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AMA / DREDGE & FILL N? 4 5'7 9 (0-,
GENE L PERMIT Previous permit #
X19ew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
thorized by the State of North Carolina, Department of Environment and Natural Resources
ie Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC �jQO
/'� —� [Rules attached
. ( ,.
cant Name i \ l Vk t- �Zj Project Location: County T
:ss Street Address State Road/ Lot #(s)
Stat ZIP�J�J 7 ZL
= #) 7 Fax # () Subdivision
)rized Agent City i _ p�-,( ( - ZIP
:ed ❑CW SAW A ❑ES ❑PTS Phone # ( ) River Basin l
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
') PwS: ❑ Adj. Wtr. Body nat unkn
yes no PNA yes no Crit. Nab. yes / no Closest Maj. Wtr. Body
of Project/ Activity I I �- &L �, , C o r1 f & n a 11,�
(dock) length
w pier(s)
i length
number
lead/ Ripraplength
avg distance offshore
max distance offshore__ r
chann ��--
o ,
cubic yards 4
ramp _ fu
louse/ Boatlift
'--� — "O _
CC,-
N emu-
i Bulldozing
r
,tine Length
not sure yes �o
1
lags: not sure yes o
Corium: n/a yes
i
)s: yes
j
:r Attached: yes o
Iding permit may be required by:
U
s/ Special Conditions WI y fJ[n . 1 -i r ) 1n,:
I
(Scale: � )
ID i L5 oo 60<;—�
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❑ See note on�bac regar ing#
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or III rinted
�e*j* Please read complian a statement on back
of permit **
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Date
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AUG 1 9 2008
Morehead City OCM