52516D - DeGrange

CAMA / DREDGE & FILL s
3ENERAL PERMIT Previous permit #
iNew Modification Complete Reissue ❑Partial Reissue Date previous permit issued_
rized 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 �� �ZU�
❑ Rules attached.
t Name ►"iC C-71eyfi"lti 6 C
117 Lnko LCK 0<
_Aevl� State WL_ ZIP �
(�w) Oo-3 A ax # ()
ed Agent
= CW I J EW PTA ES I I PTS
OEA HHF IH UBA N/A
PWS: I FCC:
vec / nn PNA vac / ifSn rr;t w.k vcc / nn
Project Location: County 4,K U_N5W 1Cx.
Street Address/ State Road/ Lot #(s)
Subdivision T [V (cs`f
City � 4 L. f17-W> ZIP
Phone # ( ) River Basin
Adj. Wtr. Body_ S-MaVON CQO;:•YZ - at r
Closest Maj. Wtr. Body ( /t701F DtW.
1 71
a Length �'My,
not sure yes _� f
not sure yes _
um: n/a yes t• �.. r 5 r C a'� �{ ' 1 -
t
Y.
attached: Cr e no +
ig permit may be required by: L �� 1°tr..+� ❑ See note on back regarding River Basin ru
Special Conditions A. L L, i Ot�i�LT11:2Lti{� ti}- 7-����r 1 i S—LtYfl� �i ��UA,�

—OCAMA / '—J DREDGE & FILL
NERAL PERMIT
Previous permit#
_3
''New 'ElModification -'Complete Reissue -'Partial Reissue Date previous permit issued
)rized by the State of North Carolina, Department of Environment and
Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant
to 15A NCAC j
ules attached.
7t Name ; ::_t.,. L . ;_ -;' " _ -_
Project Location: County
}>
Street Address/ State Road/ Lot #(s)
State ZIP
{ [ Fax # }
E -- --------- -
Subdivision i L"
-
I.-
zed Agent----- ------'
city t....l-I `��. +%,�
tY L-
ZIP
❑CW yfW PTA 2LES -PTS
Phone # (_) River
Basin f k''�'rd
i
❑ OEA ❑ HHF ❑ IH ❑ UBA ` N/A
Adj. Wtr. Body_
.ffi$t h
❑ PWS❑FC:
yes / no : PNA yes /r o f Crit.Hab. yes / no
Closest Maj. Wtr. Body tf/ O:D
€ Lk
of Project/ Activity { 1'stf+'T t � `ys t i
t f ''��(° r t -
-
(Scale:
t
ock)length l_ Y t
Idinig permit may be required by: `1El
See note on back regarding River Basin
'-� H C.
2} Vt
s/ Special Conditions -` L. 1. t t�P 1 C� 12 i s L c .