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HomeMy WebLinkAbout36982D - Batal CAMA/ DREDGE & FILL 3EtJERAL PERMIT Previous permit# -New i Modification Complete Reissue Partial Reissue Date previous permit issued rized 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 H. 1 2....P0 F Rules attached. t Name To k h Ti'a'r'a I Project Location: County U n S I oc.,,i 31j 3 0 (,Je,L n } ST , 5 l F 204 Street Address/State Road/Lot#(s) rim -n F;rAx State VA zIP2Z o3o Ad Jac.ev4 4o / o4-41 /O ( ) Fax#3)5 9] -67240 Subdivision .re4 OA k S ed Agent D, - -e 11 Ech 1 City N°•'4 L. 're rrA, ( Rcal_k ZIP Ze LIG )fCW xiEW >4 PTA yzn ES ❑PTS Phone# ( ) River Basin(a e-c ❑OEA ❑HHF E IH ❑UBA ❑N/A Adj.Wtr. Body I-I e q f C e ee k nat h il PWS: ❑FC: Closest Maj.Wtr. Body A .t yes / no PNA yes / no Crit.Hab. yes / no til 'Project/Activity Ne Iw ?i e/ y cc AA ✓C. r'to( y ;e- - / (Scale:/ ck)length 356'X f — — I(s) �, X 10' ' 1-111� / ier(s) � T�, 47,er€k ngth V� X /�/ lalce-ram Tiber S i/Riprap length distance offshore if ✓ ii. �� x distance offshore i7/ cannel "T 5 _-----� t V Y ✓��i/C )ic yards 5 KIA III j �r ' ii, 1), G 1101W o i se/Boatlift V x f illdozing V ►" yr. y( ii Of k I)/ i� Length�'lee)/ I-" Jk i" , d I G not sure yes V s: not sure yes n , cum: n/a //y��ess Cam" no ' / ttached: yes ! _ �_.___.__. _...___ 1 L1_1j-__ _._ lg permit may be required by: IG „/h( 6� N' 7 !rs-,) c t/i. I See note on back regarding River Basin n • GENERAL PERMIT COMPUTER FORM APPLICANTNAME: o h h of+01 ADDITION?.L NAMES: -D e1 r e J ( �C / ABC DESIG: C S DE CW t 7 (will only�a _6) ) DEVELOP AF_F-'� Q• �o PROJ DESC: _ z (Will only tat:: 1) WORK: ? 1 3 50l (, -TE- ` -B, /0 (Will only a_.4) MAD\1: :1;1 7l only Ea:::4) M.P: HM 2.2-00 G3 300 will only ta►.:6) ACTION D:PIRATI ON )REDGE&FILL REQUIR D: I /Z 3/O y (612 O zi :AMA MAJOR D .REQUIRED: 1 / Z 3/0471 �) 2 3,/0 U SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY • Complete items 1,2,and 3.Also complete A. Sig'ature item 4 if Restricted Delivery is desired. ll ❑Agent • Print your name and address on the reverse X l I • ❑Addressee so that we can return the card to you. BA ived by •rinted Name) C. Date of Delivery • Attach this card to the back of the mailpiece, ( • ,�, • or on the front if space permits. D. Is delivery address different from item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: 0 No se A 6fl 1(5 O wn er5 A55, 1ILI old gr;4ci,P . ` �,. A , 3. Service e _)KC kso rl ii/ I(t'� i i' riffled Mail 0 Express Mail U`� 0 Registered 0 Return Receipt for Merchandise tj l�✓ 0 Insured Mail 0 C.O.D. 4. Restricted Delivery?(Extra Fee) 0 Yes 2. Article Number (Transferfron 7002 2030 0004 3065 1614 PS Form 381'I;August 2UU1 Domestic Return Receipt 102595-02-M-1540 SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY • Complete items 1,2,and 3.Also complete A. Si nature item 4 if Restricted Delivery is desired. Xe ) ems/❑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.727i) livery • orAttach thisf card to the back it the mailpiece, e Y' ') or on the front if space permits. J }"( j`'tS��i; D. Is delivery ad ress different from item 1. 1. Article Addressed to: If YES,enter delivery address below: ❑No �e‘oorci-\ 3- Ft/re5r 11 I ' o C_ Sr14 0 A-Ice, C- Nl /-n_ Q� l 3. See Type s `� f lx i )1V C3 Certified Mail 0 Express Mail ❑Registered 0 Return Receipt for Merchandise Z 'pWp0 ❑Insured Mail 0 C.O.D. 4. Restricted Delivery?(Extra Fee) 0 Yes 2. Article Numhcr ( 7002 2030 0004 3065 1584 Form ,August 2001 Domestic Return Receipt 102595-02-M-1540 • . ❑Agent item 4 if,Restricted Delivery is desired. • Print your name and address on the reverse/. ' 0 Addressee so that we can return the card to you. B. •-ceiv by n -d Name) C. Date of Delivery ■ Attach this card to the back of the mailpiece, - Z i I I I— j 3 (-. or on the front if space permits. D. Is delivery address different from item 1? 0 Yes 1. Article Addressed to: �� If YES,enter delivery address below: 0 No 1 ) . i ._ , ,,-,, i1 '1 I LIGHTHOUSE MARINE CONSTRUCTION - 1953 q P.O. BOX 2532 910-328-4852 SURF CITY,NC 28445 ei i EI • DATE " J !0 66-19/530 NC • NC Oc AI 00 • iI f Americao s -Doles � ' .053000 L96,: 0006 5 L 3 I, 136 7u I'I -. — 1,6' •7ti 1P�Ru.�3Xia,Y v_r..w;q.S.l.--,oy1 ..