42366D - Songer

i '
,CAMA/ I DREDGE & FILL NI? 4
iENERAL PERMIT Previous permit# 1 14 Lie" -
New modification '$Complete Reissue ❑Partial Reissue Date previous permit issued y- Z
ized by the State of North Carolina, Department of Environment and Natural Resources )�
:oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC '('�
❑Rules attached.
:Name 1` a C e 1 cJ o N V G (L Project Location: County 0�1-J.--
I ' ) ►S R.T 0(76 r L o'-1 ") Street Address/State Road/Lot#(s)
> 1 AvbS 1QNi State)L ZIP Z SL1( () L5 7 1SLThe .ET L.A NL
( ) Fax#( ) Subdivision (_, i2.4 ki-"A./Oo 1'�
:d Agent \Al N,,/71 v.�_, City cv.) t:i..AOS 'Ra.V1 ZIP ZStI 1.
CW I EW E,PTA ❑ES ❑PTS Phone# ( ) River Basin 4).j'�i
OEA HHF IH ❑USA ❑N/A C. ,�,,
Adj.Wtr. Body EV ✓L G-Trt' L�YL. '
PWS: H FC:
ies / no PNA yes / no Crit.Hab. yes / no Closest Maj.Wtr. Body 0 13v..' (LT V 4 2
Project/Activity Ir..) 5 j ALL PI G (L 4 7-- >L
� (Scale: I' = 74.
:k)length 6X oO / _ _._.
(s) I b x /a
er(s)
igth
,ber
P gt — ff—
I/Rip ra l h 1 /r /z 1. i T ! _ 2 L_ t.
of
distance offshore V 1 I
(distance offshore
annel
I
is yards
p 13
e/Boadift
illdozing
l
i(til
Length a7 X
e yes no
not sure yes
/
um: n/a yes / U
yes
ttached: yes "rfo _-__u. _r —....1 - i A __..__ .__
ig permit may be required by: NS L.. //„„.p v.rjT\/ . I I See note on back regarding River Basin ru

r 11/11/111. VVO /
First-Citizens Bank&Trust Company August 11, 2005
Raleigh,North Carolina tat
,, Pay to the NCDENR
order of — — _ $ $100.00
1 I
Y :1.1i t I .: t}"
..1... �Ittn� ulur
Notice To C•n5((.n1erS
The purchace nl an Indemnity Bond ex an Insurance Hold may he rcyuiral(xlre an orlic"
cheek of this bank will fx replaced or rclunded in dte cvem it�s losl,misplaced nr stolen.
PAT ANTINORI
Remiller
05-10050R(I1/04)
42...3Cd6 -210
00687787 L11' 1:053 L003001:980 L99499011'
•