41514D - Paulin

LAMA/ i DREDpE & FILL ±',,i 4
;EN E__RAL PERMIT Previous permit#
New Modification "Complete Reissue Partial Reissu Date previous permit issued
ized by the State of North Carolina,Department of Environment and Natural Resources �1
oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC -MI
, t Z-
T /� ules attached.
Name �O AA h( 6, /Lt U/,`e1 Project Location: County 44 e/ Co,
7ZZ /.l 4 y AIW A), Jt. Street Address/State Road/Lot#(s)
itrr�P s f pa nt State lit ZIP Z'1 /4'3 4i krl e
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( ) Fax#( ) Subdivision
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:d Agent City ZIP
CW ®(VV DHrTA pill ❑PTS Phone# ( ) River Basin AA1
LI OEA ❑HHF ❑IH ❑UBA *❑N/A Adj.Wtr. Body l}-I MA) (nat /d
O PWS: ❑FC:
ies / no PNA yes /6 Crit.Hab. yes / ,' Closest Maj.Wtr. Body-- «
Project/Activity f r0/1/Yt sA /,l e ✓ et G - /lir A K.
(Scale: /',
,k)length 01 I __
(s) j Z. X J 2- Mont 01"
er(s) �!
,gth
nber ..""""" jZ t(/'2-
I/Riprap length
distance offshore ..—
K distance offshore
annel -
is yards f
1p
fr?Cl/6
;e/Boatlift
dldozing If-- 3 0f'---7HI E'.__.lie---> I
Length 70' A 404e,
not sure yes o, 7
: not sure yes no / / i e74/4L1111
urn: n/a yes no
yes no
ttached: yes o
ig permit may be required by: P(4 ie✓ c-a'. See note on back regarding River Basin rt.

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N'JOM N331z10 A13AVS ONVIONVf`J we31.u4.•s4in10O
E02 .110t 2 9 9 L 9000 :19bt 000E50:I
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961000ES01/H HOV
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