43215D - Dale

/ 7 .
CAMA/ DREDGE & FILL ;I .. _
ENERAL PERMIT Previous permit#
_
New ,Modification •_lComplete Reissue .-Partial Reissue Date previous permit issued
orized by the State of North Carolina,Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC -74 /7400
IlRules attached.
nt Name c2-Ld.4- /a4/.G Project Location: County i3rJ„r.ial/e 0
s 33041 14 Xek f Street Address/State Road/Lot#(s)
ems,L.&re State nOtel ZIP 2$04S— _2,c..r
# ( ) SL(J- 77Fax#( ) Subdivision
•ized Agent City_ ZIP
d C cw EW ❑PPTA I eS'-- ❑PTS Phone# ( ) River Basin 4/,
C OEA HHF ❑IH ❑UBA ElN/A Adj.Wtr. Body ,'/ , .)i1 / (nat
❑ PWS: ❑FC:
yes /(? PNA yes /® Crit.Nab. yes /6::' Closest Maj.Wtr. Body ea•OQ 1
of Project/Activity i406411 / ,4 gi / ,tt✓/ -f�/Eier r Zed/ /,
(Scale:
lock)length 31, X ci
pier(s)
length "'-^ /Z /
lumber ,.
?ad/Riprap length / it:'
ivg distance offshore 0 0
nax distance offshore
channel " /vK<<
ubic yards
amp
'Bulldozing
1i. 41 �-'
/o ,c/
ine Length GQ jr
not sure yes '_ i
igs: not sure yes `
)rium: n/a yes gyes
•Attached: yes V ---/--
ling permit may be required by: AjlArgA,,,'L,(�/al See note on back regarding River Basin
V _ / / ./J _ I i/ s1 A . 2:1

— — ——___ ___— (i S e c u r i t u enhanced document. See bark for details
THE AMERICAN FISH CO.
CHARLES H. OR KAREN Z. PERRY
P.O. BOX 11046
SOUTHPORT,NC 28461
DATE /02— `"
PAY l' C+ 1J A . .
TO THE
3we- 6ify,t64 UAlvu, - ‘N.6- cs1.4.1
ORDER OF
FIRST CITIZENS,.
BANKl�f1I Fouth ort,N Bank S Trust Company
i jr-�t r l� Southport,N.C.28467
z 'www.firstcitizens.com
FOR CJP '3 "/`1`3 "Lsii'07iFi-5Lety
34' i053 L003001:00453 L 2099 2 211'v