50344D - Miller

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C'CAMA/ ❑DREDGE & FILL ? I
EN ERAL PERMIT Previous permit# ��Z- G '
1
El New ❑Modification Complete Reissue ❑Partial Reissue Date previous permit issued
orized by the State of North Carolina,Department of Environment and Natural Resources l 17
Coastal Resources Commission in an area of environmental concern pursuant to I5A NCAC t
M Rules attached.
nt Name 1 ,=4LC i 21-t-E A- Project Location: CountADIOSL..-J
s 1 to 5 L+m rJ E L fazi Street Address/State Road/Lot#(s)
}.-iJ K State04- ZIP ZoS-12.. LZ.S 4 Ar.-C e6t)c_C 51
#f )J) 2.9 a 3 I Is Fax#( ) Subdivision
ized Agent CityLLiri 104 L 15eAc.tk ZIP Zy
d ❑CW ff EW $PTA C ES ❑PTS Phone# ( ) River Basin
C OEA HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body I l.1 M P -3`1".. . rl
❑ PWS: ❑FC:
Closest Maj.Wtr. Body yes / no PNA es / no Crit.Hab. yes / no
5 IA r" P S h(-•'-D
of Project/Activity( r") L X Z b i& L
(Scale:
dock)length (Q X LAO
I
rm(s) � 1
length ! ; C f
number
ead/Riprap length j
avg distance offshore
i I i i
max distance offshore 1 I 1
channel 1 J
kii i
i
:ubic yards {
amp j 1
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ouse/Boatlift ' i
I Bulldozing _.- .....-. _- I
l �! i
-F c {J
t
I /,v E
l
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p �t*Gc
line Length O ` • .l 4
Cnot surq) yes I
_
ags: not sure _
yes P J �. .-_ J
orium: n/a yes . '��—I 4 A i
s: yes 4 ; F L. 1 ,
r Attached: yes IC;:). i I
ding permit may be requir_edd by: r J • I ��1(- (SEA 4.4 El See note on back regarding River Basin

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F & M FARMS, INC. 3069
c 764 SUMNER RD 910-296-4935
PINK HILL,NC 28572
j1 1 — 0 3 r Og 66-30/531
DATE_ (J 644
PAY cd
We---ON U v z I $ a62)
T THE
OF
4f ORDOER f ,
i 1, W1lA� 4f OrA /CJO — DOLLARS ' 77.•::;,a
First Citizens
4 Bank
flrstcidzeg s. m
el FOR
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Per your request, I called Michael Miller ref pier application. I told him that we received his$200
check....that he needs to send us his fax number so that we can fax the form to him to get his
signature and fax it back to us at the following number: 910-395-3964.
His address is:
764 Sumner Road
Pink Hill, NC 28572
Phone Number: 910 290-3115
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' iCAMA/ C DREDGE & FILL
GENERAL PERMIT Previous permit#
New ❑Modification EComplete Reissue ❑Partial Reissue Date previous permit issued
horized by the State of North Carolina,Department of Environment and Natural Resources ' ,• d (�
e Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC)H
Rules attached.
antNameM1Y.Z 111
r 1/�-I LLC _ Project Location: County 17,V"
ss --7 b.L. ` S`„,r.)E y,- Street Address/State Road/Lot#(s)
t LLStatekL ZIP Z - rtl A t-e P 4.;r •S- t-,,_ -t'
# ►r► )Zai0 '• 'Pic Fax#( ) Subdivision
i
prized Agent • City i\i3 I\- : , ZIP .-
ed ❑cw At EW -- TA ❑ES ❑PTS Phone # ( ) River Basin
❑OEA ❑HHF ❑IH ❑UBA ❑NIA Adj.Wtr. Body �X3n x A c
�) ❑ PWS: ❑FC:
: ayes; no PNA,� yes,,, no Crit.Hab. yes / no
Closest Maj.Wtr. Body,,,5 1r"9 `"''s "/
of Project/Activity (, 'c).. J x 'Z
A.
(Scale:/s
(dock)length .Q� .. - 7 �
+ I
\\
forms) ; r �
er pier(s) ` ` \ t� .
in length ;-i- ` '-- ' t !, (\Y
number i. I i i
Mead/Riprap length -�"�F"'!'j-t 1_ -r s 1 - - ` '_ _
avg distance offshore -- r_y ._.
max distance offshore -- i
I
in,channel r- , ; - r ,
1
_' 1 1 i�y�• IAA t- ?.'L. ---'-- -,.--. .
- — �—}-.'k:r is
cubic yards
it ramp -. :_
ithouse/Boatlift L 1_
,
ich Bulldozing
her t—i , t , r -- 0 -_
_
xeline Length
V: not sure yes no ---� _._:r._- V - t --- —',_
g �
{
idbags: not sure yes
ratorium: n/a yes ""``` i
otos: yes ® I _. • _1._
aiverAttached: yes no '-- -- ---- — `_._ _.. ..___ :.__ .
building permit may be required by: 3h.<^ 1, .5I1+ 1.. SE A c-‘.-.k See note on back regarding River Ba