52452D - Hearn

:AMA/ ❑DREDGE & FILL -
ENERAL PERMIT Previous permit#
lew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
ed by the State of North Carolina,Department of Environment and Natural Resources
istal Resources Commission in an area of environmental concern pursuant to I 5A NCAC W` 5l rF�1)( ules attached. /i
Jame L,. ..v((( ; ti � l Project Location: County New w - m(\Iv C .
k ` () (tt 4\A VYt y'YA iZti. Street Address/State Road/Lot#(s)
A A-SAitoState NIZ ZIP o - "11,L. b Cm14 1)-(Y KO Aa ,
)1` - A;.1t Fax#( ) Subdivision �1 Ur"( Eicjk ` ;--
Agent W (y14 1.� u/ �ti = ': -- City J\11'fal ii:\ t 11 ZIP _-- .-i 1 `
❑CW ❑EW ❑PTA ❑ES E PTS Phone# ( Jam) t2`7-a;;ZjC River Basin C� P
C OEA AG HHF IIXIH ❑UBA El
Adj.Wtr. Body Ali(1 f1�IC Vcl a..Yti nat m
❑ PWS: III FC: �1
PNA yes / no Crit.Hab. yes / no Closest Maj.Wtr. Body ` 'TI a ' 1C CF L w
s /(no
roject/Activity AJThCY 1 frii OiOak W 1�cic -r 4 1 .5 f 6k Y t, k l(1)-cl P t{
Awah a 'v -( JM1 (cs SAV1&21((S (Scale:
length x�� .. - 1 le .
6
v + I
er `L 1 kr J 11 tAkS i
tiprap length '. j �� ! I k AW t u�11 1
stance offshore __ _ Mltx ! `I / ; __ {jj Q� �i� j�
listance offshore _ _ te t4 4 ')" '^ Nat%
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nel j
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yards i
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'Boatlift i , ti /'_ I< 1I
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lozing 14 x I'b x _1, _. �� a -V
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ength t1/4- 1
not sure es no
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not sure yes i r . V' w I i -
n: N 'n/a no i_1 vrt9tV-‘ 1.
CI Of
ached: yes no 1 _
permit may be required by: New PGYfl W. 1 `` P See note on back regarding River Basin ru
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AURA-HERN FAX NO. :336-724-6997 Nov. 04 2008 06:09PM P1
11/03/2008 15:59 it139 P.D01/001
ATA
NCDENR
North Carolina D apartment of Environment and Natural Resources
Division of Coastal Management
Mlohoel F.Easy,Governor James H. i' -, , 1MNIem G.Rote Jr.,Secretary
Date l l 3 _Op e,
Name of Property Owner Applying for Permit:
.. cQ> \-N-e�f r1
Mailing Address:
2i 3 o c_lr,c tY, F-o,c rrl 1 b
I certify that I have author" (agent) - \S Q t i v CQr , to act on my
behalf,for the purpose of applying for and obtaining ell C1MA Permits necessary to
Install or construct(activity) r l0 V%r1 _IS a rti a ,
at(my property located at) J O conk rr d ) -`T.ct. s \CtN,c1
This certification is valid thru(date) 1 a1,Z 1!-Q'K,a.d.c.A....t.. -2-77 '74/4P.41.4,,,,...___ 1(644 1/) ..xeclica$
Property Owner Signature Date