42369D - Author

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CAMA/ ❑DREDGE & FILL `,
)ENERAL PERMIT Previous permit#
New !Modification Complete Reissue Partial Reissue Date previous permit issued
ized 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 —7 4 . ) Z e7
❑Rules attached.
:Name PWa L. A 01•"44'.)a Project Location: County O ijS ( ,✓
P. p . CSok S el c Street Address/State Road/Lot#(s)
0E—s _s F t d_f2 1 State-)C. ZIP Z-g q • •0 12.47 G NA 'ZG_I( -5 14 O If.2 t c
( ) Fax#( ) Subdivision G-I4 A N w'Z G. IK S NJQ t S
Bd Agent c)1V L. NiN vci-k- . r`. City S►J C-A 0 c &A Z .I ZIP Z 1/4-‘ le
❑CW LW 9eTA ❑ES ❑PTS Phone# (°t)o )3 Z')-</2 6 River Basin Wi-lasr t
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
El PWS: ❑FC: Adj.Wtr. Body C A raj V✓I 4- IL 3 to 1 (na ,,
yes i PNA yes / lei) Crit.Hab. yes / no Closest Maj.Wtr. Body- �C v✓ Jv !Z
Project/Activity 1()T- ( (L 1/4....) I Z k 2.9-' 1 - 4 &Ab
[
_ (Scale: l" s
:k)length_4j y iqt.."
1
er(s) I./
igth — -,
IL L I
nber
I/Riprap length
distance offshore
x distance offshore N
annel
tic yards
ip
se/Boatlift i { 5 �X t L ti }
illdozing
a Length .—') 5 '
r note yes no ` 1,,,,/), N.),,:
not sure yes no -----____-----
lum: n/a yes I— P
yes
attached: yes !'Df_ ,
ig permit may be required by: 00,5 1-- t� v, ✓ 1 s-/ See note on back regarding River Basin r

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