43335D - MacKenzie

/g -Iihfi
LAMA/ REDGE & FILL QPI/e L
JENERAL PERMIT Previous permit#
New 'Modification L-Complete Reissue EPartial 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 15A NCAC , CeRuTes attached.
:Name C9IL /72q Ckt^W 2/ .e Project Location: County 25Ru✓sw/eot
'Pi Q�x 7 9 Street Address/State Road/Lot#(s)„",f 2 0c 0,5)
a its A. Statek/ ZIP vale) 3L ✓d. G✓e-j I
(4.4/477 79N Fax#( ) Subdivision//1/1,7/.49j e /1/4,7
ed Agent To C L /tLifi City NOZve .6too4 4 ZIP 2 Y5'
CW IvEW tem 14' ❑PTS Phone# ( ) RiverBasin La!ry
El OEA ❑HHF IH ❑USA ❑N/A Adj.Wtr. Body C'/7/�A iv
l 041 Gi/4/ (naQ
❑PWS• ❑FC:
Closest Maj.Wtr. Body / 41 Al
yes no PNA yes es Crit.Hats. yes / no i i ^� j� l
f Project/Activity R e l./9C C E x if" .6 N LAr��i , '� f'" e AG1�4,^/71
® Scale: ��
194 ed by/ vo/1 ,cl1rL 49�1 C�L/� /
xk)length
n(s)
piers) L�![.'/1 A to�id /�
ength J - .�
13 . '
G 2 1,0-4?C' ,��
umber
ad/Riprap length �j d
be P¢_ 1 oc4 `
vg:EEo:fz
e --61'' ;
lare.$-- l 1/�` `
1
ubic yards i '�'to
amp
. 1
Duse/Boatlift
Bulldozing —_ .` ,
t
:line Length so
not sure yes no _--...
t
)ags: not sure yes ,rf)o '
L''' 1 _�
torium: n/a yes f i V
® (/CAS I
Ds: yes0 _ ! „1,3 L..VI) lnv• .,. I
er Attached: yes _
.._
ilding permit may be required by: ��O4// Y'' ePAC I i See note on back regarding River Basi
o� '
11 // 1.7LJ 7 t../i