41452D - McLamb

7
eAMA/ - DREDGE & FILL d 9 4
aENERAL PERMIT Previous permit#
(New -Modification Complete Reissue Partial Reissue Date previous permit issued
rized by the State of North Carolina,Department of Environment and Natural Resources 1
2oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 1 t'1• ?o
9 Rules attached.
t Name L.LAT.,.S Project Location: County O,..)5�.�+,,.,
1V (G (c 5t• Street Address/State Road/Lot#(s)_
k,. t GIT`, State P _ ZIP 2 -4u.5-- 60 b3 (r h 3 k
'(9+z)3L3- Li'3s'2- Fax#( ) Subdivision ON 4- Sc`T1-E-IZS SEA4-11c
.ed Agent L 1 &.tiff HJ,..Sr M v1+tl.w)C City 6u#4 &ill ZIP 234 4
Cw w 1 'TA ❑ES ❑PTS Phone# ( ) River BasinC,o,p e
OEA ❑HHF ❑IH E UBA ❑N/A Adj.Wtr. Body C,IA rJA L. (oat /I
7. PWS: ❑FC:
Ai
yes / PNA yes / ® Crit.Hab. yes / no Closest Maj.Wtr. Body LA/
'Project/Activity I is,St6\k 9,04-1- \', jr-+c ON E X1Si1 ,..)(1- )?LE A,Jo`
L ►.)C ✓ PzL.-N vrs (Scale:\'t .
ck)length
i(s)
ier(s)
ngth
I j
tuber
3/Riprap length
distance offshore
x distance offshore
cannel ----` Q...,‘,Nt,..L> 'A, L
)ic yards
-ip
s tli
alldozing
11 • •
J, A/E hi /04
`notes yes no
';: not sure yes 4 V+
cum: n/a yes .8t7 L P L
yes 10 G
ttached: yes A _ ..
ig permit may be required by:S%."vt/ 4-27-1 I See note on back regarding River Basin rt

Apr, 12. 2005 3:25PM No. 7535 F. 2
ADJACENT PROPERTY OWNER STATEMENT
L,tt /V1t�R-r�rb �;
I hereby certify that I own property adjacent to (Name of Property Owner)
property located at Al__9_63-- -:2--i S\tot e e, i ______
(Lot, Block, Road, etc.)
OANA , in
,,�vsi ;1R'y ___w_,N.t
on (Waterbody) (Town and/or Co(nty)
He has described to me as shown below, the development he Is proposing at that location,
and , I have no objections to his proposal,
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
VC7.11-'1,17 ,I2
Signature 47 ..._,
/,/ zo / _J
_
Print or Type Name

Apr. 12. 2005 3:26PM N:. 53:
ADJACENT PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 04AL Aid(Name of Property Owner)
property located at e G t11 St/L-0f If-
(Lot, Block, Road, etc.)
on 04 L , in Suk i }!_ __ ,N.0
(Waterbody) (Town and/or Co&nty)
He has described to me as shown below, the development he is proposing at that location,
and I have no objections to his proposal_
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
Sig^a ure
FQ.S.,L5' _ j
Type or T e Name

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