36888D - Faircloth

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LAMA/ ❑DREDGE & FILL
IENERAL PERMIT Previous permit#
New El Modification Complete Reissue ❑Partial Reissue Date previous permit issued
zed 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 9 N ./ Z D P
cc Rules attached.
Name F I 'i o s' c( H4 Li I.j oO( Fc re.Ia-!1, Project Location: County •e ri rl e.- (_ov n-i
27 6 S �',c,S-i rI l i q Dr Street Address/State Road/Lot#(s) /
1 A A State NC ZIP Ci7S / 1 3-z. ( a of ' h t) vek,v e
(M) yco - '72 Fax# ( ) Subdivision
:dAgent Tchle Pi e le t# City T'J9s., .'1 13e tcL ZIP Z64i4
❑CW 4W )4TA E ES PTS Phone# OA_) 3S / - Z Z-u I River Basin Ca/e r
❑OEA El HHF —IH L UBA N/A
CI PWS: ❑FC: Adj. Wtr. Body Ma 't' 1"tAliC C" 4 f (nat
es / PNA yes /,�io~ Crit. Hab. yes / no Closest Maj.Wtr. Body To�7So+ Y.I^ "1
Project/Activity Ai e t"-J b ,F /;$f- C )O CCYI 4- /O eX i,6-/ ,-, Ot0 C k
J I
(Scale:/ 5 2
()length
s) ,
:r(s) C AI\J 4(--
gth
'her N`I�'
f
'Riprap length 1 3 IXl.�1 . .
Distance offshore ), L.,I
distance offshore . p0a
nnel EXiCA;►'. 1 6' b� • 1I
c yards .
7
'./ o 1Jatli 'X i 3 ` •' •p
(dozing ` ik
.E-%;si-; 6,,1k11,
► 2 )( '1 A✓e P 1—
Length O 4 PL.
not sure yes Q
not sure yes no
m: n/a yes no
yes ,no
cached: 'yam no
permit may be required by: O C..i et D-P 1-Of.fa ; 1 3eA CC . _ See note on back regarding River Basin rut

3(
GENERAL PERMIT COMT1JTER FORM
App .-j C N 1
DDIDO =?N=M'S:
=C DESIG: D7-N-1.OP ter•:z_ PROJ DESC: p - )2_-
WORK: f L. 134 13
(Val o
taw only _=)
IMP: 0 )
(x M oan•=ir_6)
• ACTION ap1.RATI ON
CALL?MAJOR DE EL REQL -7:

ADJACENT PROPERTY OWNER STATEMENT
�IIyN • `���
I hereby certify that I own property adjacent to W vo %rrJc'4 k 's
N e Of Property owner)
property located at / 3a 0 w , ¢—
(Lot, Block, Road, etc.)on �7
in la5 �C H ,N.C.
D,p
They have described to me as shown below, the development they are proposing at that
location, and , I have no objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED
DEVELOPMENT
(To be filled in by individual proposing development)
•
Ror5e016 (4frc
ignature of Adjacent ner
i(v
,; 0- ® 5 b Hit/ /4 Boy g
Print or Type Name
12

ADJACENT PROPERTY OWNER STATEMENT
I KA, c ."-O. •
I hereby certify that I own property adjacent to C,14-k 's
(N e Of Property owner)
property located at / 3 a
(Lot, Block, Road, etc.) nn
) H ,N.C.c
on , in la 5
They have described to me as shown below, the development they are proposing at that
location, and , I have no objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED
DEVELOPMENT
(To be filled in by individual proposing development)
RO A3 Se() -804 I;.a
7 Signature of Adjacent Owner
1(0
. .e)10,!.- 14-0 to/4f gia)
Print or Type Name

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CONSTRUCTION,'INC �tir�‘,
MARINE f l�, Ih s6-3
MERRITT DAIL MERRfrr NCDL 3481068 j`f. f�' 1k a o v
PH.2 893110 WILNIINGbON HWY f ��r` 'DATE - (�O
li P.O.BOX 528 28445 ,/.\, f,`'' `� 0
HOLLY RIDGE,NC f
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DOLLARS 8
PpTHE
ORDER OF / /
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to, CITI7ENv 45�,,,,,;m G �, .r'l� f,,`
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PLEl C FOR L00 3001:001+ 5? L 3 L 5 23 Le - —
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