18226D - Hedgecock

CAMA AND DREDGE 7ND FILL
GENERA_ li: 018226 D
PERMIT
0 as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC 14 + I2tX.)
u� e 910((�v t Or j 0'41
Applicant Name �A' t� � �OCk-- Phone Number
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Address P •0 + X 8a(c) ,
City GTe-ensboro State �`� �U Zip eD/L41
lelsor
Project Location (County, State Road, Water Body, etc.) S5- 1QW ` O U� ` (W' A "n Ac I've.
Sns rtl 1 Nv Pzi �kJ .�. ('r;rn ,�f
Type of Project Activity oA-LOOS(' ) 1 6a- -- fe_QflC T` 1" n'�V` �e)
1 X r d r,r. CooP boP►A t ot>t e ; IV i to
do ck. P‘r,d tooflf bovse_ pew 5+ toe- PsN-1tn1 r \u m oP BO' M TN, nr la......atr
of AT'vwtA) c1 to ykyn-e 1 - MtA s4- me- _,A- ►5' st4 6Ae L (1sir-1 e_7'--
PROJECT DESCRIPTION SKETCH Aiv) KJ (SCALE: )
Nor To
Pier(dock) length iCQVJ
4" u A deJ �� 161
Groin length
NV
number aQ iga$
Bulkhead length ( le
max.distance offshoreYA1:11\ fi
Basin,channel dimensions \ I
ya i eip IncerNe-fc
cubic yards
V j i I w 4 \ by
Boat ramp dimensions �( I
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Other . ,�/ � �tJ
hc,Ak- hnus eJ W v/
►`� X+ a � � �M�s�, ►ICE ' \Y V V
mill, tip` doc v v
x;s--,11�
zeki
This permit is subject to compliance with this application, site (0,,,../_____ td 1
drawing and attached general and specific conditions. Any
____
j��l� _— -
violation of these terms may subject the permittee to a fine,
applicant's signatun
imprisonment or civil action; and may cause the permit to be-
come null and void. vv°1
This permit must be on the project site and accessible tote l permit officer's signatun
permit officer when the project is inspected for complianc (�(��
The applicant certifies by signing this permit that 1) this pro- Q.- rifle �-+ 1 I I6
ject is consistent with the local land use plan and all local ' issuing date expiration dat
ordinances, and 2) a written statement has been obtained from adjacent riparian landowners certifying that they have no 114 • I2°C
objections to the proposed work. attachments

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: eZPI‘,It Cal +I CO Ck--
ADDITIONAL NAMES:
AEC DESIG: T E DEVELOP AREA: _ O 3 PROJ DES C: - fa.
(Will only lake 6) ———
(Will only take 1)
WORK: S o1(Q x I Co' f 1, I(Dd' )C-,l
(Will only take 4) `C
MAINT:
(Will only take 4)
IMP: O c.J `-f I(Q L M (0 4 O
(will only take 6)
o w
ACTION EXPIRATION
DREDGE&FILL REQUIRED: • CQ — 3—0)6 9 -3-q 6
CAMA MAJOR DEVEL REQUIRED:

3SENDER:
•Complete items 1 and/or 2 for additional services. I also wish to receive the
n ■Complete items 3,4a,and 4b. following services(for an
u ■Print your name and address on the reverse of this form so that we can return this extra fee):
n card to you.
• •Attach this form to the front of the mailpiece,or on the back if space does not t. ❑ Addressee's Address
v permit.
y ■Whte'Return Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery
c ■The Return Receipt will show to whom the article was delivered and the date
• delivered. Consult postmaster for fee. !
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7 3.Article Addressed to: 4a. icle Number32 �7
P. ( t /i// ! / i
- A,Ar)S� 4b.Service Type 4
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c p f I wote9 (- 0 Registered Certified ci
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JO 7. Date of Delivery _�
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D 5. Received By: (Print Name) 8.Addressee's Address(Only if requested
u and fee is paid)
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6.Signal e: (Addressee or Agent)
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PS Form 3811, December 994 Domestic Return Receipt

t`. SENDER:
CD
■Complete items 1 and/or 2 for additional services. I also wish to receive the
rn ■Complete items 3,4a,and 4b. following services(for an
y• •Print card toourr`name and address on the reverse of this form so that we can return this extra fee): c
Y
■Attacc f this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address •C
a) ■Write'Return Receipt Requested'on the mailpiece below the article number. c
d P 4 a 2. ❑ Restricted Delivery �
t ■The Return Receipt will show to whom the article was delivered and the date
c delivered. Consult postmaster for fee. c
o a
dl 3.Article Addressed to: 4a Article Number a
P',iI X,nM1�V�1� Z. L 7 // D3zS
a -
E - 4b.Service Type e
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a zy C?C('� Pxr oc-' ❑ Registered cr Certified a
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vi 0 Express Mail \G D Ensured
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a
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Cy Cr'C.T- W 0Return Recei i�Merdl� ❑ D r.
a bltr' I 7. Date of Dell
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M 5. Received By: (Print Name) 8.Addressees Caress(Only if recitkes Ai
w and fee is poi CC p68 1
g 6.Signature: Addressee or nt) ,,
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PS Form 3811, December 1994 102595-97-B-0179 Domestic Return Receipt

pAV DINEJCUSTONM DOCK SERVICE Q 66-763/531
0 .� — L �+
A SOBOXY, N DATE
SURF CITY, NC 28445
K OROR OFE (�/Y h
`g E . $ ,5) q
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Wnchovin Bank,N.A.
kokeum ilk,. I
y FOR
1.053 L076331: 4 LB 0061-+ 3 20 L079
.AN
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