37946D - Cooke

}CAMA/ -I DREDGE & FILL
3ENERAL PERMIT Previous permit#
;New -Modification -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 15A NCAC -7,Li. 12O J
L -R'les attached.
t Name 511"1pt\--*C 6-004('e Project Location: County 3k w-ski 1 C iL
°I-5 AA.AzeW.e "t P-, Street Address/State Road/Lot#(s) tikIV l u ✓
.P�4"Ii
C . AJCZIPq te State .)1(o
( ) Fax#( ) Subdivision
ed Agent 6N.1 N'rZ- /O 0--
u S 1 City 0 01
4i 3 V R 4- ZIP ) 4
❑CW P. W RIM ❑ES ❑PTS Phone# ( ) S 7 /-2A, Liver Basin L Hr►'f
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
Adj.Wtr. Body CAA/4 1— (nit 4
❑PWS: ❑FC:
yes / no PNA yes / no Crit.Hab. yes / no Closest Maj.Wtr. Body �'L'w
'Project/Activity PR;, .)>a- P 1 cl2
(Scale: f ''
ck)length {
rs F 7 —_- 1
1 f i —
ier(s) i i 1y1� A �--
+ngth - , { i
\ 1 I i
tuber I i
d/Riprap length i 1 .a - j
g distance offshore I 1 _
uc distance offshore , �.. — + ._
fi. r 1 �0; t...
cannel .
i
t
bic yards j
np
•
L_ lam — OMNI�
I
ise/Boatlift
ulldozing 1 t 4
Fluid (?O � , t i 1
I 1
I
- _ 144 4_.
eLength
i ..
not sure yes no �.
[ ' i to
i
s: not sure yes no
_ t — — i
rium: n/a yes no }
T ,
yes no
Attached: yes no 1
ing permit may be required by: QC 4A r'� . /'(' e-1r it See note on back regarding River Basin r

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9.6 _5
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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Signature
item 4 if Restricted Delivery is desired. X r , �„ (� _ D
• Print your name and address on the reverse Wwv t b _ C
so that we can return the card to you. B. Received by(Printed Name) C. Dal
• Attach this card to the back of the mailpiece, pp
or on the front if space permits. k ► A 6 O t;,t) iJ 3--.
D. Is delivery address different from item 1? C
1. Artic
le Ads /to: ��� If YES,enter delivery address below:
0/( - �� //I/'_J Nt/Yl I rt. bt 2o
ii
pti
doitc 1 L to t C 3. Service Type
a U 3 rtified Mail ❑ Eeens Mail
Registered 0Reprtur Receipt for I
O Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) [
2. Article Number
(Transfer from service label) 7002 0860 0005 3218 354E
PS Form 3811,August 2001 Domestic Return Receipt 102.
SENDER: COMPLETE THIS SECTION • CnMPLETE THIS SECTION ON DELIVERY
• Complete items 1.2,and 3.Also complete A. Si,.
item 4 if'Restricted Delivery is desired. C
• Print your name and address on the reverse �. �t
so that we can return the card to you. B. Received by(Printe. ame) Cp2Daj
• Attach this card to the back of the mailpiece,`
or on the front if space permits.
D. Is delivery address different from item 1? C
1. Article Addressed to: If YES,enter delivery address below: C
fa SAJO + A posse:
h f
, 2: 28,?,,,
l�r / 7` 3. icee Typectr- y
aO ed Mail \, i icpress Ma1�
0 Registered tsrif Return Rece i f
O Insured Mail ❑'C.O.D.
4. Restricted Delivery?(Extra Fee) - [
2. Article Number( 7002 0860 0005 3218 3555
Transfer from service label)
PS Form 3811,August 2001 Domestic Return Receipt 102: