40442D - Moseley

CAMA/ -DREDGE & FILL )lg
3ENERAL PERMIT Previous permit#
>New Modification I (Complete Reissue Partial Reissue Date previous permit issued
rized by the State of North Carolina,Department of Environment and Natural Resources �]
Zoastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC ►'1- i 2- '
rules attached.
It Name j . M. iri 1 O SE L.E y Project Location: County Ci0 Si.,.... No,
51Arr G -_ Street Address/State Road/Lot#(s)
State ZIP J ZLp gZ,& H Arv.r�.x-K. N' C -- (Z
t( ) Fax#( ) Subdivision Pti.L C—A r I7oZ►.>i
:edAgent A 4.1' fflAQ1tJ.t City 5s E4IS rLa a `f ZIP Z^'3t-/ e•
❑CW XEW )TA ❑ES ❑PTS Phone# (ci1 O )Z')' 2-Lit( River Basin J 4tT f<
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❑OEA ❑HHF ❑IH -UBA ❑N/A Adj.Wtr. Body rn> Sow✓b C na /
PWS: ❑FC: _
tl PNA `�, no Crit.Hab. yes E"8 Closest Maj.Wtr. Body AL r/n7
F Project/Activity S SA L L 1 c 2 ' I --4 r A n l..✓/ Z . „:„ LI c"--15
Eck)length e.x I t/8, (, Y 2.y (Scale: ��� A
n(s) l J A i/c '
Aer(s) fri
•ngth
amber id/Riprap length • pilg distance offshore • '' +
ax distance offshore t V
hannel �...._. __-
bic yards
np t
is /Boatli f .01{
2X 12 16$
Iulldozing
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ie Length 1 1 II
dieWyes no
;s: not sure yes _ ^/ri Y
ium: n/a yes NT"V'Ihk,
Attached: yes CZ'
ing permit may be required by: E 1v SLLCv✓ ( N T v ___See note on back regarding River Basin r

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COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
te items 1,2,and 3.Also complete A. Signature^ /
Restricted Delivery is desired. ) / A / ❑Agent
ur name and address on the reverse „ . 0 Addressee `— — 7
Ne can return the card to you. g, ceiv •y Printed Name) C. Date of Delivery oy x,+ 1
his card to the back of the mailpiece, 1 / �f �� o� w r
e front if space permits. / f L
D. Is delivery address ifferent from item 1? ❑Yes x '73 o o>4 x I.
idressed to: ^ If YES,enter delivery address below: ❑ No cj rr' ( O Y
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` v ❑ Registered El Return Receipt for Merchandise
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4. Restricted Delivery?(Extra Fee) ❑Yesil
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7003 2260 0000 2372 1722II
811, February 2004 Domestic Return Receipt 102595-02-M-1540
9
COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
te items 1,2,and 3.Also complete A. Signature
Restricted Delivery is desired. l ❑Agent .... N
ur name and address on the reverse X `_' i'4 ❑Addressee ^'f`
we can return the card to you. B. Received .y(Print=1 e) C. D- e of Delivery .�
his card to the back of the mailpiece, r I I < /(Q 6,- —1
e front if space permits. `'
D. Is delivery address different from item 1? El Yes �1 y
idressed to: If YES,enter delivery address below: ❑No
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3. Service Type w a°i �
pphid. = v
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_5/_ ❑ Registered CI Return Receipt for Merchandise Z
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CI Mail ❑ C.O.D. = = CD I`
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4. Restricted Delivery?(Extra Fee) ❑Yes ii
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lur fr 7003 2260 0000 2372 1739
3811, February 2004 Domestic Return Receipt 102595-02-M-1540
1 U.S. Postal ServiceTM
Postal Service,., in— CERTIFIED MAIL., RECEIPT
'TIFIED MAIL., RECEIPT
-stir Mail Only;No Insurance Coverage Provided)
i m (Domestic Mail Only;No Insurance Coverage Provided)
For delivery information visit our website at www.usps com,,
ivery information visit our website at www.usps.com, I iru
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