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LAMA % ❑ DREDGE & FILL
iEN ERAL PERMIT Previous permit # / r
New ❑Modification ZComplete Reissue ❑Partial Reissue Date previous permit issued,
ized by the State of North Carolina, Department of Environment and Natural Resources _
oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC t `� Rules attached.
Name ,1,, 4 �tlfti 1 tt� 'i `fv1 Project Location: County I--v i I N .isoj I r to..
State 1j.- ZIP f "7(.�
Fax #
BdAgent &t�i2�t1%i� %1i'i� (c:"C-
❑ CW E.3,gW i-;,PtA ❑ ES ❑ PTS
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
Street Address/ State Road/ Lot #(s)
��ob� ���5 i✓,�i�w
Subdivision
City (',A-rc 1S+✓� ZIP
Phone # ( )
River Basin �;
Adj. Wtr. Body �T'f N fi 1�1 Z— at 1i
Closest Mai. Wtr. Body A
yes / no PNA yes / (r96" Crit.Hab. yes / no
' Project/ Activity i-' t \/{Tf-- i" 'S 1'2G C �
(Scale: 1 1 1-
ck) lengthy
,ier(s)
!ngth
tuber
d/ Riprap length
g distance offshore
ax distance offshore
hannel
ibic yards
mp
use/ B tli l k 2 t
3ulldozing
JA-f (b X 10
�t
ne Length
not sure yes
gs: not sure yes o
)rium: n/a yes
yes
Attached: yes I
ling permit may be required by: o X (�J� -i i�"'J ❑ See note on back regarding River Basin
CADREDGE & FILL V
IENERAL PERMIT Previous permit #
New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
ized by the State of North Carolina, Department of Environment and Natural Resources
oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
❑ Rules attached.
Name _ Project Location: County
State ZIP
O Fax # ( )
A Agent �... '�.
❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
res / no PNA yes /, no Crit.Hab. yes / no
Project/ Activity
k) length
;s)
igth
fiber
/ Riprap length_
distance offshore-
( distance offshore
innel
is yards
p
;e/ Boatlift
illdozing
Length
not sure yes
now
not sure yes
�✓
um: n/a yes
yes
p
,tttahed: yes
llb�i3
fig permit may be required by:
Special Conditions
Street Address/ State Road/ Lot #(s)
Subdivision
City
Phone # ( )
Adj. Wtr. Body
Closest Maj. Wtr. Body
ZIP
River Basin
(Scale:
❑ See note on back regarding River Basin n
------ -- ---
'A . . .... ....
, N MARINE CONSTRUCTION INC
iRLES 11. OR KAREN Z. PERRY
P.O. BOX 11046 910-457-5488
SOUTHPORT, NC 28461
85344
DATE si
66-30/531
453
s
DOLLARS
1:0S3100300i:00L,
5312SO231#115