30423D - Pollard

0 CAMA / DREDGE & FILL 30423 -
GENERAL PERMIT Previous permit#
> Z _ New Modification Complete Reissue Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources n i 1 j )3
and the Coastal Resources Commission in an area of environmental concern pursuant to I5A NCAC . I 1 l ! .
^I Rules attached.
Applicant Name ,D d Pr; Po i i4 r L Project Location: County /Y t v� f e-6,A. ye r-
Address '`� I ! lit I.h )j Rock kd Street Address/State Road/ Lot#(s) 1-p4- / 0
City 0 W �-^
61KC Y .7reST State NC- ZIP) / c ill a.2A 0Cf,tA.A. LAJC si
Phone# ( ) Fax#( ) Subdivisi n (0 C C-t A & .
g r /V r'+'� City ( ec ZIP 21 14).w
Authorized Agent , 1 A+M r•t 7 CC( f^�
L CW ❑EW ❑PTA `iS ❑PTS Phone # ( ) River Basin C5,4 ( Fe 4
Affected
AEC(s): C OEA ❑HHF ❑IH ElUBA ❑WA Adj. Wtr. Body�r''b d k r,� 0H i4 W►A1 ( af [man /unkn)
❑ PWS: 7FC: [� '
ORW: yes / no PNA yes /€io Crit. Hab. yes / no Closest Maj.Wtr. Body ` ' 1
•
Type of Project/Activity LOn,S 4r.“..4 ti/Pr DA cp-(' bJ/K n!ad a /l „,(4 u I2,1� t r- /q n C Wu. C
„,f -P1, )e c( 410`i >.e. l inre.j I''/• 4l1 � , .1. 1,- . C R 0 l 1(D(-4 f, J (Scale:ND,/- )
Pier(dock)length - (VP I,!
Platform(s)
Finger pier(s) -
Groin length _
number
Bulkhead/Riprap length
ayff.
avg distance offshore /
max distance offshore - - lJ y ie '" y r tk ii if
Basin,channel - -
—"�? " -�- -
cubic yards �1^-._„—
- Ua✓4/,c a�i ��J-
Boat ramp ley �t/r O I r yC 4,
' W u�
' 7
Boathouse/Boatlift G
e_ ( b1 C'-t i'i 'r
1
Beach Bulldozing - j.� L j
Other �� [ ' -'n E
,
--S. M-CCI:Ad rt.Mc„,-6 . •
I
Shoreline Length y '. 1/ \,,
SAV: not sure yes ./
Sandbags: not yes
Moratorium: , n/a yes \ .
Photos: E.
Waiver Attached: yes no ---- -- -------.____._.-_--
A building permit may be required by: ' r v Ai a-C C rJ)1" -� a" 4. 7 See note on back regarding River Basin rules.
Notes/Special Conditions
orr < 22cu,
Agent or Applicant Printe Name '
` � / Permit fficer'SSignature
b li `J ci_ (_
Signature **Please reacompliance statement on back of permit ' Issuing Date Expiration Date
4 i °°,`-` - - /! -.5 ^, PSI, is) 06II
Application Fee(s) Check# Local PlanningJurisdiction Rover File Name

Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become
null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The
applicant certifies by signing this permit that I)prior to undertaking any activities authorized by this permit,the applicant will
confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian
landowner(s).
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief,certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar-Pamlico River Basin Buffer Rules Other:
Neuse River Basin Buffer Rules
If indicated on front of permit,your project is subject to the Environmental Management Commission's Buffer Rules for the
River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of
Water Quality. Contact the Division of Water Quality at the Washington Regional Office(252-946-6481)or the Wilmington
Regional Office(910-395-3900)for more information on how to comply with thesebuffer rules.
Division of Coastal Management Offices
Central Office Elizabeth City District Washington District
Mailing Address: 1367 U.S. 17 South 943 Washington Square Mall
1638 Mail Service Center Elizabeth City, NC 27909 Washington, NC 27889
Raleigh, NC 27699-1638 252-264-3901 252-946-648I
Location: Fax: [phone] Fax: [phone]
(Serves: Camden,Chowan, Currituck, (Serves: Beaufort, Bertie, Hertford, Hyde,
Parker Lincoln Building
Dare,Gates, Pasquotank and Perquimans Tyrrell and Washington Counties)
2728 Capital Blvd. Counties)
Raleigh, NC 27604
9 I 9-733-2293 / I-888-4RCOAST Morehead City District Wilmington District
Fax' 91
Fax: 9I 9 733 I495 15 I-B Hwy. 24 127 Cardinal Drive Ext.
Hestron Plaza II Wilmington, NC 28405-3845
Morehead City, NC 28557 910-395-3900
202-808-2808 Fax: [phone]
Fax: [phone] (Serves: Brunswick, New Hanover,
(Serves:Carteret,Craven,Onslow-above Onslow-below New River Inlet-and
New River Inlet-and Pamlico Counties) Pender Counties)
Revised 10/05/01

•
0 k , _.....
. � 4� APPF�_ ID3. V
PERMIT NO: COUNTY:
6. _ SBODY:
C DESiG WAY. .rR
APPLICANT - : ) 6 <../ P,17/1
ADDITIONAL NAME(S) :
Ig..ILING ADDRESS: -
- PHONE:
CITY: STATE: ZIP:
PROJECT LOCATION:
INCLU :,_CITY OR L 1.1...TY - (WHEN DIFFERENT FROM MAILING ADDRESS)
IDS A : — — 009 PROJECT DES C! r — / L T g : -
( ) LONG (Y) :
(E) -f q — _ _ _) (_ _ _ _ _ _ _ _ _
�� CODE LENGTH WIDTH DEPTH CODE LENGTH WIDTH DEPTH ,
*�+h'T- (_ —) (_ _ _ _ _ _ _
CODE LENGTH WIDTH DEPTH CODE LENGTH WIDTH DEPTH )
66- - - - - -L Th) ( ) (
CODE SQUAREFEET CODE SQUARE FEET )
CODESQUARE' FEET
- ACTION EXPIRATION
DREDGE AND 17TT,T, R^QUIPED: •
CA EATOR DEP..LOP► ENT REQUIRED: r
A
****x*************** c***i**** :**********************tit:ski*********************
- E3 CD PDR CSC :DESIGI oxs
•
Or" — Dcaan :Hazard .- - "CW" — Coastal vIe ?�nL�s -
EW7n — :::•stuar!ne .Waters • _ _ R-^ st
rC _Fragile�gil_o
Coastal .hata1/CL1�.u=�?
ES" is tuar1ne .Shoreline _ - "PW" :— Publ-i c Water SuDDly
PT" — -Thin- is ` rust : _ • -_ CDR" Dutstaridin r e
- - _ g esou_c Water '
- - •
- - CODES :FOR R.OJECT - '
?" Private, -usually an :•ndividu - • - =I n _aQaral - - -
=2 -CommerciZ. . - - - a�,n ?ocal Cave Qn� '
7n Veil ty - - • Development-.�. _ _ "El" Housing: �CDIIIa17L� _
;" State _ - - -•- "0" Other -
- -- - -- _ CODES OR 'DESCRIPTION - y - _ : -
•
-
1" Bulkheads, 3.inran _ - ` - "2.6" -Utility Lines2" P19rs Docks, 3oaihouss - - _ 17" n•melgenes _Repairs' .3" 3ca� Reams
n, g n Beach Bulldozing
'
4" 1Yooden C=Oiis -• - - " tt !Temporary
_ - .- � Structures
51Z �a i nten nce of 3as-ir.s, Channels, Ditches -

