42363D - CLB

LAMA/ DREDGE & FILL y YI,o
IENERAL PERMIT Previous permit#
Jew 1Modification JComplete Reissue -Partial Reissue Date previous permit issued
zed by the State of North Carolina,Department of Environment and Natural Resources I Z�
)astal Resources Commission in an area of environmental concern pursuant to I 5A NCAC -, ' les attached.
Name t,)-'5 G-0,,7)rm 44o,„'it S Project Location: County (0 ft) 5a_ot.)
Z03 G _-)L o n)w A)s)r- �,L Street Address/State Road/Lot#(s)
„NN_s-(g.At' State p) - ZIP 1 i 'r _ z.i--723 - SL..Ar>D 6,2
( ) Fax#( ) Subdivision
:dAgent t\►7S'Ir) g-Z C.z:snhT/l-u 7`Lo r CityKi.3?s+1Tc 1Scnc..►4- ZIP 2//-�3'�1-I
CW J EW $ TA ❑ES ❑PTS Phone# ( ) River Basin W+'h
OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. BodySrviry ( • •-" `^`:; na /n
Li PWS: ❑FC: A
des / no PNA r.�, �e / no Crit.Hab. yes / no
Closest Maj.Wtr. Body :1 0-1
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(Scale: j =
:k)length X 3�-�
(s) a x /Sf
ier(s)
ngth
-nber
:/Riprap length
;distance offshore
uc distance offshore / r'
cannel 'i ____.--.. --— --
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bic yards —
ise/Boatlift e--- .-------- '--- - '--- Itr‘ i —7-7.—
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lulidozing — -
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ie Length 7 �1 t 1 j_
not sure yes no
gs: not sure yes
�rium: n/a yes
yes no
Attached: yes _,_ _
ling permit may be required by: 0 . 1.—J p SA.L L 6t . I See note on back regarding River Basin

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arvtnua rtKKT, INC;Z2S44DU 66-19/530
[phone] /�A
PAY TO THE r Q
ORDER OF N C_ Q_ L �. /4 $ 3CC,
1-6e6 �OHO/2 2) AI 1O C/a...)
MEMO ,74 301- �a343 - 5/,4 36y AUTHORIZED SI' IUHA E�
000 4a 9 Lip' 1:0 5 3000 L 9 61: 0006 50 5 2 L 9900