44001D - Graham

CAMA/ --!DREDGE & FILL
3ENERAL PERMIT Previous permit#
I iew 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 I SA NCAC 261, /2 e
/ es attached.
t Name 3P�Iv/e 2,9 ijA,42 Project Location: County „Yeee4f./.f ov,Lk
l 726 0 `.S P,'e,1 Ca_P Oki ,U j Street Add ress/State Road/Lot#(s)/212 /',/j
°h4i2 C- T y State/✓C ZIP .2,V,/iJ b."
( 2- " ,' o�22 Fax#( ) Subdivision
ed Agent _ City en' L,4 /( j 'l ZIP z8Ty
❑cw ❑EW EP4c;1 3BI PTS Phone# ( ) River Basin 24..tnc.
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body C/9 L!9 £A$ 4 �,✓�i-- to /i
❑PWS: ❑FC: in/ 1. v R
yes no PNA yes no Crit.Hab. yes / no Closest Maj.Wtr. Body AS 4 I LieZ Project/Activity Rp/'7 O d e L uC ,S l..., P, e 2 D' CU eis i2 N c 7/ P i2 I it
/baCC
,o (Scale: I
ck)length 22 IA ' / ..,
i(s)
ier(s)
ngth 1 V e,
nber
i/Riprap length
distance offshore /�
x distance offshore /'L l e w P d
cannel r<L,ArL(� / " � 1)ic yards Qr N L
se/Boatlift #At et; )2
ulldozing
109f /2IX 22
e Length /7 /
not sure yes
s: not sure yes
cum: n/a yes ® p ) .13 I 1 Vt" vl PrJ 2
yes
kttached: yes
ng permit may be required by: C/9 1/9 //4,5 4 _ See note on back regarding River Basin r

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REMOVE THIS STUB BEFORE CASHING 2
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THE FRONT OF THE DOCUMENT HAS A MICRO-PRINT AMOUNT BOX AND THERMOCHROMIC.ABSENCE OF THESE FEATL :M.3 1,3I.7p1C G=OPY. - -
INTERNATIONAL �':` i .I: �;1 75 t6,8
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TravelersExpress, MONEY ORDER 9t9
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oneyGram -= ' `
PAY TO THE = "I
N N- ORDER OF: /VC Pe—Al \ '.;`:, d •'.'� 1 Ed ':4!�i
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M 0f'jE H!IN CIR:F['
PURCHASER,BY SIGNING YOU AR REEATO THE SERSER, G Nit
R ARGRANDR OTHER R ERNS ON THE REVERSE SIDE
N- ADDRESS:/C.R. IOL/ ,$ev /I/C,e Ie' — — 1 I {i
O r. : 4 20 Is 1 5 7 i tr TPa able Through ISSUER/DRAWER:
Citizens State Bank TRAVELERS EXPRESS COMPANY,INC.
of Clara City - .
Clara City,MN UPYVOU/ -oret
1:09L9LEL$ 7I:473 7773279EiHo 90

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent lt JT fie;'J tr./It-51A
••
(Name of Property Owner)
property located at . )o .3 ik\vitev3 :
^� (Lot, Block, Road, etc.)
on 1+� _vCQA , in 6tio3rDviik.
N.C.
(Waterbody) (Town and/or County)
He has described to me as shown below,the development he is proposing at that location,and,
have no objections to his proposal.
I1
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DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
• (To be filled in by individual proposing development
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