• j it{is i Itki-i of �hli'li�ilifft nft 11iTh�idki+ • ;�!i
I ll"11.11%nIM 111Tirl ur lnnun.fed ii 1:l nl n•rn rr SInhl t
I. • FAH);i-[ IMS MR UL:ScItll'1'tp•V nK 3I tI nllrt)AiII:AS "I!t
�' ' Cdb6. FY1'E di I18V6Lt1p116ii1,
ifESCltflil li)11 EX�1fIhLb (f)Inlnulons In up,nrr frig i lcn�el4mdsr,17, 1 • i 'Ve
! „^b° Abbeii3 bitoitite'iii ltii6i iliiib4il{ iJ•
fd4iii de '4It " findon srECXFzd •
�: 'h°=+
A 1'tl�le1 nl i'bgZ r Acibii►zfii=q ' ennui IMPACT besenzrrzolf ' • I '.411i
lviibtll{ i+ldtll ' ' ii ft I
l "AS"' Artitielnl eaeyiide"d An2tf01b0 EXAMPLE .,I+,rp
„As" ioiibtli► WidtI ' "ASSobiitlb" '• i :teach or est; itdbil3s ... ,i 'Pa
I'Db" Boat beelni ail' i t j - • Nooded etlamp . • N. 1 .1-;`IS
li �6.• 4H i# hb�" "WS" i; ^ ^ "
• MbL� Doabltll�tlength)
it i l:' iliili4ti Bbisb►stf{_fy6 "ox"
ioIi tli :. . "dltl5o" • s "CY150" ;
iolibt tt Width "uLxS; '+ GUiso
bh„ . , bonbli• iibdrleitmdlit' leHbt�i{ iildth ,,' „ ih "CE'i ceder • " !
"Br". bbdt•rafnp f DIfi5011►Db" •
! CE150 .; A
"SD" bridfie r,I . ' ietbtlii ilidtit ' . 1 " • i'* }(aria • " "
blOsts " "rd" ,� sltlso
"Bs" ' Boat hoJa�i leiibtHl Nld4lt.i ; i'bti7blBVH "Ili^ * • rocoein "rays°" . 'ttfi
6 " idlibt)it ifldtll !',..,' , "bs7tf 20" Maritime
nnr Sorer( "iIlI 90 'jt!
"DO Brehktiiter ibI i • gt ., ► "nH^. �' High mare)( "1111390"
"CUii bt i ; '• ,•,:,:.� ,� "bNi50N ;, ;;
" „ Ci;tiie cioeillit¢ luiij(tit' hdC275" •
NM" Juncub roemerienus • "JA30" �.;'+•'
I !DO bvtidd exphneion • 1''.;, 1 Uttitii ►ieiiitikla4inb "CE45ifib" •
(black heedlerueh) `'<°:rii
.00 . Chnpprbdlid ibHbtlil ifldtli-i :,. % " B • "SY" Spertlna cynosurolees "'SY60^ ;-».F.
"CD't boiidd 1 Udotb hdl"ii� r dtis1400 i.,
!' { g ' t "Ci)bll►45N (e■it or DSant reed prase) 'i ,.:i'
"COd CUlveo t i( ip4Ni ifliitii.i" _'' .. "CV60i 15i1 "sr" 6pertlna patens "sr35" i f'f
„, d Ctllve jie ditch 16itji4li{ itldtltl, dhji4ii. "bb90tlii2►-6'i' (salt meadow prase) ' �. 1
BG boiphlli : hilmbbh x.. ',I ' "MA" "DS" bietichl or erica(■ "t1S5o^ t
nnsn lirys4ilclt e4driipe; ieiip4itl iild4iii' iieil;li4 "f)5200175►§tld • }salt spike grass) :S
eEL" rlbi.liLi' hdad ' ibhittli{ lrid4ii -"!Lin►ib" "5S" . salieorni■ ep, "seen" ' !
"FB" ,pill tnbiii{ slip !!ilipthi iJldtlii ilei,4lt "kb30Ul5ti .4" •
(Qlassi,ort) ,
lc_ rill botidli &Iti►ititei iofibtliJ Nld4Hi' deptli "KC300i6bi=4'+ "Ls" - Limonium ep: "LS40" • ,,;•
"MO hill initial : lii0041 'iiidih . "itibb{75" (sea lavender) ; �,��
"KI" Pill; peiiotiil '` ieflp41i1 i+ldEl;{ 'asbtli' "FI3o0,5oi=S!" "SC" 6cirpds "SC20^ • 'i';`4AF
