42385D - White

rCAMA/ DREDGE & FILL 1
kENERAL PERMIT Previous permit#
New Modification ru 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 7 /Z, .
/- [I R flT s attached.
:Name j'/hie/ /,1A,'? e Project Location: County 4 y4�j,'e h c
/e� !`3 Street Address/State Road/Lot#(s)
��ply State de ZIP ZWo Z 14- 4'
(//b )1,1/-7'2T Fax# ( ) Subdivision
Bd Agent 6 ei l C City ZIP
❑CW 4EW PTA i'fS ❑PTS Phone# ( ) River Basin 4,40
❑OEA ❑HHF IH UBA ❑N/A Adj.Wtr. Body /4/4141 (nat
❑ PWS: -FC:
yes / / PNA yes / Grit.Hab. yes /� Closest Maj.Wtr. Body �i�t
Project/Activity Aet /./ "Al 7
(Scale: / 4
:k)length 15 y Ej
(s) IP'x 7(
er(s) 'Q X 20
igth
nber
I/Riprap length
distance offshore
•
K distance offshore *ran.,
annel tf
V
is kifr
yards
'e
:e/Boatlift _ �}
illdozing Irfr
Length 7'I ? i �/ -I/A
not sure yes o
not sure yes no
urn: n/a yes n
yes n
ttached: yes
tg permit may be required by: 4 4ta'/e G6, See note on back regarding River Basin ri

PAY TO THE C M
ORDER OF
67-2+j ; It • vI u h cQ ✓evG /.1..4,r$ - DOLLARS 8
Coastal Federal
—Bank
AP SOUTHPORT,NC 28461
MEMO 3yft M'
12532723551: 3 2 5800013 7 211 832