39017D - Doan

kCAMA/ E.DREDGE & FILLA5A/
3ENERAL PERMIT Previous permit# ; i
NNew JModification (Complete Reissue CPartial Reissue Date previous permit issued I(-12
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 '/ /I"/C-C
Rules attached.
It Name GU(� b C,K1 r ) Project Location: County / e% 7 fit 0/G k�
`71 L /i1JCc/•5`) Pc,/ 1,1 T L Cr ,1c. Street Address/State Road/Lot#(s) ')$3
':LA I G )p c f-t State IC ZIP 4 C- / / t;1 cr / c 37"--
-(t1BA153 —357 j Fax#( ) Subdivision 5f• TQAAACZ 1-1Cvt 0.. ,o2L
:ed Agent (211 C< ✓11 e- f''i i is / City 'So/ (1—Ict Crr-6 ZIP ,5 if to
CCw AW L TA ,ApS ❑PTS Phone# ( ) River Basin (cApe
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
Adj.Wtr. Body fil COCO (nat(/
❑ PWS: ❑FC:
Closest Maj.Wtr. Body /-//wC.c
yes /:no PNA yes / no) Crit.Hab. yes / no
l
F Project/Activity I - 7L 3 ct (k /]CC(U /-1 C , C- h_ L sG L/C r CC( T L.C k.
(Scale: /"_
ick)length•%-//5 f M
A Ian,/' -- i j
,ngth &- x 8 Y r} — i •
imber I Z
d/Riprap length ,nv/ �....' ` -LL�rtl'. i - 1 1 4-
{
g distance offshore , .. i 1 Z' I .I. ..... �:^_-.....,
ax distance offshore !......-_ - I iN
hannel ( !/ ! ( ' a
bic yards 'r- _ ! _.... !'. : 'T
�� / / �! IAA f l�+`f" �+47V /1� I
_m /2- X/2 1 i k r
i I if
lulldozing >
j .:4!
ie Length } + v ' '
not sure yes no mom j T
_. y _
s: not sure yes no { O U «N� •-� .
num: n/a yes no / `
i ,yes no ! I I i
Attached: yes no
ing permit may be required by: L. ect tr7 7L/ I See note on back regarding River Basin r
r

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: )O U 6-1 -Do AK]
ADDITIONAL NAMES:
AEC DESIG: E W P( F,S e ' DEVELOP AREA:_ .�L PROJ DESC: P - 2
(Will only take 6) (Will only take 1)
WORK: Wit{ t Grp r L- i to 3
(Will only take 4)
P g- t t s� �{ f>; t Z) ,2
MAINT:
(Will only take 4)
IMP: ES (S(To •
(will only take 6)
(o(U
ACTION EXPIRATION
DREDGE &FILL REQUIRED: (G io l t!4 o+
CAMA MAJOR DEVEL REQUIRED: l(a '04- I t7 (I & (4"

AMA / X DREDGE & FILL cEI\TE \ V. 35
J
=NEL - PERMIT
w ❑Modification OCompiete Reissue (JPartial Reissue Previou,,s,,�grmit#
i by the State of North Carolina,Department of Environment and Natural Re .11 s
,�L� te3pib l�us per sued
tal ResourcesT Commission in an area of environmental concern pursuant to I • CAC D IV I Si ON OF '7N,{.(00 '7 N
ime— vO�tG r, npSTAL MANA �� . less attached.
,J ProjectcQ�tfon. County _erzzi aoff_&
7 7/p 1464 1(4 Ao LH'f Lzt K e Street Address/State Road/ Lot#(s) „�'7..
1, State NC ZIP .1846 i pi e Cr-e S-i-
_) a5 - 35/3 Fax/�#( ) • Subdivision a*' :Tel ti,�g
agent Char /Derry City .50I.4.I1. ZIP .. `t(n
\CW VW 'TA %ES OPTS Phone # ( ) River Basin e. re(.
OEA ❑HHF ❑IH ❑UBA O N/A —
PWS: "FC Adj. Wtr. Body ll�t c7 Lnat an
0PNA yes /6 Crit. Hab. yes / no s.
Closest Maj. Wtr. Body Alw�
ject/Activity �d r�.57'4-i /k/7-e c/ j /.ice J /t'o --i4� e--,c-.�
J
--- i ' r' 0�yyp L�
igth . i L 5-i �� - G (Scale: / `_ ��
loxi 4, I /bx3 .5 _ L Lo(( be Ipefoccen
4x8 c Co•VCR. e..d l ec.j�
1 C� it
Ftoc
ap length i CO r E Q , i ��Z
ice offshore L i0(C' it
nce offshore "�OR� / i •
dam- • i 6; is .� '
•
is Qj m b ' .
- _ I .. : • •. • 1- /; .-
ig AST _. �. .' • - t� �,
lL lI. v, :�v lG V.' �,
/dU'i I �.• C`no-To rc�;( Ui
sure SF-tcrr'e.1.t ne Fie auk ..d“�, .. ` I
sure yes n Igor 4
13
n/a yes
yes ® �L.-
yes inPL
lit may be required by: 'e7 L(/l o--A•i;Cte C G 4(I`^,c,��
See note on back regarding River Basin rules.

TO THE �E�� —...— I $ �V✓ GY,t ORDER OF \
It ��� � L� DOLLARS B
e FIRST CITIZENS453
BANKFo-vcmr,.e.A a r.�:i compami
SONIgon,NC 2BC61 '
www.tirsteitlzens.eom
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li'07377011' 1:053 L003001:00453 L 2099 2 211' 1
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