"rI", toil for kbad (bullrush or three square) ' ! '�i'
18Hbtli) kidtfii dbpth "t1t976,50)-2" -t;""
: "FS" riontini etidettira • ififibtlfil irldth (Use thin dilly trhbn "CJ" Cl(saw ramalcenee "CJ27" r;!ff�!
(sew grass) ' `_ I;i!=,
"Wig iirolit ' '' Hii'otiibi• eddd 1Fl4ei "sA" Bportilla alternaflor■ "SA75" ";'"1
ib{i Elii iiltlth i'Gn2noi2", ,;4"Ildn hotel) ino�6o colripiex ibfiptlii' Width iielpht "110450,75,50" • (salt marsh eordpraee) •,
•
• Ihf 1liphirny► etkeat ibilbthl'i)ldtll ^ n "ri" Iypha ep. "rYa2" ,-+
"it" ,. ,fatty. ibhgtli� iiodth i'ltiti000 r0 (cattail)
"MA" "..lt bi2" i
!ltirlhii i' of 3 ljis "•'• "iU15b„ • "BF" Borrlchia Sruteseetu "DF42" l
. "ilk" Martha eiibilAiloli 0 souls ilai){ OAletiili f'tielbt20iiore oxeye) st3
"iII'i !titivation • length). Width " „ "Zr"" „ • Iva e: ,h scene "IF76"
"ilfl" ilvorliiQ plilul7 11250t5 (ma: rh elder) .,rl
"HP" flooring niniiher • "HRS" "ill" rhragm)_sr sp, ^rll6o" of:J'
irhpttii •irlti4h Ririe this tadir •Then ts;
"dP" oU4tnli ip kW other i itdd 114 f ";,ii' +" • i.p�) a s1, "LPISO" ►`)d,
• h r dinMetO1 lit "; lbltbth "oI'G120ob'i ,y:i,
MUTE. This le itdE ii aoifbi ilfi6 eztbitsloit lhtloss i4 resdl4s {,'
lot ti diechnra 40 li4tite $stern; tor example; a WWTP+M • "Sn" s• pertlna elternord r "SAe0" `1,4,
il'ilde ib pope IibUid• ie "0pfi Isalt marsh cord grass) . f _
"or^ 0ttilit •
"di" • "old" * High Ground "11G150° r.,!;
19
_ - • (includes !poll dleposel) y.""PC" ripeliit: cldiidinii diaMb4er in.!'; lbitpLh "rC0;450" • -
"rI•" Parking ibt ' leiibth{ With i P410Dt50„ nd{{^ * dpen.Hater (Vee with piers.
"DH90G" yi:fi,"PH" rent inihine, Icrbs "1.1150', mooring pilings elc, where aa,:
"rn" Pier or dock ibrptifi 4ii,ilt�i ' iirn160,6" there is little bottom .r,;:;4
"nfl" hieriio leiilitlii (+ldtfi "hlti50,S" dlstuzbance.) , , ,',¢ +
"Su" Cable; pope croisiitg *✓*lib ibfibdr ilsedlil �iy
51) Subdlil�eiofi i ibttil tiitni ncroe I'5o,I2iso,I "SD„ ■ Sheilot+ lfatet lkh ed 'Sn5S0" 1 ,!.Jg
"sr' subdlvielofi bitpeneibii i IOU hetit tikletliiii • "SE20t5tlil IUsed for buikh(■de,
"TE" 1'lbi T head ii' " "+'1 s
iefiptli{ kldtli TE20,6 excavation ate. wirers ct,:;,,
there !s ■ major alter-
'
atlas to 4he bottom.) !'+!
" -AO•
"BC" * Beach DCISO c;:: E
•
•
"DV' * Dune "01f200 ;i.y:
"GB" * Submerged Draesbeds "OBIS"/
-1fa
•
f,l:
.i
•
"WL" * COE designated wetlands " Mod 75' Aix
(Use whon•othor species "' <
are•
present, not lost- „',
I ed elsewhere),
__• • t !1. 11,. - .ad"" .•r,lp wh-.. ,,� "re not notes.
.. .. -.. .. - .. , i.U.

