53159D - Beverage

,CAMA / DREDGE & FILL
3ENERAL PERMIT Previous permit#
W.p4 ❑Modification LLComplete Reissue ❑Partial Reissue Date previous permit issued
rized by the State of North Carolina, Department of Environment and Natural Resources _ I
.-oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
Rules attached
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:ed Agent
CW '�J`W XTA >ES ❑ PTS
OEA ElHHF ElIH '❑`UBA ❑ N/A
PWS: ❑ FC:
Project Location: County P� �� Q.._
Street Address/ State Road/ Lot #(s)
'!SAi---, L.
Subdivision_ SA-ib-4
city.nQ.F �i y zips
Phone # ( ) River Basin ( 4 t
Adj. Wtr. Body 1 oPSPaL <-*Z, (nat /I
yes /; now PNA yes (no Crit.Hab. yes / no Closest Maj. Wtr. Body
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f Project/ Activity Al. IJ—) L X _ w Aa
(Scale: }
ck) length �04— 1 /..---
e Length '` r
not sure yes
s: not sure
ium: n/a yes
yes
kttached: yes
ng permit may be required by: In n
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❑ See note on back regarding River
Soecial Conditions 12'tA A L
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Name Of Individual Applying For Pwmit: �'� I � I � � I JQ,� ° e _
Address Of Prop=y: w-.e
Street R Ciry & Counry)
I haelr► Celft dO1-, wn prop=y adjacent to the above -refer rr=-Vem. ac: iadiv1
bas des=fbed to"&e ;j !; :t-v:n on the araa:::ze;i c awing the deveio pt
they'act PrOPOMS. A de=ipdon or d awiag, �iLL dimensions, should be prov;rletd with
iape�.
i
'M to
10*"*md fb2 s bier, dark, mooring p1linp bmakwamr, boat house of or San
, .
set iac a minitmm dism= of 15, from m ags znLs
Mislz to waive tetbaol►, vtn mitts initial the or a"c tmless waived by IDe. (I f ,
�ProPim blank-, below.)
I do wish to waive the i5' setback ri'.4uirenc.*�
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9:7-1•r

Name Of Individual Appi ** For Pc mat: YL49
Address Of Property:
co
k1ot or Street or Roe, City & County)
own prop=y adjaoem to the abovcqcfer��,. �,,jpem.
2PPIAW pwab has gybed to Ide it. :jhty.-m M tb-,- &Cazaej uaw - - , Wivil
Mg the develops
they UO proposWg. A de=ipdon or draw4, -*hL- &ntemions, sboWd be proviried ,Ith
I he.VP,.
I - l(f-IMSTV-05,77-
mooring piliqp - brmk-w=, boat house, aft or sandbags
must
sK bick IminiMIM die of 15, from my area of
1412� a:=s Imless Waived by mt.
You musi inhw the approprime blank, below.) (If Y
I do wish w waive the
Wish, lbr, -5, 'c
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2725-9D
Old Wrights
pQ c t d Wilmington,
phone 910.
/ fax 910.25(
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Charles Dull. -an 11 2378
121 El Ogden Dr.
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Wily iflytaH, ,VC 28411-9713 ss-isip a 8 �3'D5
the $ �D
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Bart America Advantage's
T 053000196 'A�3
53000196i: 00237135357811'2378 C�!' 3lJ�q r,.