43323D - Kivett

'LAMA/ DREDGE & FILL OT lirt/OQ
;EN ERAL PERMIT Previous permit#
!New _ Modification Complete Reissue ❑Partial Reissue Date previous permit issued
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 7l4! .2S'0o
[1.IEules attached.
:Name R 4S f Ai V e f Project Location: County SR i N„'G✓/C
'/(7/ "ik 3) Z i✓L Street Address/State Road/Lot#(s)/W 7 /49
td Qp4-c A StatehC ZIP :t $rt 2.
( ) Fax#( ) Subdivision)1p 4' #. CP c 4 fre4 ,6 t
ed Agent 64 1O IdQ 4/ City "'la tie ^/ 17o4c 4 ZIP 2 V
❑CW C, [ PrA PBS ❑PTS Phone# ( ) River Basin 4-le M
❑OEA ❑HHF ❑IH E UBA ❑N/A Adj.Wtr. Body.e4, L- 07c-ir 47/L1441 (nat
❑PWS: ❑FC: Q '' /
yes /�►.; PNA ye no Crit.Hab. yes / no Closest Maj.Wtr. Body �� �'✓�'1/
Project/Activity /`e"Lec e Ex s71,":" R 6 i J)
(Scale: / ••'
:k)length
(s)
er(s)
igth l
nber
1/Riprap length /04
;distance offshore a,
x distance offshore 0
•
cannel
)ic yards
ip
se/Boatlift
illdozing fil
'; 1. z '
a Length f a a
not sure yes no
" e
not sure yes no r Le
cum: n/a yes 1 (,� 1 /1
yes r fff
ktached: yes
ig permit may be required by:1)/Ldew RPM .1 See note on back regarding River Basin ri
c—^':_• , it 1. '7 Al 7 / A A i/_ /i .. —