44000D - Bayshore

CCAMA/ IY DREDGE & FILL ii)
~_
3ENERAL PRMIT Previous permit# L! ? / - r
slew Modification Complete Reissue _Partial Reissue Date previous permit issued If - ,:
rized by the State of North Carolina,Department of Environment and Natural Resources
:oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC -7y . l j , Z
!:(Rules attached.
t Name y 3 t2 t_ r) o A Project Location: County 0 0.5 L.,.,4-^-)
C 0 5 V\/00.) (l. - Street Address/State Road/Lot#(s)
SGNLwk0.- 75 State NL ZIP L fa 7y j' O 6L3GV tt I13iv/
( ) Fax# ( ) Subdivision Icy S 4.1311._t
ed Agent i t t L 1 e.,1 0.,A tx _s City SNG t°►DS F R12‘-i ZIP Z. 8L/
Cw ❑EW ❑PTA 9ITS ❑PTS Phone# ( ) River Basin N.41141-tt
OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body 5D.'1 c. I( 3 ay i
PWS: IDFC: A l �/IA/
yes /;n`o -) PNA no Crit.Hab. yes / no Closest Maj.Wtr. Body
'Project/Activity tK)S1 A L L Z Li. to -A x_ c t z-f ;r Ge N -
(Scale: 1 ��=(;
ck)length
i(s)
ier(s) -
ngth
nber 1
9/Riprap length
distance offshore
x distance offshore •
cannel
j H 4 b vt/1. c. v..- 1 k4 `.
>ic yards / _ _---
ip
se/Boatlift l , ..__..._.
JIldozing
a Length 3.3-7 1
yes no ,
� F i
�
not sure yes ii L
cum: n/a yes (jam
yes
O��•J(
attached: yes
ig permit may be required by: - I",.'� L....)LA. r` See note on back regarding River Basin ri

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Jerry D Edwards 66-30/3s 4792
Karen C Edwards
Ph 910-324-5407
905 Wood Dr j
Richlands,NC 28574 DATE _t_ Lt,�V__ p ,• PAY T R THE
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Look(o::N mu Print ss.nature
T line.gray type and lineno Fi t Citizens Bank logo on back.I(not present.do not cash.
Flutsr na
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BANK Fi111-Ca sons Bank6Trust Company
j�f'1L�11 www.Os,NC. nce
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FOR 6/ 4 7 Ov" � EK. //�'T) n,
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