51360D - Perkins

JCAMA/ El DREDGE & FILL
3ENERAL PERMIT Previous permit#
]New ❑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 I5A NCAC I t ` '
E1Rules attached.
it Name 1'j Project Location: County :,._...1/4.1,/
=` r. Street Address/State Road/Lot#(s)
State ZIP ) I -, 1 Ft / R•/5 i i-L. S ,L t
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❑CW ❑EW ❑PTA G ES ❑PTS Phone# ( ) River Basin _ \-) f
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
Adj.Wtr. Body_+ .,k ,' . j._:)...- 1
❑ PWS: [AFC:
yes / no PNA yes / no Crit.Hab. yes / no Closest Maj.Wtr. Body ��
F Project/Activity _ gQ d oc Vj\.- N.c •-\\---5
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imber UMNMIII_w--�_�_�
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g distance offshore •
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ax distance offshore —®�
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hannel MIEMEMEIMMEME _EO
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e use/Boatlift
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ie Length 15 S+ � �I
not sure) yes no ®EIMME I —=
gs: not sure yes n '
rium: n/a yes no ®ENIMIll NMI l
yes no U��--_— —1-
Attached: yes n. 5 Mil _—
ling permit may be required by: . ` �'St�S L.- \\ L." I See note on back regarding River Basin I
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PILINGS
ANDIDY MOREJOHN 5231
PH: [phone]
169 LAKE HAVEN DRIVE O OL%Q (,p 66-30/5 4571
SNEADS FERRY, NC 28460 U
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1:053L003001:00L. 57L3270L 0523L
Harland Clarke CL)LONIAL CLASSIC'S

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