulldozing - ' I -
, c2�
V t
,-> -+ -I G ,w V`1�r fr . 1.. wv'v• \i,.i' 4�L;\ `j ,W `y _t
ine Length / J ' ` v
sure yes 6_); -� I- i i "-, i,�♦ ...._l 1-
not -
1 , 1 •
igs: not sure yes Cu , I- t 7 ❑ - --t �--. 4'/l'J-� I 5�ifYC6i/1 j ' -j
>rium: n/a yes no) �_ t-- II . --
yes n - 4 --- ,. I ,_ ' i...1 -- -} I i-
•Attached: yes no
ling permit may be required by: . 72t i 5'4c�,C4 CoL<n'J . I See note on back regarding River Basin
,7i/ i)...-,_ _.L..L.. __ _ _._z" .?71/ .•.i rl . L. ,� _ _ /

GENERAL PERMIT COMPUTER FORM
.004.40
APPLICANT NAME: ( t-�-�,� Kon�c J
, \ ADDITIONAL NAMES: d
AEC DESIG: E&J ?i DEVELOP AREA: PROJ DESC:•
(Will only take 6)
---- (Will only takel)
WORK: / '- S) 2 2- EL 77i ('
(Will only take 4)
£ c Z6 EL B, Zo
• MAINT:
•
(Will only take 4)
•
IMP: DGc.) 37YZ
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: / 2% -o'f f7 ' 27' O4
CAMA MAJOR DEVEL REQUIRED: 9-Z/ 4111 7,

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Y 'Q -1 vp u 17 ad vo
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4./.. A do7 d°l,/ iy p U v.
(ci,,=1 d? / • ( q°Q01
✓V?u, c c1 p f Nn.ol -,.
-dam 7did !Cr? ,oV0(6!7 a(-,P ys'

AMA/ ❑DREDGE & FILL
3EN'ERAL PERMIT Previous permit#
New "❑Modification —Complete Reissue El 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 SA NCAC 7N/2-04-)
❑Rules attached.
t Name Try. KC/7e yn Project Location: County _./, /S � � k
t '' - :.
//3 /Gitt.-(6 P. rr jLtz i'1 E- Street Address/State Road/Lot#(s) T y. / /1
;v /ZTli... 7 a, ( (..5 State NT ZIP C:77 2 4 Ue cp Z.v<< fc ,-" b - i i,-c_
(q ) 3L/3 {2.- 1 d Fax#( ) Subdivision LA__)/n d l r j Rive r-
ed Agent e,,51/1 tq-r75/c Eri /n ce, c r-�9_ City .�L(H.),ity ZIP . b''S/
❑CW IW ; PTA ❑ES ❑PTS f�T Phone# ( ) River Basin Li r i-.
❑OEA ❑HHF ❑IH LI UBA ❑N/A Adj.Wtr. Body 4pC/G G cJOGci774;//t/4:''C7 na /r
❑PWS: ❑FC:
Closest Maj.Wtr. Body Lock c�c �dF�//cr
yes / io PNA �y�e / no Crit.Hab. yes / no J
Project/Activity o , , ,c t /.-''r Y
(Scale: /'`"-
:k)length ad, X 6" Toy,GN6eo/iN t,
O
i.et*3i i + i 1 1 ` i 1...
ier(s) X 20 L / 1 - I
j
n h
tuber I I 1
t 1 •
it—a
d/Riprap length 1 101 4 1 I — — 4--
distance offshore i__ +.. —_ _ �__._._--_
ix distance offshore r---- -- } i-- i
L"1;INof 1 JA A`
cannel I , -
.�_ i I — _
r -, ■a
— a
Dic yards ._ —.. - ..� T 7 ■ -i
se/Boatlift f imion—� !1s
I 1
—t �� 4
ulldozing PRE
b a I
i i
1 / i I
---r i 4(1 4/ 1 .z f
i v T
e Length _ ,�� }_ ; v
not sure yes : „ / 5'
s '�'S: not sure yes ' 4."7 f 1..._ i rbi&'t(r c i - T._ _ i
; i i
-cum: n/a yes no E t
Yes ® .-1 fi 1
Attached: yes no --„ i
ing permit may be required by: �iw1l-'5i ,c k. at.,i) J 1 I See note on back regarding River Basin r

ENTOLOGY, INC. 906333234S 03/24/04 06:26pm P. 001
Mar G4 U4 UJ J P Kae tUL,1Cc:UU P.
TANGLE
ENGINEERING. P.C.
212 Princess Street • Wilmington.North Carolina 28401 • TeJ.[phone] • Fax[phone] • email:[e-mail]
March 24, 2004
Mr. Jerry Konecny
43 Mulberry Lane
Tinton Falls, NJ 07724
Tel.: [phone]
4 • 3?3 • 2 396- Fax
Ref.: Fee Proposal for Winding River Lot T2-13A
Brunswick County, NC.
Dear Mr. Konecny, '

9\afilfr
611\19 141/8 '11) t
ham"(1/�, 5

SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
•
• Complete items 1,2,and 3.Also complete A Signatu j Q�b 1
item 4 if Restricted Delivery is desired. '• '
• Print your name and address on the reverse "' �sZ ,, ---7--.. r 0 Addre _ -
so that we can return the card to you. B. Received by(Printed Name) -lC at@yf�v=
• Attach this card to the back of the mailpiece, p6� �-4 c-►
or on the front if space permits. 4�f•t rc ��
D. Is delivery address different from et ❑Yes }
1. Article Addressed to: If YES,enter delivery address belo -iSH1•ea /
�a/re_s £ -ahaM, --k.
4 /� L alli- LGi7G 3. Serv' e Type
4.)f/e
Certified Mail 0 Express Mail
0 Registered ElReturn Receipt for Merchandise
r�,,?0/ /anC
(77 / y� El Insured Mail Cl C.O.D.
9 _3(> . 4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article Number �j � �(Transfer from service label) 71) / i cj 3�.�0 600 9 Gj�jJl_S_
PS Form 3811,August 2001 Domestic Return Receipt 102595-02-M-1540
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Si ature ,
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse f�Agent
so that we can return the card to you. / �% �Vtl ❑Addressee
• Attach this card to the back of the mailpiece, B. Re
ed (Printed erne) Date of Delivery
/ i
or on the front if space permits. Al`�D (f i-l 1•-city
1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes
If YES,enter delivery address below: ❑ No
Sigke rte.17 0/�C/46s Z�
z--2-.2-5-6— C Lety4e, /,,,,,,„,/ W-e4..,
Gl`/�/r! )D i T'1/ i 3. Servile Type
/ Certified Mail ❑ Express Mail
L/ CI Registered 0 Return Receipt for Merchandise
T h IA 6-24 .sG33G ❑ Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article Number
(Transfer from service label) 7003 1680 0001 6073 6583
PS Form 3811,August 2001 Domestic Return Receipt
102595-02-M-1540

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