43240D - Troy

MAMA/ 3 :REDGE & FILL �0 /
3ENERAL PERMIT Previous permit#
Kew Modification [I Complete Reissue Partial Reissue Date previous permit issued
lzed by the State of North Carolina, Department of Environment and Natural Resources
;oastal Resources Commission in an area of environmental concern pursuant to I5A NCAC 7,v. l/ago
' .Rd es attached.
t Name R o4!get!get �
i J/-e a�/ Project Location: County �2 N,/,f iv,ckT
1/D 9 �N A/ £ �Z ,/ Street Address/State Road/Lot#(s) //9 2 oLp
' e Qn/l46140 State,* C' ZIP 2 7'yj f ,� /,
( ) Fax#( ) Subdivision t1A2bjU4_ 6'c/t
ed Agent �1—/jaft , re.0,4� 3- City HO/Cle,. c'f't 1) ZIP 2-7 5`
i,� W i --CY A ❑ES ❑PTS Phone# (. /i )2,99•J/29 River Basin Alt/ 4
E OEA ❑HHF ❑IH UBA ❑N/A Adj.Wtr. Body L/.SAL ,1Cc /9i £/ (nat,t4
/
PWS: ❑FC: , /
yes no PNA yes no Crit. Hab. yes I no Closest Maj.Wtr. Body f1/
Project/Activity n e/i. G e LA,if 71•f /"/ci , L,,.-4 2, M'yf
(Scale:/'1
."
:k)length
(s) -
er(s)
..„....- -.....„... .........—.........----.... C (7 ts,,, fi Le ..... .,............ .....,
igth
nber
l iprap length S-
distance offshore 2 '
K distance offshore
annel —-
J
is yards 11P) Qom" �10 946' .104 d.
ci
ie/Boatlift Q ' 2 �
Ildozing )
C,)''S l ,"5 .LSNtA/,
Length .5 0 /
not sure yes no lie
61, ,
: not sure yes (.:�' � lq t �� 1 G �I
im: n/a yes Q t �f
yes ///✓✓✓�����9
ttached: yes e
g permit may be required by:/J L(le,,../ 3,o A C .1/
. See note on back regarding River Basin ru
/

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SENDER: COMPLETE THIS SECTION
COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Signatnte
itis desired.
ry
• Pet your name m 4 if Restrictannd adder ss on the reverse �:��/�
so that we can return the card to you. X � Agent
0 Addressee
■ Attach this card to the back of the mailpiece, B. Received b ,/ }
LS
or on the front if spaceC. Date of Delivery
permits. /Zi g
1. Article Addressed to: D. Is delivery address different from item 1? 0 Yes
II If YES,enter delivery address below: 0 No
" 1�LA .S C av- ,U.--©
Ct" 3. Service Type
�rl�D� CS ,Certified Mail ❑Express Mail
111 v11 V 1 ��jCt� j El Registered ❑Return Receipt for Merchandise
I 1 ❑ Insured Mail ❑C.O.D.
4. Restricted Delivery?(Extra Fee)2. Article N ' ❑Yes
(Transfer ?On3110 0002 9510 3137
PS Form 3— „ February 2004
Domestic Return Receipt
102595-02-M-1540

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i. SHORELINE MARINE CONSTRUCTION 67-7235/2532 2 9 4 9
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? 0 ] GREG PREVATTE 3258000872
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P.O. BOX 101 ,g) -». r• i
SOUTHPORT, NC 6728461 DATE
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