39871D - Hamilton

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E GAMA/ 2.DREDGE & FILLPs
'GENERAL PERMIT Previous permit#
[-New 'Modification ❑Complete 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 'J
�// � II -1 Rules attached.
ant Name jtiet.55 ,-- Ally )/i-n/tv,> Project Location: County --, Su-YlV4,
ss 6-OZ E. 0.0-c,I t" atr, Street Address/State Road/Lot#(s)
I,sk ,T- A•i d State hZ ZIP 2V1 fj- ,71.G.
#('?/ ) "'513 — 70f`, #( ) Subdivision
rized Agent eo,si,f,y / y/ City ZIP
ed ❑CW IOW G -PTA NES ❑PrS Phone# ( ) River Basin
❑OEA ❑HHF ❑IH ❑UBA ❑N/A dy 1/4-
): Adj.Wtr. Bo A u/
❑ PWS: ❑FC:
yes / no PNA yes / no Crit.Hab. yes / no Closest Maj.Wtr. Body
of Project/Activity /fC/Vi4C M./a c4e:575',1 fir0/- /1 Z s1a/ 52140r1 4/AA I at+1
C J.
�Ciy� (Scale: l
:dock)length _
>rm(s)
INIMPIAINIENI 1
r pier(s)
>length 1 .• misumimmo
number
! •• .1110.1111011111.1 1
>eadt i�rapJAgth 5.Z1A01, rt i .4 r . ✓
avg distance offshore an Q •
max distance offshore _ -_
,channel . '
i ito '
cubic yards •
i
ramp i .__.....- - — _ _ —
louse/Boadift 1111111111M.1111 ► �.,
■� �'' l ••■ r�J/lAL '?
1 Bullllldo/zin _
/ t
. L._ t } -
:line Length /if.3 , t �.. , t l� �M
not sure yes
i
Maim ■� E --
I III
lags: not sure yes ! MIMI --
Corium: n/a yes port At f.. +— I _....
// �� _ '
:r Attached: Yes $., •
f '1 1&t5Z " regarding'ding permit may be required by:}} /�aln ♦ n See note on back re ardin River Basir
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GEN 'ER " PER1111 COMPUTER FORM
7PL CANT NA : gUltt 65 1#'- r y9 y 44..,,i;l1-04
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ACTION DPLRAi1ON
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CA MA MAJOR DEvim.REQUIREsD:

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THE AMERICAN FISH CO. 74672
CHARLES H. OR KAREN Z. PERRY •
P.O. BOX 11046
SOUTHPORT, NC 28461 66 30/531
DATE a -a— s 453
FCC. O b \. \.• \NAAAAANLek. AfiSet&Ati.
DOLLARS n
FIRST CITIZENS 453
BANKFlntLihr.n.6 58 Truat Company
Southport,N.C.2H461
www.firstckizens.com
23fet "-29SW PA.
u'07467211' 1:0S31003001:004S312099e i4