45821D - Petkeuskes

7CAMA / DREDGE & FILL
GENERAL PERMIT Previous permit # y e 9)'
New ❑Modification ?Iomplete Reissue Partial Reissue Date previous permit issued 2 2
>rized by the State of North Carolina, Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC 2/ ' .
les attached.
it Name. xC%lo S Project Location: County 2 z1N f AV i ch'
j UG 9 41v ,✓ cG✓ v,v al Street Address/ State Road/ Lot #(s) 4 74. 2 S�
State/J'C ZIP 27'/4/ C4S, de �✓A,.
( /0) y� 1— 2 7// Fax # ( ) Subdivision
zed Agent I%Ar( /' C" l e y 101-6 City 73 e/ V -e ZIP
I ❑ CW C3EW 6o f A E3TS ❑ PTS Phone #
( ) River Basin
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body,q&a,,, wic% /� urn nf_
1-1PWS: ❑ FC:
yes - PNA CT AJ
no Crit. Hab. yes / no Closest Maj. Wtr. Body
f Project/ Activity
xk) length 2 "X * 0
A
n(s)/G, /b CG,rd
E
_
-
)ier(s)
mgth
amber
id/ Riprap length
f
i
g distance offshore
ax distance offshore
'
hannel
1
ibic yards
�....... ,
-
mp
-.....
_
-
1
ise/ Boatlift
lulldozing+—T_
1,7
ie Length
i...._
not sure yes no
v
s: not sure yes no
LLIP
rium: n/a es no
y
yes no
4�
't
I_
Attached: yes no--
n
(Scale: / ' '