38403D - Gause

CAMA/.❑DREDGE & FILL
3ENERAL PERMIT Previous permit#
:New ❑Modification ❑Complete Reissue ❑Partial R ss Date previous permit issued
)rized by the State of North Carolina, Department of Environment an atural Resources
Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC 7i9 1 Z I2t
@ ilvlesattached.
it Name a,,t/ 646,0 f�L Project Location: County /pirAO
IL` /OZ9 kith�j4 6n Ail', Street Address/State Road/Lot#(s)
7ettA ,it'd It State/fe ZIP Zq -W-y ...,""tie--
P( ) Fax#( ) Subdivision
zed Agent a ri4 6.41;i City ZIP
i ❑CW RIEW KPTA gES ElPTS Phone# ( ) River Basin
❑OEA E HHF 1111H ❑UBA El N/A
Adj.Wtr. Body A/l-vW (nat E
❑ PWS: ❑FC:
yes / no PNA yes / no Crit.Hab. yes / no Closest Maj.Wtr. Body
if Project/Activity
� p .ser( p',/j e 14 /4 "lQ �ai it /J 't✓ (4 I /ouP s�
T— / �L �l / %
Dck)length / !6 x "
Ti(s) /6 x /6
pier(s) { I I
1
ength —__ _ — i D
ember i _ 4 " "y ` �4
t
ad/Riprap length 1... ( } `T ' —._
ig distance offshore 1_ i. f _ 0 _ 1....
iax distance offshore , - / _i
:hannel f
I -
ibic yards '
mp
use/Boatlift
3ulldozing
t
1
T ; r
rr /�, i
ne Length !l i I not sure yes j
f 1 i
gs: not sure yes o .-. ,•.. i A--‘
,....� + y —
r
4I
rium: n/a yes o 1.... i -— _ ST fi H Il .
f ?lit
yes o
t— I —.
Attached: yes n i 1 ;
ling permit may be required by: Pd e/ Lb, n See note on back regarding River Basin I

GENERAL PERMIT CO P-J .1 R FORM
(7- a.6e-
ADDMONAL NAMES: C�1/�✓ S 6-C Q
•
"LECD DESIG: DEVELOP 1212 PROJ DESC: // - IZ
(Will only:a =o) (Will czic I)
!,'OR pf i71 4.c
N'u G'y?r`-4)
Dia O ) .G1'0
(x-Dray 6)
•
• ACTION ?t ATION
•
D_RtG✓'&FT-L.REQu3:
C M- MAJOR DE v-T REQLia=:

order of-' pENtc I I0A °0
(: ),,.4. l e../1/..11, :� - Dollars e
BankofAmerica,
ACH Rif 053000196 ''� 1•
- ` is
fir
1:053000 L961: 0006505 2 243610 L48 L
DECC
•
•
1

. ..
y
..........,...ol..•
. .
. la,ASCH ' . • , 's ,
• •
)o _ ADJA.CENT PROPERTY OWNER S'IATEMEINT
I booby oortily tJJRt 1: own proporty a(IJauant to Do....:ei
(Ramo Of Propoily o•wric0
pmp or IT Iwoittod at : LC,29 _ .
(Lot,Block,Road, oto,)
11 'Pooelar 1,1',C
• Thew Imo donaribod to mo au uhown'bolow, tho cloyolopinont thoy aro propoging, ot that
• lo on(jag.) and , I JUNO 110 Obj001:10110 to thin proponal.
_......................_____ . ______:_, ..____.._.___.....__
DE8C4IIPTION AND/OR DRAWING OF PROP 01`.31.(1) •
• DifSrELOPIONT .
. . • go'lb o Iillod'111 by bulb/WWII prop Mug di'al own
•
IGYIL5, \ / ‘5. '' • .•
_ X tecv \'°' •
. •\ o P
I , A
.r
..
. • ' Q.J.0 ' '
. .
(GO
'
10( • . • ..( lacrt7-. A5,4405;z.
• . .
_ • .v •
,..._ Msuatoro of Adju6;73 Ow'ttor
. . .
•
• • reizMP—../3_,.:Ph )lciti
. pAint or T,ypo YS'ai;"
. .
. .
97 0 71,2 .7 0 -

•
•
AD,:r .s.CEJ,1'J.' PROPERTY'
OWN,ER R ►s'Iij rr j YJ4 rj rrh
im' by oor'CIJ;,y tba;I: own pima), ndJR OAAt to__.Dav;(1 . Gcto.S.t.._ W..__....,..:....�....._......,.._,'tl
( uirio OfPropocty ownor')
pA'opoA'ty laott.l:ed n.t._.._16Z9
(Lot,Mock,Road, vlo.)
oA A.....l.. . ._ ', '-........___., in _ _ ....... .._ . . . .,_.�'KC
• ';M'ht9y htwo dotioribod to my on uhowja'b0low, tho devolopinont thoy tiro pa•opoolot, nt that
• loontiort, and , I hirvo no objo (:ionu to thin proporinl.
0,11,'3C..I.U1 'EION ANotox1.DRAWING O ' PROI'O1 ED '
DEYE
LOPIY J NT .
(To.1.)0 illod lii by bulb/WWII prof )$iug itovolopXuon1-)
----: . , (i)'- ,. • • .
. ,,o,
fl4J ..
. ___. 4 4/. . \ .
. ...,_____.._...... , .4,. ..i.....______,_____ 4,,_ . .
, .
. . Cd..ee;u
. , , .
• 1' . • „.....„.....,........_.......
. 0 _
. �� __ SAgtAnturo of •rifitc��►i C)wiii
. 1 -------1 I
. Print or Typoa�(tlAolo