50388D - Figure

CAMA / DREDGE & FILL
GENERAL PERMIT Previous permit #
� New ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
horized by the State of North Carolina, Department of Environment and Natural Resources ry /
e Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC f7 + 7
{ / Rules atrac ed.
ant Name r f� �� ' .�. � � /� llt�r " Project Location: County 17470 �C
ss,, / �7�G _ /� 77 • Street Address/ State Road/ Lot #(s) Si (n
% >/G OW / � TdN StatekC ZIP ,! �--
# (�) Co'C 65-4Fax # (_) Subdivision
rued Agent % / D (`'z(. 10 ,2i City �� i� C ZIP `r
g
d ❑ CW ElEW kPTA ElES ❑ PTS Phone # River Basin
❑ OEA [' El glH ❑ UBA N/A
): Adj. Wtr. Body 147-1 fld Ge� (nat
PWS: ❑FC:
�� Closest Maj. Wtr. Body � /W /-&
yes / no PNA yes / of o Crit.Hab. yes / no
of Project/ Activity ' '6� 9-0(JC%K S/�A-" 'A ��S/ /�� � /�12 14;&4 /4Z
(Scale:
dock) length
i length
number
lead/ Riprap length_
avg distance offshore_
max distance offshore
,channel
cubic yards
ramp
louse/ Boatlift�-xr
i Bulldozing Z / y Vuti
r
:line Length
not sure yes
>ags: not sure yes no'
torium: n/a yes no
)s: yes o
ar Attached: yes no
Iding permit may be require(
�i, /1 Lifn.. , /B��n ✓i�l�/l�,/rfw t /J � A010A . T—�.-