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,� - LIDttFI L W.HOOD IN(6ILLY)
q PROFESSIONAL LAND SURVEYOR
: STREET
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S PHONE[phone] t
• S1 FAX[phone]
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2 WII,NIINGTUN FIELD OFFICE
Lo Randy Stoe, er
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i'ilAP OF SURV1'Y
FOR
wr,..CT_NS L. 0 WI.LY,IN I'-ClN52110C:TION

U.S. ARMY CORPS OF ENGINEERS
Wilmington District
Action Id.200200865 County:New Hanover Quad: Carolina Beach
Notification of Jurisdictional Determination
Property owner:Robert Pollard Agent: Wilkins and Wilkins General Contracting
Attn: James Wilkins
Address: 2141 Rolling Rock Road 1204 North Lake Park Boulevard,Unit A
Wake Forest,NC 27587 Carolina Beach,NC 28428
Telephone: [phone] [phone]
Zone: 18 UTM:North: 3772475 East:233676
Size and Location of Property(waterbody,Highway name/number,town,etc.): Approximately 0.30 acre located at lot 10 in
Oceana Subdivision,west of Canal Drive,adjacent to the Atlantic Intracoastal Waterway,in Carolina Beach,New Hanover County,
North Carolina.
Basis of Determination:There are wetlands on the site described above(see attached wetland data sheets)that are adjacent to the
Atlantic Intracoastal Waterway. This determination is based on a field visit by Angie Pennock on May 15,2002.
Indicate which of the following apply:
. There are wetlands on the above described property which we strongly suggest should be delineated and surveyed. The
surveyed wetland lines must be verified by our staff before the Corps will make a final jurisdictional determination on
your property.
. Because of the size of your property and our present workload,our identification and delineation of your wetlands cannot
be accomplished in a timely manner. You may wish to employ a consultant to obtain a more timely delineation of the
wetlands. Once your consultant has flagged a wetland line on the property,Corps staff will review it,and,if it is accurate,
we strongly recommend that you have the line surveyed for final approval by the Corps. The Corps will not make a final
jurisdictional determination on your property without an approved survey.
X The wetlands on your land have been delineated, and the limits of Corps jurisdiction have been explained to you.
Unless there is a change in the law or our published regulations,this determination may he relied upon for a
period not to exceed five years from the date of this notification.
• There are no wetlands present on the above described property which are subject to the permit requirements of Section
404 of the Clean Water Act (33 USC 1344). Unless there is a change in the law or our published regulations, this
determination may be relied upon for a period not to exceed three years from the date of this notification.
X The project is located in one of the 20 Coastal Counties.You should contact the nearest State Office of Coastal
Management to determine their requirements.
Placement of dredged or fill material in wetlands on this property without a Department of the Army permit
is in most cases a violation of Section 301 of the Clean Water Act (33 USC 1311). A permit is not required
for work on the property restricted entirely to existing high ground. If you have any questions regarding the
Corps of Engineers regulatory program,please contact Angie Pennock at(910)251-4611.
Property owner/Authorized Agent Signature Project Manager Signature
0-PAA.Aitook---
Date June 10, 2002 Expiration Date June 10, 2007
SURVEY PLAT OR FIELD SKETCH OF DESCRIBED PROPERTY AND THE WETLAND
DELINEATION FORM MUST BE ATTACHED TO THE FILE COPY OF THIS FORM.
CESAW Form 566

