56733_JAMES, WILLIAM A JR TRUSTEE_20110311

!JCAMA / ❑ DREDGE & FILL
'Y9 ENERAL PERMIT Previous permit#
New AModifi ri- ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC + . 1? t :tO
] Rules attached.
Applicant Name wjjO ci ry\ A: a-e rn.t � Jr -TC ` - gyp, Project Location: County
` h Street Address/ State Road/ Lot # s j °i Address 4�.r.�►-i F�;,h.,r�l-�. D; () �im�.s v Rai
City `c,n_� J. State._j_�j_. ZIP 14 3 5 tt
Phone # ( ) VJ-1>-S140 Fax # (__) Subdivision � A
Authorized Agent C—1 t i rL( f'uS> vc i` �` City %'�u� n }� ZIP a
Affected ❑ cw f.JEW PTA ❑ ES ElPTS Phone # ( - ) -- River Basin
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body �'� v r {, v c (�v F fit//man /unkn)
❑ PWS: ❑ FC:
ORW: yes /(S) PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body e'-'r {, �'-' c k Sav✓� d
Type of Project/ Activity �� 1 ra � i✓ a; ', : z c
---7
aTatf
Fing
Groi
Bulk
Basi
Boat
Boat
Beac
Oth
°Shor
SAV:
Sand
(Scale: 1 " = L} p' )
E■■
■■■■■■■■■■■■C►
Mo f7 yes no
Phot
Waiv_ : -
n i
A building permit may be required by: i U ,-
Notes/ Special Conditions +
ElSee note on back regarding River Basin rules.
oul I V-
f{ge�rt orA&licant Printed
Name �PPermitOfficer's Signature
i1 y-30-,
S)gpKtur•e v * Please read compliance statement on back of permit'" Issuing Date Expiration Date
Application Fee(s) Check # Local PlanningJurisdiction Rover File Name