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, CAMA / Li DREDGE & FILL
GENERAL 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
Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC ) N ) / .-
y1 Rules attached.
it Name GtiAi2U S Ya A Project Location: County! SLJ‘..- -
1' 0 "X. ZS / Street Address/State Road/Lot#(s)
r3 Aos -i(.K.. -/ State ►.) ZIP2 j1k) L -1
03 ). T) - 1 Fax#( ) Subdivision-LIVE-P4.T \f 01op gTes
zed Agent Cit)i �f�s - (11L'./ ZIP?.4._:
I ❑Cw1 ENV PTA ES ❑PTS Phone# ( _) River Basi
❑OEA /❑HHF ❑IH UBA ❑N/A
Adj. Wtr. Body E.Vf.-41L C \ G..-tom. 1C 45
❑ PWS: ❑FC:
no PNA no Crit.Hab. yes / no Closest Maj.Wtr. Body 1 Jt::- ✓ 1'�1'_y ea___
yes
f Project/Activity I►J t1Li— ,.S.-- )Z L i _I-\ f G I 0.1, ..)I 1.—
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piers L J -f—_. r
th • 1
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n
imber ■�•1 _ —
;- Riprap length 00 P ME 5 ( _��`
g distance offshore j �� _ \,
ax distance offshore �—�`, _
hannel ",'I Ell ' MOMEgimm►�
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ibic yards
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use/Boatlift
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not sure yes in. 4... , i
s: not sure yes no -- - - ,---j ,-- _ 1 -.
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rium: n/a yes
yes no I
1 U Attached: yes no /.
mg permit may be required by: �iS L, � Ca See note on back regarding River Basin r

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ine Drive
;ton,NC 28403
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zwaclisiT RLpARLAN.PROPERTY OWN -, oaIFJcrostWw ERFO$..m.
•
Name of individual applying for Pcrmii
Address of Prope ty:
@Mrk6
JJ /LA \ j - p
pkIVtilu-
&).e.olf,., . . ( r�eK ASS — ireirri--ti1 hereby certify that o r pn perty to the above-referenced property The zndividtrai
applying for this permit has described to me as shown on the attached drawing the
devetopment they are proposing. A description or drawing, with dimensions, should be
provided with this letter.
I hive rio ob;rcrions to this proposal.
If you have objections to :what i4 being pieposed, please write the Drvisiann of Cos ai
Manag:remit, 127 Cardinal Drive Extension, Wilmington, NC 2&405 or call 9l1 7%-
7251 within 10 days of receipt of this notice;. No respc,ri a is coosidered the same as no
objection if you have been notified by Certified Mail.
(4.2-fre-e--7Cett.---
Sign Name: ..___._ k___:______ _______:_____ _.,..4 ,
Date. rr Vo e, D 7
Pnnnt Name: 4' Ueg�%T JU U / 'f .r�P/'sly'
Telephone NumbtTr with Area Code: _..__9/d Y� �� /���
Descnptton;