44095D - Petkeuskos

7CAMA/ DREDGE & FILL 1 (3
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3ENERAL PERMIT Previous permit#
IlNew __Modification complete Reissue —Partial Reissue Date previous permit issued
rized by the State of North Carolina,Department of Environment and Natural Resources 2oastal Resources Commission in an area of environmental concern pursuant to ISA NCAC 7/J
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lures attached.
t Name /7 i 1�.€ of e 7i,t U SL 2-> Project Location: County ,-z N,,.s"u/i cX
s© b y 1AIy44 C,P £v i.4 Ci Street Address/State Road/Lot#(s) L//, 2 S
L 714ehA i" State/r C ZIP 2 F,Vlp/ /72fa/cshs,o1 Q 4 4A/
(9/a) 0 2 -2 2// Fax#( ) Subdivision
:ed Agent /7),7,t,1( C L P,►7 e—,J City f?e/1/,//..e ZIP 2 T/.:
Cw .PTA E '!S-- ❑PTS Phone# ( ) River Basin (.� e
❑OEA _;HHF ❑IH ❑UBA ❑N/A 6C.N „sue€�!
Adj.Wtr. Body u ij k,v,� (mil
PWS: ❑FC:
yes / no PNA ( '. ye no Crit.Hab. s / no Closest Maj.Wtr. Body /k/41
F Project/Activity 4-01M)C if, eA/�,c t Gr/9z e.,46 12f9#r d- //a 971
(Scale: /
ock)length 2 , ,
,(s) 1 4 ,3(I b'r'e L ooz e.cf
«ier(s) [ - - - : l ✓ �.Ly NN 3 1�. ', v P/L_.
:ngth JLy �I
7 irea _ ,
tuber
f
;
d/Riprap length i
g distance offshore /}
3x distance offshore ' .— i....
r
hannel 14' i
bic yards `-... j
lip • .
;Ise/Boatlift r {
i
iulldozing _ I
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�Lo}� /6 '�t � s I
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II
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-ium: n/a yes a 3�'
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Attached: yes ( -;.V• i
ing permit may be required by:(3,.... N$ A/1 e. CO i . See note on back regarding River Basin,

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anal — .titi ..,.,=,I•11111. SST ALTZSIIMI
elements Marine construction 7805
910 270-9110 went 4356789
577 NJftghway 210 W 3J/ 66-30/531
.Rampstead N8 28443 Date 365
Pay to f/0.C/1//e I $/6F,-----'
dollars 8 0..
FIRST CITIZENS 365
BANK�7J FintCllizans Ba k 8 4n3.1 Company
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IKJH—I v l� ryampstaad,N.C.28443
www.firstcitizens.com,
For fi'f,L'easkeS C-21-'vV6';•S
1:0 5 3 L00 3001:00 3 5 3 20 L L80 311' 0 780 5
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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete r Sig :ture
item 4 if Restricted Delivery is desired. X IOW'��I ❑Agent
• Print your name and address on the reverse El-Addressee
so that we can return the card to you. Received by Printed Name) C. Date of Delivery
• Attach this card to the back of the mailpiece,
or on the front if space permits.
D. Is delivery address different from item 1? • Yes
1. Article Addressed to: If YES,enter delivery address below: 0 No
Kt . -6rucia_._ Cad-e,r
D5S- Marshsic L t
/,z_ `v M q. 1 a g�-51 3. SServiec Type
G�(1� t �\ at edified Mail ❑ Express Mall
❑ Registered ❑ Return Receipt for Merchandise
❑Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article Number 7004 2890 0003 4007 9739
(Transfer from service la _ r� r
PS Form 3811,August 2001 Domestic Return Receipt 102595-02-M-1540
SENDER: COMPLETE THIS SEQTIQN COMPLETE THIS SECTION ON DELIVERY •
• Complete items 1,2,and 3.Also complete A. Si. re
item 4 if Restricted Delivery is desired. x
:4 nt
• Print your name and address on the reverse ❑ •ddressee
so that we can return the card to you. B. .e..ive (Printed Name) C. Date of Delivery
• Attach this card to the back of the mailpiece, �'�` �.{ t;
or on the front if space permits.
D. Is delivery address different from item 1? ❑Yes
1. Article Addressed to: If YES,enter delivery address below: 0 No
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