40421D - Gregory

CAMA I XI DREDGE & FILL /' i',TE' 'I. .'
i' ,
IENERAL PERMIT Previous permit#
New Modification Complete Reissue Partial Reissue Date previous permit issued
zed by the State of North Carolina, Department of Environment and Natural Resources
Dastal Resources Commission in an area of environmental concern pursuant to I SA NCAC 1 t. II/ o
XRules attached.
Name M pa-v... GQE G p:Ly Project Location: County Q I.>51.o v./
1319 01-() &, i37...Q. RI Street Address/State Road/Lot#(s) Lac S 5 i (o
Ivso State N G. ZIP Z"7 .5.-0 1
( I ) g9 4- /O 85 Fax#( ) Subdivision STOVE BA y Pt INN%Ai-
d Agent City SNFA PS FELL y ZIP 2-84
CW _EW PTA XES L PTS Phone# (V'I ) 81 y-IO 55 River Basin \Au rn:4
C OEA _HHF IH -UBA N/A
Adj.Wtr. Body S 1 pN r5 SD y na /n•
❑ PWS: 1 FC: '' n
es /� PNA ye / no Grit. Hab. yes / no Closest Maj.Wtr. Body N t W (LyV E IZ
Project/Activity S-N y rA L.L Z-)y I F A t k V\r► o 'I-- F,A t.i_ P 111
(Scale: I": St
k)length .4.—
s) F )'
:r(s)
�)
ber 'gth
Pi - in:NI` j(LCC ky�j S,,S" ��) jZ'7'� l 7,
/Riprap length Z-7y 1J Y He _ I I ii P
distance offshore /•
t~— y
:distance offshore 0 L' 8r , , t • iO i mice ✓
innel �C6� I ST E Pi
• Ir 0i5fgWto 5
is yards /ySi t� C�rn Fop U'
p 1r r C I?Nt 1 t� �'
e/Boatlift // .112 Q- I - ESP 69 � t7�... it/ P t- PTL.I =
Ildozing - ir
L" 1 L - ,�I .c
3F 13�' ,� q_ PrE3 ►__:_
I- S- ?Tit)
t8r
6 - pro)Length f Z ii
34 / -Prc l)=Z
not sure yes no
: not sure yes no
um: n/a yes 6r
ye no
ttached: yes
ig permit may be required by:ONSI-0IV b . __See note on back regarding River Basin ru

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: 1L G 2 b G o a y
ADDITIONAL NAMES:
AEC DESIG: ES DEVELOP AREA: 0 . ► Z PROJ DESC: P -I
(Will only take 6) (Will only take 1)
WORK: b N Z L
(Will only take 4)
MAINT:
(Will only take 4)
IMP: I-}(r SSiJJ
(will only take 6)
ACTION EXPIRATION
DREDGE & FILL REQUIRED: 3 11- s' 6-9 -35
CAMA MAJOR DEVEL REQUIRED:

:Mark Gregory Roofing and Assoc FAX NO. :919 894 2171 Feb. 22 2005 06: 12AM P1
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COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
to items 1,2,and 3.Also complete A. Signature
Restricted Delivery is desired. - 1 / Agent
Jr name and address on the reverse ,car_!/ -," 0 Addressee
we can return the card to you. B. Received by(Printed Name) C late of Delivery
his card to the back of the mailpiece, LAe front if space permits.
D. Is delivery address different from item 1? 0 Yes •
Jdressed to: if YES,enter delivery address below: 0 No
is 4 Ct(i1d ex) — — —
- 7 lkt I o.t:i
4. do ) L', 3. Service Type
V 3 r, f 2 s
0 Certified Mail 0 Express Mail w _
G 6bc1 0 Registered 0 Return Receipt for Merchandise a— Ja cc
O( b 0 Insured Mail 0 C.O.D. Q k.. 4 J,
4. Restricted Delivery?(Extra Fee) 0 Yes1 0 c„^1
p C
umber 7002 31,50 0002 3287 6963 G p \ L.-z =
from service label) _
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1811,August 2001 Domestic ReturnReceipt 2ACPRI-03 P 4081 p I 2
'-' 3
1NOItl 3N1013dO13AN3 AO dOl ltl IA3NOLLS 30V 1d P ul
ti W
COMPLETE THIS SECTION
COMPLETE THIS SECTION ON DELIVERY fi ru c�
r 1
ate items 1,2,and 3.Also complete i■ Agent 3 p
if Restricted Delivery is desired. /,/ / E1 Addressee
our name and address on the reverse EP
' _ f Delive h rti
:we can return the card to you. B. Received by(Printed Name) C. late 9 ry w
this card to the back of the mailpiece, 3 0l0 L' l
he front if space permits.
D. Is delivery address different from item 1? 0 Yes
Addressed to: If YES,enter delivery address below:
IP
d N1c6. -Scr.mc� 5.3e1 r-r. 69
—
`6 aberr y n I
plp `�r6� >; 27' a
6A Pock 1 C -r 3. Se ice Type =
Certified Mail 0 Express Mail p
❑ Registered 0 Return Receipt for Merchandise - ED d
❑Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
Ft
Number 7003 0500 0005 3814 4727
fer from service label)
13811,August 2001 Domestic Return Receipt
102595 02-M-1540