46172D - Petkeuskos

-CAMA/ DREDGE & FILL }`.f
GENERAL PERMIT Previous permit# Y5" 71/ -
IINew -Modification rioJeornplete Reissue Partial Reissue Date previous permit issued ?/r,
prized 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 ?ii /2 a
p,Rnles attached.
nt Name �j x e r e /A e 4 r�/Uf Project Location: County (,L 4r.Lf 4l,C/'
s G 6 y /'✓y /a C i f L1��cL Street Address/State Road/Lot#(s) C a� 2 j
Gtii/r4. " State/yC ZIP 2 P/6/ /0'9aS 4 S , o/, G✓/97y
0( 9A, 411 Z• 2Jjax#( ) Subdivision His 14,9,4d .S/`jf/a 47...$-
zed Agent /242 J( (6rpf ' 2) City O /V, 1/ e ZIP 2 I;
i ❑cw L LEWD'-- EileTA a•ES ElPTS Phone# ( ) River Basin C/9�.
❑OFA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body gA u mitt",CF 2, ✓.+'L at
❑PWS: ❑FC: QQ
ye no PNA es, Crit.Hab. Closest Maj.Wtr. Body /71 w�
? no yes / no
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if Project/Activity ea, r/19 7 1p eit/,AG<"// (G UP,r_el. cI (AI f4u /// 7'`
Dck)length 6,2 'x 6 ,, (Scale: /
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-n(s)l b A/b' (e, '/n r Ztlt 1
pier(s) NA •
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ength ---- -
Jmber —— —
ad/Riprap length /
rg distance offshore f_ .-
iax distance offshore -! --_. .I_-_
:hannel F -�
ibic yards
mp
use/Boatlift —
3ulldozing
J
ie Length /1 D ` a
not sure yes t Y f c 4
gs: not sure yes Ito IP- 4 V v ►r -
rium: n/a yes (Po 1 ,/ l 1� .� ,
If •
Attached: yes lay ,- f ._44I V f ,1 e t- -

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