t NOTITICATIQN OF ADMIN SiI'RATIVEAPPEAL O )IONSVD PROGEgS AND r
EQ
L2 VEST FUR APP
Applicant: Robert Pollard File Number: 200200865 Date: 06.10.02
Attached is: See Section below
INITIAL PROFFERED PERMIT (Standard Permit or Letter of permission) A
PROFFERED PERMIT (Standard Permit or Letter of permission) B
PERMIT DENIAL C
X APPROVED JURISDICTIONAL DETERMINATION D
PRELIMINARY JURISDICTIONAL DETERMINATION E
SECTION I The following identifiesyour;rights and options regarding an administrative appeal of the above
decision: Additional".information may be found at http://usace.army.mil/inetifunaionstcw/CeCWOIreg or
Corps regulations at33 CFR Part 331.
A: INITIAL PROFFERED PERMIT: You may accept or object to the permit.
• ACCEPT: If you received a Standard Permit,you may sign the permit document and return it to the district engineer for final
authorization. If you received a Letter of Permission(LOP),you may accept the LOP and your work is authorized. Your
signature on the Standard Permit or acceptance of the LOP means that you accept the permit in its entirety,and waive all rights
to appeal the permit,including its terms and conditions, and approved jurisdictional determinations associated with the permit.
• OBJECT: If you object to the permit(Standard or LOP)because of certain terms and conditions therein,you may request that
the permit be modified accordingly.You must complete Section II of this form and return the form to the district engineer.
Your objections must be received by the district engineer within 60 days of the date of this notice, or you will forfeit your right
to appeal the permit in the future. Upon receipt of your letter,the district engineer will evaluate your objections and may:(a)
modify the permit to address all of your concerns,(b)modify the permit to address some of your objections,or(c)not modify
the permit having determined that the permit should be issued as previously written. After evaluating your objections,the
district engineer will send you a proffered permit for your reconsideration,as indicated in Section B below.
B: PROFFERED PERMIT: You may accept or appeal the permit
• ACCEPT: If you received a Standard Permit,you may sign the permit document and return it to the district engineer for final
authorization. If you received a Letter of Permission(LOP),you may accept the LOP and your work is authorized. Your
signature on the Standard Permit or acceptance of the LOP means that you accept the permit in its entirety,and waive all rights
to appeal the permit,including its terms and conditions,and approved jurisdictional determinations associated with the permit.
• APPEAL: If you choose to decline the proffered permit(Standard or LOP)because of certain terms and conditions therein,you
may appeal the declined permit under the Corps of Engineers Administrative Appeal Process by completing Section II of this
form and sending the form to the division engineer. This form must be received by the division engineer within 60 days of the
date of this notice.
C: PERMIT DENIAL: You may appeal the denial of a permit under the Corps of Engineers Administrative Appeal Process
by completing Section II of this form and sending the form to the division engineer. This form must be received by the division
engineer within 60 days of the date of this notice.
D: APPROVED JURISDICTIONAL DETERMINATION: You may accept or appeal the approved JD or
provide new information.
• ACCEPT: You do not need to notify the Corps to accept an approved JD. Failure to notify the Corps within 60 days of the
date of this notice, means that you accept the approved JD in its entirety,and waive all rights to appeal the approved JD.
• APPEAL: If you disagree with the approved JD,you may appeal the approved JD under the Corps of Engineers Administrative
Appeal Process by completing Section II of this form and sending the form to the division engineer. This form must be received
by the division engineer within 60 days of the date of this notice.
E: PRELIMINARY JURISDICTIONAL DETERMINATION: You do not need to respond to the Corps
regarding the preliminary JD. The Preliminary JD is not appealable. If you wish, you may request an
approved JD (which may be appealed),by contacting the Corps district for further instruction. Also you may
provide new information for further consideration by the Corps to reevaluate the JD.

.ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
■ Complete items 1,2,and 3.Also complete A. Received by(Please Print Clearly) B. Date of Delivery
item 4 if Restricted Delivery is desired. // a.)
■ Print your name and address on the reverse
C. Sign. re
so that we can return the card to you. Addresseet
Agen
■ Attach this card to the back of the mailpiece, X � �� / 0 El
or on the front if space permits. ` s t�
D. Is delivery address different from item 1? ❑ Yes
I. Article Addressed to:
If YES,enter delivery address below: ❑ No
Clifford Schwenker
2606 Drevy Court
Kennesaw, Ga. , 30152
3. Se�c'e Type
-' Certified Mail 0 Express Mail
O Registered 0 Return Receipt for Merchandise
O Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
?. Article Number(Copy from service label)
o Vo--10 9 •?t C> c3aCg
'S Form 3811,July 1999 Domestic Return Receipt 102595-00-M-0952

UNITED STATES POSTAL SERVICE First-Class Mail
111111 Postage&Fees Paid
LISPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
Wilikns & Wilkins General Cont .
1204 N. Lake Park Blvd.
Carolina Beach, N.C. , 28428
IElid I I IIII I II III I I I III I III!L„I IH I IHAII".,E„IIIII,I

ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
■ Complete items 1,2,and 3.Also complete A. Received by(Please Print Clearly) B. Date of s-Ii en
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse C. Signature Clil�
so that we can return the card to you. 'Agent
■ Attach this card to the back of the mailpiece, X / 0 Addressed
or on the front if space permits.
0. Is delivery a•.ress different from item 1? 0 Yes
I. Article Addressed to: If YES,e -r delivery address below: 0 No
Mr. Randy Stoeker
2948 Cypress Circle
Ames. Ia, 50014
3. Service Type
❑Certified Mail 0 Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
?. Article Number(Copy from service label)
.� cc-O IL-30 OcxD° -30tD OaS�
'S Form 3811,July 1999 Domestic Return Receipt 102595.00-M-0952

UNITED STATES POSTAL SERVICE First-Class Mail
Postage& Fees Paid
US°S
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
Wilkins & Wilkins General Cont.
1204 N. Lake Park Blvd.
Carolina Beach, N.C. 28428

SEC 1QN II -RE( t.ES”OiAPPEAL,O EOBJECTK NS TO A ITIAJ P 2�:..OEFERED PER14IT
REASONS FOR APPEAL OR OBJECTIONS: (Describe your reasons for appealing the decision or your objections to an
initial proffered permit in clear concise statements. You may attach additional information to this form to clarify where your reasons
or objections are addressed in the administrative record.)
ADDITIONAL INFORMATION:The appeal is limited to a review of the administrative record,the Corps memorandum for the
record of the appeal conference or meeting,and any supplemental information that the review officer has determined is needed to
clarify the administrative record. Neither the appellant nor the Corps may add new information or analyses to the record. However,
you may provide additional information to clarify the location of information that is already in the administrative record.
POINT OF CONTACT FOR:QUESTIONS OR INFORMATION:, $ *s
If you have questions regarding this decision and/or the appeal If you only have questions regarding the appeal process you may
process you may contact: also contact:
Ms.Angie Pennock Mr.Arthur Middleton,Administrative Appeal Review Officer
United States Army Corps of Engineers or [phone] CESAD-ET-CO-R
Wilmington District,Regulatory Division U.S.Army Corps of Engineers, South Atlantic Division
69 Darlington Avenue 60 Forsyth Street,Room 9M15
Wilmington,NC 28402-1890 Atlanta,Georgia 30303-8801
RIGHT OF ENTRY: Your signature below grants the right of entry to Corps of Engineers personnel,and any government
consultants,to conduct investigations of the project site during the course of the appeal process. You will be provided a 15 day
notice of any site investigation,and will have the opportunity to participate in all site investigations.
Date: Telephone number:
Signature of appellant or agent.

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