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LAMA/ DREDGE & FILL 4
IENERAL PERMIT Previous permit#
(Jew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
zed by the State of North Carolina,Department of Environment and Natural Resources
)astal Resources Commission in an area of environmental concern pursuant to I 5A NCAC 7/, L0c7c2
C.Rdfes attached.
Name Z C —.5-4.►//Ai(� Project Location: CountyB,y,dS r,//ck
/Q' -Dr;i i C 742-,/ Street Address/State Road/Lot#(s) S ,Z Ay E,
(,Mp-4 State//C ZIP 2Ti 1J2
(w 725 -y52Y Fax#( l ) Subdivision
d Agent j m�/-, jl'f r,✓TL City OC e ),✓7-5L,9 gage X ZIP 2 2 5'
❑CW LEW ❑LPTA ❑-ES ❑PTS Phone# ( ) River Basin Lt.444
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Body Cns 9L /1 A G✓(✓
Ad',.Wtr. C. (na<
❑ PWS: ❑FC:
Al
es r/'"no PNA yes,-/-no..- Crit.Hab. yes I no Closest Maj.Wtr. Body �/ lt/
Project/Activity _7";S ?l9<( N P t-1/ A7,/L/t i3 '4'01
(Scale:/ .,
()length
y� ///' -- -- J
•r(s) ,
gth 1 —
—
iber i ,
..-.._. _ - ._ --_ _ _._«_ .__�_._I-
,_
'Riprap length I !� _
distance offshore Y ._ rXIV , '` -4
distance offshore
i
�--- , -_ _ _._ _____ .......-- --_-- ._..:_._. _I ,.-..-
innel
c yards
I . , l'i — ,. ---!--
e/Boatlift i '
Ildozing I ! k
Nw
_.-! _ t t L ---,_Length 5-v , i 15� a - .;� �( I L
A
not sure yes ; nod �I 1s ttLIZAP
not sureyes ...-- ...
, rye
im: n/a yes n� I _
—4
yes coo? I - �...5 . L4iig 4 L14-- �-
ttached: yes op,-----I 1 : [ J -

•
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JAMES C. ---
NCDL 26944n76N� , ' 10 2 3
2621 STONE CHIMNEY ROAD PH. 910-842-7546
SUPPLY, NC 28462
DATE
W
I?, PAY TO THE Ji C�
ORDER OF ( E
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r d /lic.1 .
15 SECURnY DOLLARS "
SAVINGS BANK
Sunset Beach,NC 28470
MEMO WIC _ f 5
i: 2 5 3 1 7 l 4 S 30i: 600 100 .i 3
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Z I O g.Z DN uo uaVE
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au,r0 I-72 2 }, - 5 Z g - 1-frE,

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. �y�/r
• Print your name and address on the reverse x
%y7J �Z_ ❑Agent
so that we can return the card to you. 0 Addressee
• Attach this card to the back of the mailpiece, B. Received by(Prnted Name) C. Date of Delivery
or on the front if space permits.
1. Article Addressed to: D. Is delivery address different from item 1? 0 Yes
/P I If YES,enter delivery address below: El No
ICUg
I Ceaver
Ocecvn ; peach (IC-.. 3. Service Type
g Certified Mail ❑ Express Mail
z � , a LJ Registered 0 Return Receipt for Merchandise
V K 1 ❑ Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee)
❑Yes
2. Article Number
(Transfer from sen 7005 0390 0003 5186 9299
PS Form 3811,August 2001 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 El Agent
• Print your name and address on the reverse 0 Addressee
so that we can return the card to you. r `� d
• Attach this card to the back of the mailpiece, � y(Pn N e) C. Date of Delivery
or on the front if space permits. l� QvI S � d-�5 X��,
1. Article Addressed to: D. Is elivery adtlress different from item 1? ❑Yes
If YES,enter delivery address below: ❑ No
t 5`6 .shade P6hee R
cryxcibogh NC 2`6y3t 3. Service Type
ertified Mail 0 Express Mail
Registered ❑Return Receipt for Merchandise
❑ Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
2. Article Number
(Transfer from service label 7005 0390 0003 5186 9312
PS Form 3811,August 2001 Domestic Return Receipt ,,,, oc ..,c.,.