41498D - Wehlgemuth

,CAMA/ ❑DREDGE & FILL .l'w; o zi
JENERAL PERMIT Previous permit#
New ❑Modification ❑Complete Reissue Partial Reissue Date previous permit issued
ized by the State of North Carolina, Department of Environment and Natur Resources �1
oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC ?I • 12—
/ ules attached.
:Name (T c L ii v .04 LC.5 r-rt t,,Ili Project Location: County Pe a D C 4_,
I o—) 1�N t 11 C t?' rL i1.A Street Address/State Road/Lot#(s)
A& _ C.x.r1 State I ZIP S 1 LIS 1 0 w) _i'a al+J S F Q 9--'
( )1470' I7)> Fax#( ) Subdivision
.dAgent ) ,..'-"C til1AQ.=t,)& City �j ,2L 2'I L' ZIP 2 b44
, CW >EW ` PTA ❑ES ❑PTS Phone# ( ) River Basin0 I T
OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body tA 1J h L�11A�+ i'` q /r
PWS: ❑FC: y ,
(es / no� es PNA / no Crit.Hab. yes / no Closest Maj.Wtr. Body AZN
Project/Activity ..:T 1-At L Pi:t (l. �'Z 3' (/Z,Z,,.' i. ot v ,( 3 03 -rs".., E•-'')
)
(Scale: I t'> 0
:k)length/6 Y 5-2-3
(s) Igxt. CL,t�-f tl
er(s) 11
igth
nber
I/Riprap length 1 J? _
a
distance offshore ---
x distance offshore ;.
annel
iic yards
,p
se/Boatlift
1Ildozing I v
kti' 0 _
v v
a Length j
not sur yes no i l7bC
-ram
not � yes i i2
um: n/a yes I t
yes
ittached: yes
ig permit may be required by: S1n Q C Lc(q . See note on back regarding River Basin n

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U.S. Postal Srvw..
CERTIFIED MAIL RECEIPT
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