43299D - Wiseman

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:CAMA/ DREDGE & FILL ._
3 E N E_RAL PERMIT Previous permit#
;New - Modification 7Complete 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 ISA NCAC ) t\•1 1-.•--
// XRules attached.
t Name Project Location: County Pc oba rL On 25
N lc l 3 L..- re,A,),, L2f Street Address/State Road/Lot#(s)
N a.K i-L 5 .l.sd i- State 1fi L, ZIP 29 .--)lc Iv• 0 L v✓ l-L v (L. a-
( ) Fax#( ) Subdivision
:ed Agent City �,a-'k C---t"r`/ ZIP 2-S`1 L.
❑CW j W ckrrA LIES ❑PTS Phone# ( ) River Basin ii-jSTI
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
Adj.Wtr. Body_la'SiALL. ...N Arai
❑ PWS: ❑FC:
yes /� PNA yes no Crit. Hab. yes / no Closest Maj.Wtr. Body a v.,../ r`/
f Project/Activity J tJsi i.L (, /. 4 J T C 2 , ,. / )Q) s 2_0 &to
J (Scale: I 9
ck)length 6X I5 T__--
1(s) ►_))c Z° i
iier(s) If
,ngth .. f
tuber i
d/Riprap length +�.�.,�.......--�, �'_"""., ''' Y y.l
g
ce
ffshore -
ix distannceooffshore /
hannel __ �,__. _.._ — _
1 j
bic yards l . 1
use/Boatlift
'-
ulldozing {
ie Length ,---O ,
,--
not sur yes no ,,.
s: not sure yes no ✓`
rium: n/a yes ® -— G
yes tl- i-`� �.� P�. m,
Attached: yes — — — . L - ------
ing permit may be required by: ` _, ' I I I See note on back regarding River Basin I

THE FACE OFTHIS DOCUMENT HAS A MICRO-PRINT SIGNATURE LINE AND GREEN BACKGROUND
NORTH AMERICAN SECURITY
INMONEYES FRONT AND BACK oORDER ON TM B I $L
II MONEY ORDER COMPANY COCK
PIES Oa AGLTENATIONS ABSENCE OF THESE FEATURE sEcuncry S MAY INDICATE
•
ORDEPAY R OF V n * PAY
ORDER OF /�/ U �*+�,
NLY'a
SN-000084230808 . 16ENT-1000 STORE-1 -. * " ZEF:°
Ott I f-JAN 05 2006-■ONE 14JIDRED I
Purchaser/Drawer Signature _
Payable Through �'N,^ T
• First American Bank /' D /( ) r. / /,ram J .address�_SX V r "'�' -
Str:nford.Oklahoma �i j �i(J J
•
THE BACK OF THIS DOCUMENT HAS A SECURITY SCREEN AND MICRO-PRINT UNE
0811 2 3080811° 1: LO 3 L049001: L Li"

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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
■ Complete items 1,2,and 3.Also complete • Si.nature •
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so that we can return the card to you.
• Attach this card to the back of the mailpiece, tyl eceived by(Printed e) j9t?&eHve _
or on the front if space permits. �Z
1. ArtiOAddressed to: D. Is delivery address different from Rem 1? ❑Yes
K..
ff YES,enter delivery address below: 0 No
-G„ ry,a_v, hc,SS--e,),_3'd \
PD 3 gl
3. Servl'r vpe
a Certified Mail 0 Express Mail
Sn'\`1 �� e vd, ).J c-- ❑Registered 0 Return Receipt for Merchandise
,9.-9S ri(7 0 Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article Number • 7005, 11160 0002 4907 7858
(Transfer from service label). •'' r:«: .t,, ,. ,. , , _ , . I , ._ . •
PS Form 3811,February 2004 Domestic Return Receipt .. -1' 's r;"
102S9$-O-M-1540:
U.S.POSTAL SERVICE CERTIFICATE OF MAILING
MAY BE USED FOR DOMESTIC AND INTERNATIONAL MAIL,DOES NOT
PROVIDE FOR INSURANCE-POSTMASTER
Received From:
co
�/l�'i.Nt 10 IS 1�M�1la1 I.- -�
00 tall/tett CA,. -
f
One piece of ordinary mail addressed to: 1 ` ^
G( (S i e SS CA—
let h�� ()Aim -k 0 ; _
rC.- „c d tic 4--46c
PS Form 3817, Mar. 1989