39831D - Parker

}CAIb1A/ ❑li DREDGE & FILL
3EN ERAL PERMIT Previous permit# -
1'IVew ❑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 SA NCAC 7 l.7/ ,/-) 6 u
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It'Ru les attached.
t Name 4evi e/4 ,4ti2 ILf7 Project Location: County "lti.s W iC/ -
Po - "Y Do % Street Address/State Road/Lot#(s) tt,71 ru
iii peiv State4(9 ZIP Mt-i ,
'(7w )191 - Y 33 /Fax#( ) Subdivision
ed Agent M 67 j /P{" City MO/v R 0 F 5--i- ZIP D 6`/
a6, L!FV/l' PTA ❑ES ❑PTS Phone# ( ) River Basin L 1÷nn
❑OEA ❑HHF ❑IH E UBA ❑N/A
Adj.Wtr. Body (/94 h (nat
❑PWS: ❑FC:
yes / no PNA yes / no Crit.Hab. yes / no Closest Maj.Wtr. Body /kTW
'Project/Activity PR'iVAS 3 C (
I ') U (Scale: /
:k)length
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ier(s) a 1 11 ' I _�1_� ®��
ngch :: 1 1l NEM _�■.
tuber 11111111111.11
1/Riprap length I
distance offshore i 1 1
x distance offshore 1
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cannel err■`--
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1
)ic yards I I virr .. 1....
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se/Boatlift ■■■ , ; ' 1 I ,41111111111N■.D
NINE '�■M ►25 rili11111.111111111 RA
ulldozing ,U��UUU ■
II 1 ,_ MEI NNE
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e Length .r i al 1
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not sure yes ./ t
G i
s: not sure yes `-
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cum: n/a yes . t—
Yes 1 a I , i ...L
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kttached: yes 62a)
ng permit may be required by: ,cI}N flit:" /leH 7 See note on back regarding River Basin n

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3� FAX NO. : 19107545423 Mar. 21 2005 03:30PM
ar 21 05 02: 57p Greg Holden 8429806
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