41556D - Jacobs

';CAMA / DREDGE & FILL N9 4
3ENERAL PERMIT Previous permit# g oLI 11 —
:New Modification omplete Reissue Partial Reissue Date previous permit issued 3 1 1
rized by the State of North Carolina,Department of Environment and Natural Resources
:oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC 7 J . / 2 C.
E Rules attached.
t Name cWLL 1 +A4.315s Project Location: County PE hiJ , 2
1 LI LI 1V A•o D E Q4.3.., f jLv6 Street Address/State Road/Lot#(s)
PSI ZE-At i4 StateN( ZIP ZSi-fLj 1I`I''-I 0 141...)DE2S ✓ !31v>)
01 )Z(.Z -$315 Fax#( ) Subdivision
,edAgent 1AQr LIE r-- C.- 1 City
LXaZL apaz.4 ZIP Zito
tw )W ETA ❑ES ❑PTS Phone# ( ) River BasineApE 1
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body
El PWS: ❑FC:
y - )L�.S �l p 1N/,.c� (na�Jt
yes /(.. PNA yes�np� Crit.Hab. yes / no ,
Closest Maj.Wtr. Body W
f Project/Activity 51 1. , T>j E (Z 4". Z I X / 3 ,s,j,,-r LFTS
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ier(s) •
ngth
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distance offshore
ix distance offshore
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e Length (C%T ' W
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\ttached: yes NO
ng permit may be required by: P y 4,aM Z . a. L.4 I� LI See note on back regarding River Basin n
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'<1 PELYCLED PAPEP 0