43203D - New

(',DAMA/ DREDGE & FILL ‘,/ -1/1 U
3ENERAL 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
:oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC )}i, 2.5--a3
KRules attached.
It Name NICW It.1,vc4., R LtA..Tik jipt,.) ) - Project Location: County &OS L�2
13.0. 'off( 1' Street Address/State Road/Lot#(s) f'. .A.1 L-
j CADS Ft"2L'-) StateN4- ZIP ? +i(g t ( .DivIreN vA ) T`j L-t PIE'12
✓
E( ) Fax#( ) Subdivision f\Cv Lye L. DL+1k.,jp,'j'Sr
ted Agent City 5i JF ADS Ft'fit`y ZIP Zpy b,
CW W L PTA ❑ES ❑PTS Phone# ( ) River Basinl//UD[is
I
❑oEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body L v r;2.E i-f 5 -;t),- at
❑ PWS: ❑FC:
yes Cri� PNA es no Crit.Hab. yes / no Closest Maj.Wtr. Body S'j�O E �A /
f Project/Activity 12...E S 0, C'1 ..,o,i 9- r•.e L t a fi"r L YL.. OP H c
�, .,
(Scale: I"
/,
)ck)lengt'h
l
n(s)
)ier(s)
sngth
imber
id/Riprap length
g distance offshore i" v i i( /- . '`1 `�_ c_ -----..............
ax distance offshore j
hannel �.__v
ibic yards )
mp
use/Boatlift _
$ _
i
3ulldozing ! i 1
? i I
1 11
1 I
le Length I FJv '
alM 3
I yes no ;
gs: not sure yes ;_. _.1 i--—•t•
,rium: n/a yes 41) ________
yes
Attached: yes
ling permit may be required by: fJ S i. W tin ', See note on back regarding River Basin
s