69312D - Stone

CAMA / -1 DREDGE & FILL `D id vl 5�
GENERAL PERMIT Previous permit # A B
�%lew -Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
ized by the State of North Carolina, Department of Environment and Natural Resources
'oastal Resources ommissi n in an area environmental concern pursuant to 15A NCAC (/ J
/ f Rules attached.
Name r/ t'__r Project Location: County r 0
/
/ 'e/ V Street Address/ State Road/ Lot #(s)
State
76 Y718 -Mail RW C ubdivision
Bd Agent Z) City
f
ZIP ZYt/
❑ CW 'Z TW El ES ❑ PTS Phone # ( --�" 1% River Basin
ElOEA / ElHHF /❑ IH ❑ UBA ❑ N/A
y G�O/rd %ut a r
El PWS: Adj. Wtr. Bod
yes <n9' PNA' � / no Closest Maj. Wtr. Body
Project/ Activity
:k) length iC
itform(s)I I I I I I I I I I I I i I I I I I I Z I F I_
nber
i/ RipraP
distance
x distance
annel
iic yards
ip
NO
Adozi
a
Length
not sure yes L/
ium: n/a yes %n
yes i ,�,-/
01
lttached: yes
(Scale: I (I t'
ig permit may be required by: a l� ❑ See note on back regarding River Basin ri
nrnl Plannina hiricriirtinn)

s-
m
0
• \-.)'O J-41OLtA c I A c. , <:,� cJ i,-,

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--------------

Name of Pam{ Requesting Permit Ofww
toactma behalf, fof #ice purpose of aFFiY9 for and ob#ainit
n used development

8/16/2017
David G. Douglas
same
BOLA
2243
$200.00 UP 69314U
8/16/2017
Bald Head Island LTD
same
First Citizens Bank
1564
$400.00 GP 69383D
8/16/2017
Joseph or Susan Henderson
same
BB&T
5903
$400.00 GP 69313D
8/16/2017
Charles or Felesha Stone
same
BofA
1292
$200.00 GP 69312D
8/16/2017
Loqan Marine/David Loqan
Holly Hendrick
Corning Federal Credit
588
$200.00 GP 69212D