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CAMA / �flREDGE & FILL J.
iENERAL PERMIT Previous permit #
New ❑Modification Gl26mplete Reissue ❑Partial Reissue Date previous permit issued /
zed by the State of North Carolina, Department of Environment and Natural Resources //// , OO ,y�
Dastal Resources Commission in an area of environmental concern pursuant to 15A NCAC M� Luo}ICules attached.
Name �Cs/ 1 Q % F t4! •ti l S _ Project Location: County B �I a rS wick
9k -State/VC ZIP .2 i tGJ
(?/—A Y - S` 9 Fax # ( )
Bd Agent nr/�i,� a, -
El CW DEW ' '❑ETA ❑eS" ❑ PTS
E. OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
yes /r_fio PNA Ces / no Crit.Hab. yes / no
Project/ Activity brQf ✓# f -e at/�
ck) length 17 ,l `/ W
i(s) 12 i 7
,ier(s)
ngth
mber--
,dA&ength 7
g distance offshore__
ax distance offshore_i
hannel
ibic yards
mp
uses oat i ) 6 Ix /0
3ulldozing
ne Length
not sure yes 69D
gs: not sure yes
)rium: n/a yes Q
yes
Attached: yes
Street Address/ State Road/ Lot #(s) 2 0 %% Ze
fY' L L 1 'O'O C/
Subdivision 7S City u 1, 1;,'4 ZIP . -
Phone # ( ) River Basin L 411.07
Adj. Wtr. Body LGc%w���f F�� we, -
Closest Maj. Wtr. Body ty Ly
W5W:W'Z
(Scale: / :-
Jing permit maybe required by: RQ v N f Jwi ck `ur+��j ❑ See note on back regardingRiverBasin
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CAMA / 11 DREDGE & FILL 'J �e D GAtjr { )A (S001 N?
GENERAL PERMIT r Previous permit #
New Modification Complete Reissue ,Partial Reissue Date previous permit issued
\s authorized by the State of North Carolina, Department of Environment and Natural Resources
ind the Coastal Resources Commission in an area of environniental concern pursuant to 15A NCAC Ile VL
�,Rules attached.
r�
ipplicantName )oglg heew7&�s Project Location: County_ lri%/1
scidress (03-A_.. J!�)- "..0 LJ! Street Address/ State {load/ Lot #(s)
:ity. /DA'kId'__ state Ji ZIP
# Fax # (_) - Subdivision
wthorized Agent boll - City p%t v! � zip
effected -J w H` HE 1' `� 'F,PTS Phone # AO ) an "�_ River Basin -
LEC(s);
—
I I PWS: FTCAdj. Wtr. Body 1-Oc,s- o,46 r,- -RJatV,
►RW: yes no PNA no Crit.Hab. yes / no Closest Mai. Wtr Bpdy-- r I
hype of Project/ Activity
Pier (dock) leng0, X %
Platform(s) /.1 k ` Ai x ¢
.ro" P 1C )tl► ,,
��J„�•J� J
Finger per(s)
Groin length
i
Bulkhead/ Riprap length a
avF, distance offshore +
mak dihtatcc offshore
Basin, channel
cubic yards
Britt ramp —._
Bolthous atlif /0 k lO
Beach Bulldozing
't7tt+e l`-l0�'1-T JO k /p'
9
.. ---
Shoreline Length,__0
SAV: not skirt yes
Sandbags: not sure yes
MOMONUITI: Nil yes 1f
Photos: yes
Waiver Attached. yes `"�Yp,�`
a WiAing permit may be required by:
Votes/ Speraaf Conditions _ , lQ(J 7d . / JxQ �--
i� r) r,
(Scale: %
See note on back regarding River Basin
THE AMERICAN FISH CO.
CHARLES H. OR KAREN Z. PERRY
P.O. BOX 11046
SOUTHPORT, NC 28461 DATE
q— )-8— Oct
PAY
TO THE
ORDER OF
11
DOLLA
First Citizens
Bank
firrstcj ecnjs..com !fit Cu l �`
FOR
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