37852D - Carter

KGAMA/ ❑DREDGE & FILL
3EN ERAL PERMIT Previous permit#
,New Modification _Complete Reissue ❑Partial Reissue Date previous permit issued
rized by the State of North Carolina,Department of Environment and Natural Resources
2oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC iiV/2-O V
``�J �t ❑Rules attached.
;t Name VG.-rat CaA /fen.. Project Location: County err..}Se u,', k-
V3/D Pe fe 6r t-rr' ci Street Address/State Road/Lot#(s) J
/, / A ((..) 74e., State /✓C- ZIP 25 ;/ `% C-7/)/O. t J/7 (.E: 74
(9/0) -77 9 2 vv Fax#( ) Subdivision
:edAgent /c-/%,) (AJC 574 City &e'rr -, /S/c e :c/i ZIP d(f-'ci'G
❑CW 4EW PTA ❑ES ❑PTS Phone# ( ) River Basin /--11r).
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
Adj.Wtr. Body k j-2 0,-17 (nat 0
❑ PWS: ❑FC: A)/G-CJ L-c..)
yes /,fio,) PNA yes / € Crit.Hab. yes / no Closest Maj.Wtr. Body
F Project/Activity C i 7 5 Z e C74- /V P r.J Pi r i, ," is
(Scale: /s,
ick)length l3 X
n(s) ZU
rier(s) ^(A kVA-(
•ngth
ember
Ld/Riprap length
g distance offshore
ax distance offshore
hannel
ibic yards
Tip
Jse/Boatlift
=,J
lulldozing S
i
ie Length O tf- 6
not sure yes no I l
s: not sure yes no '" i 1-c j
rium: n/a yes no
yes no -��� i
Attached: yes no — --T� / T
ing permit may be required by: GGe<< . /5 'c.//c C.�GC',G� . I See note on back regarding River Basin r

• GENERAL PERMIT COMPUTER F0RM
APPLICANT NAME: (fd
ADDITIONAL NAMES:
AEC DESIG: elu I' DEVELOP AREA: .0 ! PROJ DESC: P -la
(Will only take 6) ---- (Will only take 1)
WORK: RR S x y
(Will only take 4)
- 5Xzo
MAINT:
(Will only take 4)
IMP: OW 192-
(will only take 6)
ACTION EXPIRATION
DREDGE . FILL REQUIRED: 3 G' KA/ 3 0L-1'
CAMA MAJOR DEVEL REQUIRED: U5 3 61 Not 3 Ui-1-

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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVER
• complete items 1,2,and 3.Also complete A. Signature / i
item 4 if Restricted Delivery is desired. X (�, 1�
• Print your name and address on the reverse Akm'�
so that we can return the card to you. B. Received by(Printed Name) C. D
■ Attach this card to the back of the mailpiece,
1 i $ ., or on the front if space permits.
D. Is delivery address different from item 1?
a fifi
NAga 1. Article Addressed to: If YES,enter delivery address below:
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® 8 7a 9 3. Service Type
_ / 0 Certified Mail ❑ Express Mail
0 � I I ❑Registered ❑ Return Receipt fo
* �hOr"`iz 5�, n d ��f"D I"` ❑ Insured Mail ❑C.O.D.
I Y� r_ _ l�.�j ��C �g�� 4. Restricted Delivery?(Extra Fee)
0 L_YL l_Y 6``Ci
9 2. Article Number
4:37_14. ---7
(rianstertroms 96Lf1 T02E 5000 0990 200L
H (:1 PS Form 3811,August 2001 Domestic Return Receipt 1(
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O SENDER: COMPLETE ' SECTION COMPLETE THIS SECTION ON,DELIVER
0
ca 11 Complete items 1,2,and 3.Also complete A. Signature
in item 4 if Restricted Delivery is desired.
n-' • Print your name and address on the reverse X 0 . 1 _,.A
-+ so that we can return the card to you.
'• ■ Attach this card to the back of the mailpiece, B Received by(Printed Name) C. D<
Ln or on the front if space permits.
ril 1. Article Addressed to:
D. Is delivery address different from item 1?
co
ti t \R If YES,enter delivery address below:
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UJ J u �] 3. Service Type
Z rn A z CT � 2 d' 3- ❑Certified Mail 0 Express Mail
�Z F W . = 0 Registered El Return Receipt for
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s ..1 < 1
cc
❑Insured Mail 0 C.O.D.
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O k' w .I 4. Restricted Delivery?(Extra Fee) f
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F U _N C 2. Article Number
(rransfer from service lat 7002 0860 0005 3201 4781
glii . PS Form 3811,August 2001 Domestic Return Receipt
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