40451D - Baccari

'CAMA /, .IDRLDGE & FILL N? 4
;,EN ERAL PERMIT Previous permit#
'New Modification Complete Reissue ❑Partial Reiss e Date previous permit issued
ized by the State of North Carolina,Department of Environment and Na ral Resources
:oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC "1 f'i . /Z0 0
p ❑Rules attach d.
t Name 6/VS �Cl'IC CG// _ Project Location: County frC vs"/ // yam'/
155 T�'i r/s 7 i.t/1/ R OGd Street Address/State Road/Lot#(s)
V/4/r�y/ State/te ZIP 2R900 /55 T/`G/Vs' f /60.-/
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( ) Fax#( ) Subdivision
Bd Agent p14 r.Ke 6,rIif,- City !/v//#'M/%Ji*r7 ZIP Z�l
LiCW A S PTS Phone# ( ) 54,4fe River Basin C-ey
❑OEA ❑HHF ❑IH ❑UBA N/A !�
❑ Pws: ❑FC: Adj.Wtr. Body //!/4,3 tfy nre4 40 r
Closest Maj.Wtr. Body ✓✓lP 7Y rA '!
yes / at PNA ®/ no Crit.Hab. yes / no Project/Activity es...-- /,' i'/'!//eiele � � Gt�r-- /.ri
12/d/ "4", / ap/'7s . (Scale: / /r✓
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:k)length 5 je1/0'
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(s) � 1rr6� - W it I /:-r ('Tce '--
er(s) $ pyO p 5"(
igth
nber 1 Lsfis ®�'yf7 5 1 t C+OwhJ
fie/r.7...j1P
1/Riprap length a'i/ ,4X, /ec.
distance offshore "1-�
x distance offshore /,
annel
lic yards 11.
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tp
se/Boatlift_
illdozing
744es 7_ * I .1i. il(4 i" i
8 xlo
.14
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Length
I not sure yes so4 /
not sure yes rj r 3 S f�/5 lit, 4 l,x (e';
um: n/a yes 6d p/e r
ttached: yes teg IS7 I/ £✓1G7 iz
, line /i - 4:7
,2e city
/!/�ig permit may be required by: , G ®• . _See note on back regarding River Basin rt
1 ./ / _ / ii _ i /

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WILMINGTON, NC 28412 I>AI 1 3- r 0272
-OS
OAYTHE
RDEOR OF 1✓ E u i $ /a9
DOLLARS E
RBC
Century
RBC Century Bank
RBC Wnghls le Beach,NC 28480
FOR i / 5 /ovr `70
000005 L9311' 1:053 L008501:0 27 217407 Lily
•
•
•
•

SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON CELIVERY
• Complete items 1,2,and 3.Also complete Sirure '
item 4 if Restricted Delivery is desired. • 1111Pir ❑ Agent
II Print your name and address on the reverse X!` I ,` El Addressee
so that we can return the card to you. If. 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
1I' 'Article Addressed to-
OldS' if YES,enter delivery address below: CI No
4,53
e411-CA
L1 I u- v�JJ'v . Pc at cl'v u 3. Service Type
` 1Certified Mail 0 Express Mail
1 Registered 0 Return Receipt for Merchandise
❑ Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
2. Article Nu-" 7002 .L000 0005 6494 5346
(Transfer f
PS Form 3811,August 2001 Domestic Return Receipt 2ACPRI-03-P-4081
SENDER:COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
■ Complete items 1,2, and 3.Also complete A. Si nat
item 4 if Restricted Delivery is desired. ❑ Aoent
• Print your name and address on the reverse ogVJ 2-Addressee
so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to: D. Is delivery address different from item 1. CI Yes
�,1_�� if YES,enter delivery address below: 0 No
f 1 a7 -1- - fs -3'IIC�-`I
a 1'rLU c
' ���� 3. Service Type
"Certified Mail 0 Express Mail
0 Registered 0 Return Receipt for Merchandise
0 Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) ❑ Yes
2. Article Number(Transfer from service lab( 7002 1000 0005 6494 5353
PS Form 3811,August 2001 Domestic Return Receipt 2ACPRI-03-P-4081