40439D - Parks

MA/ DREDGE & FILL
NERAL PERMIT , Previous permit#
N -Modification _Complete Reissue -_Partial Reissue Date previous permit issued
by the State of North Carolina,Department of Environment and Natural 0
Resources ules attached.
:al Resources Commission in an area of environmental concern pursuant to I 5A NCAC
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k S Project Location: County
Street Address/State Road/Lot#(s)
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State ZIP__-----,—
Subdivision SLn v w OIL v.
_) Fax#( _) Phone# (F �� •�( — ZIP
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Agent City ato ) b 1'l- lL�l River Basin pPE
❑CW XEW I�TA ❑ES C PTS C L.- n mac
❑OEA ❑HHF /❑IH ❑UBA C N/A Adj.Wtr. Body .)K-� �V y
❑FC: eb 1 7 PS AEI,.�.. v.r./
❑PWS: — Closest Maj.Wtr. Body
s no PNA yes /� Crit.Hab. yes /
'reject/Activity "1-1., T I.. (Scale: ) 3`
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gth
fiber
/Riprap length
distance offshore
x distance offshore _ #....
cannel NE
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Sic yards_ •
np - "
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3ulldozing
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fine Length 15
OMyes no
ags: not sure yes ® P
:orium: n/a yes •� Q ',
,s: yes ii Z)
r Attached: yes no ❑See note on back regarding River Bashis;.,�normit may be required by: S u�f G2'`I�i

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