52454D - Nelson

I.CAMA/ Li DREDGE & FILL
3ENERAL PERMIT Previous permit#
*Jew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
prized by the State of North Carolina,Department of Environment and Natural Resources `�
Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC 7 t 1 . 2 5 C U
4kules attached.
It Name roi(5Yii t' )st.h, Project Location: County Key, �'"�1 riff(V
31 1' .e JV brzypila. Street Address/State Road/Lot#(s)
DCI Al ot)4 State Rlt ZIP 2 OLj I c< C f;V '11J-(Y Koac1
4f( �g 93 J3�3 Fax#( ) Subdivision ] K 6,5)4 ISIa tv(
zed Agent U I f.[1� r)1 . (V(Myvt-h L City(A)I I V111(ir+; ZIP 0L) 1
j ❑CW ❑EW ElPTA ❑ES ❑PTS Phone# (23)4 1/ --93 r River Basin ea_
Lx OEA G3 HHF C�3IH ❑UBA ❑N/A Adj.Wtr. Body Ail l Q/{ ,'}lC (_cea '1 nat i
❑ PWS: ❑FC: Al' ii
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yes /'no PNA yes / no Crit.Hab. yes / no Closest Maj.Wtr. Body
if Project/Activity AA CV17-(\ bPaC Z., vc's-►GYP ( Y(t' S k1 11
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ock)length
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pier(s) 30 I' t
ength I
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ad/Riprap length � , ► '+,
ig distance offshore �� ( P ;ax distance offshore I�l IC!.J I
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Attached: yes no
ing permit may be required by: N Q W 4CV'C ii G . See note on back regarding River Basin r
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ivy v+ uu ni u��vu rit rilil vain r'rtn 1'1V. COL 7Jf OD1J
Frnr: t1l03/2006 15:69 1alag P.001fdill
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Mldiael c.&eoy.ocve ror
Jana H.Giessen,Dot Wiliam G.Rays Jr„srcreprry
Date
Nano of krop rty Csainer Applying for Permit:
rc ()'1?- SOrti
Meiling Address:
I certify that r have authored(,feat)L e-AAs tD -vs ;to sat°a reap
behalf,for the purpose of applying for and obtoialig all CAMA Pcresite aecesaalry to
Install or C013StrlICt(activit))
at(oty property Iocated et) . 1 �` �.4 M 'r^ ! Ir;
This certification Is valid thru(date) ( l eZ p 1 p,
t � I ��
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rely owaGr s -
bate