43958D - Perkins

CAMA / DREDGE & FILL
3ENERAL PERMIT Previous permit#
RNew 1Modification 1Complete 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 5A NCAC I R. 1 2---oc3
,fin L tules attached.
Y it Name ' P NS Project Location: County
r 40 (S� LA 0 q -.43 Street Address/State Road/Lot#(s)
�n(24 CIT1 State ►JG ZIP Z t`t LiS 3''j 3 v‘/d,i art-vvoi
(cN.-4 )3Z8.3-11,-5 Fax#( ) Subdivision
:ed Agent Cityrc cA .s ZIP 7-$1(.?
CW IgeTA ❑ES ❑PTS Phone# ( ) ! River BasinISN 041
OEA HHF ❑IH ❑UBA 11 N/A Adj.Wtr. Body lj 1i o r t•P $3,""-/ D (nat
PWS: ❑FC:
yes J 'no PNA (0 no Crit. Hab. yes / no Closest Maj.Wtr. Body A 1 r✓
f Project/Activity `J- T sa L 12-X ZTh . C�� 'f � i >+ - OJT C it_
Z J �L � !,‘ 3 x vv t-v-w a,` i j x 2-H F• c, (Scale: 1" L
ick)length
i(s) 1 Z X 10
7X l�I
iier(s) S x Z y
,ngth
mber
d/Riprap length
g distance offshore
sx distance offshore /. . ; •
hannel
bic yards
np
3 _
,ulldozing
ie Le
not yes no
s: not sure yes
-ium: n/a yes
yes
Attached: yes
ing permit may be required by: CD tJ 5 -- See note on back regarding River Basin r

•
•
„ Security enhanced document. See back for details.
1178
SALT WATER REAL ESTATE, LLC 01-06
910-328-3425
P.O.BOX 4093 a 6
SURF CRY,NC 28445-9821 ! 56 is/53o NC
DATE ! 702
PAY
TO THE p , � k i $ /6D . G C�ORDER OF
�J� w / `
D/
/ l �U -B-CILLARS
0
' Bankof America
ACH FLT 053000196
•
2
FOR
11600 L L 1:053000 L961: 000 5353 ? L53116

SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2, and 3.Also complete • Signature
item 4 if Restricted Delivery is desired. `i]Agent
III Print your name and address on the reverse 0 Addressee
so that we can return the card to you. Rec,•.-d by • ' ed Name) C. Date of Delivery
• Attach this card to the back of the mailpiece,
or on the front if space permits. i - • /e^
• Is delivery address different from item 1? ❑Yes
1. Article Addressed to:
If YES,enter delivery address below: ❑ No
W)11io.7Y1 S, boecy r
6 5 SCR GL,1 sane
ov5a; 3. Service Type
IJS Certified Mail ❑ Express Mail
a_gLItt2a ❑ Registered 0 Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article Number
(Transfer from service label) 7004 1160 0006 5200 0956
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2, and 3.Also complete A. Signature
item 4 if Restricted Delivery is desired. X • Fi�if g, 0 Agent
IN Print your name and address on the reverse I i91,1«G 0 Addressee
so that we can return the card to you. B. Received by P nted Name) C. Date of Delivery
■ Attach this card to the back of the mailpiece,
or on the front if space permits. ,4d 7 �U
D. Is delivery address different from item 1? ❑Yes
1. Article Addressed to:
If YES,enter delivery address below: ❑ No
Q
73� _12__
3. Service Type
mm 0 M Certified Mail ❑ Express Mail
{ D ❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article Number 7004 1160 0006 5200 0949
(Transfer from service label)
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540