63114D - Rabon

rCAMA / DREDGE & FILL �' '
1ENERAL PERMIT Previous permit#
7-
New ❑Modification [-�tomplete Reissue CPartial Reissue Date previous permit issued 1V
•ized by the State of North Carolina, Department of Environment and Natural Resources
:oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC %H .2—Cn O
Q ❑ Rules attached.
t Name .61 u- A WI i Project Location: County
4o4 W, 6kW wj(L S7
)U I? j State (, ZIP
fl jn 44Z " L-Z%'S Fax # ( )
ed Agent:AAALY' I, td; (l iltKt sue --
Street Address/ State Road/ Lot #(s)
AMG
Subdivision
CityUTlt'tZIPZ &4t�,
CW i�Ew PTA ❑ ES ❑ PTS Phone # ( ) River Basin
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body /4 i 1/� W na /r
❑ PWS: ❑FC:
yes //tio ; PNA yes /jfFo; Crit.Hab. yes / no
Closest Maj. Wtr. Body A t \-AJ W
Project/ Activity j tq�T LL �� - NC , i' _ W iTft-' ti L 1J
A) length
er(s)
igth
nber
I/ Riprap length
distance offshore
distance offshore
annel
is yards
P
R// batljftr' � �. k 1 Z
Ildozing
- - ■■�i�■�riirw�ivi��
■ ■■ /■�fil1� ■�'1� A
TIN■■■■tit
R
(Scale: ( I. 1`
❑ See note on back regarding River Basin

:.AMA / ❑ DREDGE & FILL
ENERAL PERMIT
Previous permit
Jew ❑Modification [I Complete Reissue
❑Partial Reissue Date previous permit issued
:ed by the State of North Carolina, Department of Environment and Natural Resources
oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC ❑ Rules attached.
Name
Project Location: County
Street Address/ State Road/ Lot #(s)
State ZIP
Fax # ()
Subdivision
d Agent ; {� E ' CiZIP
ty
❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS
Phone # O River Basin
❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A
Adj. Wtr. Body (nat In
❑ PWs: ❑ FC:
Closest Maj. Wtr. Body
es / no PNA yes / no Crit.Hab.
yes / no
Project/ Activity
(Scale:
k) length
igth
nber
I/ Riprap length_
distance offshore
x distance offshore
annel -
>ic yards
ip
se/ Boatlift
1 =
ulldozing
e Length '
I i
not sure yes no
E—
,s: not sure yes no
_f
•ium: n/a yes no
yes no
Attached: yes no '
ing permit may be required by: ❑See note on back regarding River Basin

"AN MARINE CONSTRUCTION INC , . ...... ......... .......... �RLES H.OR KAREN Z. PERRY
P-0- BOX 11046 910-457-5488 85344
SOUTHPORT, NC 28461
DATE 66-30/531
'�&ZAF 3 453
$
low 1 c9e:P'
DOLLARS
':0S3100300t:nm q
. ..........
. ..........
. ........... . . ......