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'CAMA%,,,AfIREDGE & FILL \iii t�If /1
3ENERAL PERMIT Previous permit#
'New 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 .?H • //Qa , /wo
�4/"/f/G' �/ S�Qh-" ❑Rules attached.
t N//a��me Project Location: County �/� !-V �!a/vh
�C �� /' • Street Address/State Road/Lot#(s)
/r' 0/4 State ik ZIP 28eo' Id?" 39
'(Iva)371.o. .Y/i Fax /
#/( ) �_ Subdivision �c��
ed Agent /;n4,03 /froo-4 City 4/7:/1 *071 AV/ ZIP ,2 8
E CW [4W Q'P-A 41.1 PTS Phone# ( ) $Ck+y River Basin
❑OEA ❑HHF ❑IH UBA N/A
Adj.Wtr. Body lee S ('G T (nat h
PWS: ❑FC:
yes /� PNA yes / Crit. Hab. yes / no Closest Maj.Wtr. Body_��«e r/4
'Project/Activity ,</7$ X/7 Gf . A//l: 6 ��/c� ',2 ' %—t49#� no1'Gv/
et7ik; 4i #i 7 A //r4 ( 7%#/"! Ah 'I /l '6 Greior
(Scale: ,,ck)length ex2� //0
1(s) a/Y2G / i PrO1)/5 i P g PI,O p,,,e, /t;�✓' tee /S C!-
ier(s) I
ngth i 1c/ L
l //41 i he,,, /�41� 4i -4�
rber / 4PI P,(/// Q/7 C.H'S7/^, 6e-e/e/..-40,011
J/Riprap length,2 ` /' �
441°
distance offshore / fi ►nC i los*I if , ' y
x distance offshore 21 L✓l i i'n e rA T 104, 1l-1
cannel qL ., If e, ,
,
)IC yards / /
ip ti.
&i&iee4e-//,/,;010/0 (.6iii0 ir ,se/Boatlift
Mg,c^an"ice rrior7,
tt
illdozing k V
k7dOsir. 2/7/ 2</ 14 �. IL
G/kZ01 i- V
.felte
l ?j
Length .[$o /9r�/�//y It, , N A.
sure yes ® / P ' V L
;: not sure yes di/ Y /a id'
ium: n/a yes AP t it
yes ® d f / I`
atached: yes ® i / L r •1,
ig permit may be required by: �/'jj�/7/S///WE, ��,,h See note on b.ck regarding River Basin ri
EO *WvE
CM-MP-4
flRUCTUIRES MAY �:�
DIVISION OF
ictito within Public Tit Attu) Lot_ 3 4_, •
COASTAL MANAGEMENT
its form to Joint Application for CAMA Major e. Mooring buoys
Form DCM-MP-1. Be sure to complete all (1) _ Commer ial _Community Private
xions of the Joint Application which relate to (2) Number
osed project. (3) Description f buoy
(Color, i • a, s , anchor, etc.)
c(s) and/or Pier(s)
_ Commercial _Community Private
Number I
Length Z 0 (4) Width of water body yt9
Width (v (5) Distance buoy(s) to placed beyond
Finger Piers Yes No shoreline n/l/9-
(i) Number
(ii) Length f. Mooring structure (boatlif, mooring pilings, etc.)
(iii) Width (1) ,-_ Commercial Community.Private
Platforms) Yes No (2) Number Z
(t) Number I (3) Length
(ii) Length I b (4) Width
(iii) Width 20
Number of slips proposed 2 g. Other (Ohio copra a„crrrra l
Proximity of structure to adjacent riparian
property lines -r 14140 Pc .
Width of water body 400 FT-
Water depth at waterward end of pier at
MLW or NWL Li I
louse (Including covered lifts)
Length NCommercial at k� Private C tt� i sToQ fle:e 5-173QC
Width Al/A :;-°--rh"elan:A\
c
7
(e.g. wood, sheetpile, etc.)
Number
Length(s) ¢ a� OS
Dais
cwater (e.g. wood, sbeetpile, etc.)
Length QUO' o..pprmk
Average distance from MHW NWL or
wetlands (?N ACU IV b E-X/SmJ
Maximum diatance beyond MHW, NWL or
item 4 if Restricted Delivery is desired. CIAgent
• Print your name and address on the reverse ti� ❑Addresse
so that we can return the card to you. ceived by(Printed Name) C. Date of Delive.
• Attach this card to the back of the mailpiece, .0 Lf1P ��� �j _ g,J
or on the front if space permits. •C.� J
D. Is delivery address different from item 1? ❑Yes
1. Article Addressto:—
d to�: If YES,enter delivery address below: CI No
. 1-0 - D 7 r .
u.`~'�i-e ' 3. SS ice Type
\Ylr\ rY�` -1 N �a� 3 LC Certified Mail El Express Mail
t•��y C _ / ❑ Registered CI Return Receipt for Merchandisf
' 1 CO CI Insured Mail 0 C.O.D.
`/' 4. Restricted Delivery?(Extra Fee) 0 Yes
2. Article Number
(Transfer from service/at 7005 0390 0004 0335 3783
PS Form 3811,August 2001 Domestic Return Receipt 102595-02-M-154
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Signature
item 4 if Restricted Delivery is desired. x 0` ?'`/7`1 I_"`Gv-,� 0 Agent
• Print your name and address on the reverse ❑Addressee
so that we can return the card to you. B. Received by(Printed Name) C. Date of Deliver)
• Attach this card to the back of the mailpiece, C. ;,,9 el iiv a. e,-- C-(--;--q
or on the front if space permits.
D. Is delivery address different from item 1? 0 Yes
1. Article Addressed to: If YES,enter address below: ❑ No
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�� 0 Reg e . urn Receipt for Merchandise
171 Insured .ii Cnn
DATE J//�/0,5
2 'I PAY I _ ! J
1�C- �
ORDER OF I r O L
<;I -d DOLLARS
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ICI ® WAcxoviA
Wachovia Bank,NA.
111 waa,wia.aam
01
FOR T LOCO O
11a0 13 50 711a 40 5 3000 2 L 91: 2086 L 70 89 6
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