42308D - Nikouyeh

LAMA / DREDGE & FILL t/l'ria------ ICI 1
iEN 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 Vl . 1 -'�
Rules attached.
Name E 5,-r) aZ L (\IS K 9 to 1 E. }.. Project Location: County PE' ,)D c r --
j 2 2"7 IV. Or ,, LIL vE fL Z,A Street Address/State Road/Lot#(s)
n Q.F Ci?T ki State Lk. ZIP Z$`a 4 S 1 t t-7 yU - IV t: ' LT v i t•.. Q.
(°t I O)u • // Fax#( ) Subdivision
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❑CW &W ,.1 TA ❑ES ❑PTS Phone# ( ) River Basin (;A i)F
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❑PWS: ❑FC:
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yes nfl PNA yes kw.) Crit.Hab. yes / no Closest Maj.Wtr. Body T Y✓
Project/Activity ‘.. 3.E +t (._i )t ..3 w ri 1. \ x t 2. . =.k•-\t calf C -r
r. 3 ' S re? r00 a (Scale: f
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ar(s) I `��I I�1 p 5 U
igth
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iber
/Riprap length 11
distance offshore lie
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c distance offshore
innel 3 . .__
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is yards
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Length c 1 �!
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not sure yes d �1
im: n/a yes " T
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yes own P t � Pi C
ttached: yes
i
g permit may be required by: 3 k.,�0 F t�i'(`' I . I See note on back regarding River Basin ru

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10,
ANTHONY P MORRIS 1200
iI A&T MARINE CONSTRUCTION
� Ha Robertsstad Road ( a) 1 )l O- 67-219/539
Hampstead,NC 28443 I ewwCN 01411
DATE))�(���14
PAY TO THE j
�1 ORDER OF I $ / f
,61
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DOLLARS t D.ua..,
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41 CAROUNA FlRST i
I0 HAMPSTEAD,NC 28443 }� //
! FORG,0Lid-3CJ -- I (/V1,-1J�yCih `M�J �� ,., •
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1:05390 2 L97I: 7 L005 L1,47611' L 200
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Sig .ture
item 4 if Restricted Delivery is desired. _ 0 Agent
• Print your name and address on the reverse �� LL�' �' 0 Addressee
so that we can return the card to you. fig, •eceived by(Printed Name) C. Date of Delivery
• Attach this card to the back of the mailpiece,
or on the front if space permits.
D. Is delivery address different from item 1? 0 Yes
1. Article Addressed to: If YES,enter delivery address below: 0 No
C/ f
vteQ/J,' ,( # ���`
• IR5 3 O k .C67. 1,
3. Se2ide Type
�a/^ .:7_. . Certified Mall El Express Mail
,1 a / `� 0 Registered 0 Return Receipt for Merchandise
- ❑ Insured Mail 0 C.O.D.
U.S. Post, 4. Restricted Delivery?(Extra Fee) 0 Yes
CERTIFI 2. Artie " ' WI
(Domestic Ma (Fran 7004 1160 0002 2762 4808
Ipirrifnirm PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 .come
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