53150D - Juriewicz

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j _ sueA/ DREDGE & FILL �Y
ENERAL PERMIT Previous permit#
Jew ❑Modification El-Complete Reissue ❑Partial Reissue Date previous permit issued
:ed by the State of North Carolina,Department of Environment and Natural Resources Z"-
astal Resources Commission in a rea of environmental concern pursuant to 15A NCAC i y Rules attached.
Name Project Location: County- ? Na'£
3 j S1 S' €,N 1 treet Address/State Road/Lot#(s)
SPPa Wit, tiT StateiNL ZIP 3(05'7--`7 (0-JZ N) , .. hZ Z. bct -
q vb) 4•el c\ Fax#( ) Subdivision
dAgent cj.-L-"1"-S. \i'fck-ti"\-'P.t%) City 9- &Ty ZIP Zs41-4.'
❑CW ❑EW ❑PTA ❑ES ❑PTS Phone# (ZS1) to 21 'S U:lRiver Basir(',A?f
OEA IHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body MI-'� �C-C ��6-i na /m
! !PWS: ❑FC: Lr� C� L ` G�
'es no PNA yes /'L no) Crit.Hab. yes / no
Closest Maj.Wtr. Body
Project/Activity ►c--a- ?4 0,-- �4‘ r'4-v--)
0-Nri'c., S\-0 0.„14" , \ ' t,5 - D$ (Scale:
:k)length
(s) j "I i
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er(s) ! i I
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-igth L I ( I }
1 ! ! i
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Tiber _
i/Riprap length ! ; T I
i —_
;distance offshore I —
i
uc distance offshore
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I + _L ..
cannel `
1— I
bic yards i f — —.. -
Tip +
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ise/Boatlift i 1 �`
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Bulldozing i _ {___
1 -
2
Tie Length r
i
not sure yes no
i i
Yes 111
,_ 1
>rium: n/a yes i i
Yes r i i f '
-Attached: yes no .• '
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ling permit may be required by: �'! \ See note on back regarding River Basin
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