42348D - Duden

CI MA / DREDGE & FILL N9 4
3EN ERAL PERMIT r Previous permit# Li 09 41. -
New - Modification >Complete Reissue Partial Reissue Date previous permit issued Li -zI
-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 --)ft, I ZOO
❑!Rules attached.
t Name i4-zz. A\LC-3 \-A r r-, Project Location: County jL o j g (-4-
ZZ SAN6\I Lap G Street Address/State Road/Lot#(s) -
.t Q F C.=T y State/✓L ZIP 2<3 LI lc. 2'21 S u p/ LA i t
( ) Fax#( ) Subdivision SA t ki 12'L pGt
edAgent LIG►-1?►-1.3k4st- Mikan.)r City tiiLF e-zTy ZIP 2.84I-1
❑CW , W IH ❑ES ❑PTS Phone# ( ) River BasinJ,�pE '
❑OEA ❑HHF ❑UBA ❑N/A Adj.Wtr. Bod )3pS417 L 'Sot.t..>�
❑PWS: ❑FC:
yes no PNA � j no Crit. Hab. yes / no Closest Maj.Wtr. Body ` -�Iv v...,
Project/Activity P.51rail i.)i N �o 4_ 2-'3 X 12... F L ATE i( ID >< 1
( (Scale: j''. ;
:k)length s X (o ` I
(s) Z.)x I1 FIYt,j y j
er(s) I '
igth l '
nber
i/Riprap length _
distance offshore
x distance offshore ---,•-- `' -f
annel --__ _
iic yards
ip
-
se/Boatlift +L' ZU r
0
sIldozing i 1. FI) I IV . ---.
t ►
•
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---- -----------
Length ) '
.
sure yes no t\t "..,,,,
not sure yes Ca \\
um: n/a yes '
yes ell
,ttached: yes �o /
sg permit may be required by: ��(Lc- G.— Y"-/ J See note on back regarding River Basin rt

LIGHTHOUSE MARINE CONSTRUCTION 3126
P.O. BOX 2532 910-328-4852
SURF CITY,NC 28445
PAY DATE_ _ J J ss-IsiS�o702 p
I TO THE Ve/f/j j/''�/
mj! ORDER O �✓ C.- ' v �C ------ L'Z�
G; /2'� -C l�� to 6 �.N..
IK BankofAmerica
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' ACH Rif 053000196
f37—�i
P Z. D�Zl FOR
1 Ile003L260° I:0 5 3000 /96i: 00065L3LL36 ?u•
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