42304D - Cant

,CAMA/ I DREDGE & FILL VW i /& N® 4
p
IENERAL 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 15A NCAC -)H - 2-,S O O
Rules attached.
Name INS ON\I G�t0T Project Location: County cS i L,.1
5/(0 01 G Q cc wi f_s u 6ZN c, rZ 4_ Street Address/State Road/Lot#(s)
v ti\x1►i1 is)o3 State V ZIP ZZ2-)1'L. L' 1 tf- i IL
IL ,tl.�Ic
L& Gal
50)) 0_1 -31 1\ Fax#( ) Subdivision N G. v../ IL ICE IL_ p\,A,.,-so.-
ed Agent 15\,v jZ•JAL.i ANN o0-1..,e CitySN£A o_s f G►[.r i ZIP 1A�/r 4 4.
❑CW -KEW :3�TA S ❑PTS Phone# ( ) River Basin Why
❑OEA ❑HHF E IH J.UBA -N/A �
CI PWS: ❑FC: Adj.Wtr. Body 51'tJ re3 ray r�J/r
yes / no PNA no Crit. Hab. yes / no Closest Maj.Wtr. Body v,' 2S V E. Y`,
Project/Activity LE P r>"S. IL. L\ /�C i5.z41-NA E AD J yi.. —-•. L, C /'
.2-2,.i Ir CI) d 0.c k..'KiN, (Scale: ' i/
:k)length
(s)
er(s)
rgth
nber
I/Riprap length ei,..y 1 t
distance offshore 0
K distance offshore
annel \
licyards Vr ? -
ip
;e/Boatlift
illdozing
:L' -------
yes no
1,111%
not sure yes Rio
urn: n/a yes
yes
ttached: yes n
1g permit may be required by: nI.31.1 I JW CA See note on back regarding River Basin rt