42347D - Sheppard

CAMA/ i DREDGE & FILL Na 4
3ENERAL PERMIT Previous permit#
INew .Modification >omplete Reissue _Partial Reis ue Date previous permit issued L-Z P
ized by the State of North Carolina,Department of Environment and ral Resources
.oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC #f. / Z.OLD
❑Rules attached.
Name (Zs c rl f?npf� Project Location: County tE N 1= (L
3AI.)/VI 2z 0 G G Street Address/State Road/Lot#(s)
a A F Grf•, State IV 4, ZIP Z 8 4(.1 S 3' 'S A).i Of L.pN
(c1 10 ) 3-La- y a rL Fax# ( ) Subdivision
:dAgent LTGHT/4 sr vy7A(2.Ttic City 5t.ip Gam\/ ZIP Z$N4
❑cw >ON beTA ❑ES ❑PTS Phone# ( ) River Basir 2 p E
❑OEA ❑HHF ❑IH ❑UBA r!N/A -f,QsAx�'
PWS: ❑FC: Adj.Wtr. Body 6i2t:6►L 5�v /..)►� 03/n
des / no PNA Cato noCrit.Hab. yes / no Closest Maj.Wtr. Body Pt W
Project/Activity 2 y t-t<<t s S 1'7 i 2 S 1 Zt 4"). r1- x Z S-71 r--G-
1
Ic rty. S (Scale: j"
k)length
;s) Z(C >( Z 4i
er(s)
igth
iber
Riprap length
distance offshore ( /
(distance offshore 1.
annel 1 ‘ji o 4..
(
t:
is yards )14'
I1oatlift
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Ildozing
Length )
not sur yes no N
not sure yes no
gym: n/a yes c®
yes CD
ttached: yes
g permit may be required by:E (j 2 F J7 y See note on back regarding River Basin ru

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t1 LIGHTHOUSE MARINE CONSTRUCTION 3126
P.O. BOX 2532 910-328-4852
SURF CfTY, NC 28445
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