44028D - Piepmeyer

LAMA/ 'N''DREDGE & FILL
3ENERAL PERMIT Previous permit#
Mew Modification Complete Reissue --:Partial Reissue Date previous permit issued
irized by the State of North Carolina,Department of Environment and Natural Resources
:oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC --)11 • (S`3C>
ules attached.
t Name btu LI> 171t e `it __- Project Location: County ��01-> k
Z Z- o AO VZ Street Address/State Road/Lot#(s)
lrr?sTtw6 State 1•)LZIP Z.3Lf :} IZZ_ 13k,awv1t: ' LiJ
( ) Fax#( ) _ Subdivision
l:ed Agent City A.Ar•Npz,-r 'A,i7 ZIP LBO-{N
❑CW W ETA -XES ❑PTS Phone# ( ) River Basin(_ApF,
❑OEA ❑HHF ❑IH UBA ❑N/A .f
Adj.Wtr. Body I DPS D na 1
❑PWS: ❑FC:
/ no PNA yes / Crit.Hab. yes / no Closest Maj.Wtr. Body I )
f Project/Activity -1,a5 j a.L L j s x 4 O T g-Arr (9 ►Z.31 r—i
(Scale: 11.
)ck)length
Aer(s) 1 �/V
:ngth Z S�
ember 1 id/Riprap length
g distance offshore__
ax distance offshore
hannel
ibic yards
mp 15 X L 3
use/Boatlift •
3ulldozing / l Al r/Yn./
u
ie Length .1-03
not sure yes gio
gs: not sure yes
rium: n/a yes E yes
Attached: yes /
ling permit may be required by: 1 t= �t (_,.O I See note on back regarding River Basin I

•.
DAVID PIEPMEYER �_� �� 4 5 2 2
• SALLY PIEPMEYER
NCDL 6079231 NCDL 1712962 _I U
• 122 BROADVIEW LANE PH. 910-270-8519 - DATE -
HAMPSTEAD,, NC 28443
d PAY TO THE Nc- �.� NT1 s �•I $ G c'
1 ORDER OF
"Vt. DOLLARS 8
s
s 1
H 1 11�1 Y1 ce _237 Racine Drive
11111GLLll Wilmington.NC28403 t _:._
CREDIT UNION alliancecreditunion.org
800.232.8669 � , -
MEMO U u�i 2 llJ` =1.11V, r M.
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