38463D - Gillman

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ICAMA/ ❑DREDGE & FILL
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3ENERAL PERMIT Previous permit# -c-4?
_New ❑Modification 1Complete Reissue ❑Partial Reissue Date previous permit issued 4,—,
irized by the State of North Carolina,Department of Environment and Natural Resources // /z
Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC _J ( •
El Rulesptmched.
It Name L kii-F-1 (71LL pVIA \ Project Location: County f J E.-,&) Olki
(J P3 % I I LI Z / Street Address/State Road/Lot#(s)
J ( (, VIA q State NC zIPZ g C7 Oz I cA N i7 f�'j L L Al
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zed Agent C. e)v6e. GIL City 1i)( t— ZIP Z 4G
I ?skCW1EW KrTA DES ❑PTS Phone# ( ) -----..... River Basin Ccfi
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
Adj.Wtr. Body /N IRTL6 COL,- s-&.,tA n t I
❑PWS: ❑FC:
ris/ no PNA !1 no Crit.Hab. yes / no Closest Maj.Wtr. Body ` icTl E C ock
4 Project/Activity GD4 5 7tf , ' 7 62 al /. /P.Y/ t —LQ4 d/ 5(- ./;,,,,, C+
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pier(s) /0 X/ I I- 1
ength 1 i r
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ad/Riprap length n
ig distance offshore : ;
lax distance offshore '—
:hannel t oP, Ilir
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not sure yes no i .;! 1 �'":
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)rium: n/a yes no �_ .— 1
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yes no + 1 T i
Attached: yes no - - ! , i
ling permit may be required by: . I See note on back regarding River Basin

GENERAL PERMIT. COMPUTER FORM
APPLICANT NAME: L. 4. (7!U4IA p
ADDITIONAL NAMES:
AEC DESIG: ' lam" 23 DEVELOP AREA€3 O.
(Will only take 6) 1 ` — PROD DESC: -�
(Will only take 1)
WORK: Fit - 2-'17 / o
(Will only take 4)
6, fiSc fD - 7zv
MAINT:
(Will only take 4)
IMP: (Z Oli
(will only take 6)
L, — `tOO
ACTION EXPIRATION
DREDGE&FILL REQUIRED: 1 — II"O 7 Z 1 f` 0 1
CAMA MAJOR DEVEL REQUIRED: I ( '— ^6 cr Z " y- — 0 `f

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1�jCAMA/ Li DREDGE & FILL •
GENERAL PERMIT Previous permit# 4'1 i
New ❑Modification EConnplete Reissue iiPartial Reissue Date previous permit issued "
orized by the State of North Carolina,Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC „' '.71
s {cached.
nt Nam // 61uit4 Project Location: County - !u °) mil!
O s 0 I (1 T 7.---- Street Address/State Road/Lot#(s) / `
k) I (- LL'\ State 1`C� ZIP 2g(k�� I.V t S�0 -, i
( )2&' '7f(/ Fax#( ) Subdivision
ized Agent - City W N-- ZIP t it Li'
d piCW IN l G1,
EW PTA ES ❑PTS Phone # —� e,�
ElOEA I❑vHHF ❑` ❑"IIH UBA ❑N/A ( ) / River Basin j
Adj.Wtr. Body M' +( lO tc��� Sodr na
❑ PWS: ❑FC: `
no PNA���/ no Crit.Hab. yes / no Closest Maj.Wtr. Body N 1Y `-'r°j t S 4')/1
)f Project/Activity v cft�}•-- 0 t 1" M j 4- - �-9i 4- '0 At j k- cf c J .
ock)len h_Y� Afi II, � (Scale:
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pier(s) t 0//tf 1 1-1
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length t--t--f—i 1 I --- --+`_ - { { —1 a -
umber I ! '
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ad/R prap L_ngth -p 1 _ — _f —_...t -+
ig distance offshore h I,4J i ; j { : , , j
lax distance offshore '.t. 4 1 _ i +_ _ i _...-! — i j-- ;-
=hannel ( I i i 1 1 # . + i 11
ibic yards I
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,mp
rt r }—T —r—t
NOVi
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: -
Bulldozing i I i I I - -t �1 __ !L i i - +9lb/�Z�/ I - m ' '' i ca —
r I >* I l I j ' 7 + r
ne Length i` j
1.
not sure yes j ? I i t i i r
L�1�C
gs: not sure yes — ... _, l 1 I I
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_i ._._.. ... I F — I—I— 1 1 I -- ..1"—r
Inum: n/a yes do —
yes ® 1 i ! !
Attached: yes I ' 1 ' 1 I I I I i 1 1 I I I
ling permit may be required by: . ❑See note on back regarding River Basin
I i I/' I l/ e I 1 -

RECEIVE
SEP 2 8 2004
Lawrence Richard Gilman P.E. /�
1648 Sandbar Lane, Wilmington,North Carolina 28409 BY. -�/
[phone]
J4/6 y
trtA c-ift-, sue`

v ..v -)I '/ / Date
Pay to the A )C j`e l�/ \{' order of /V u I $ l Ul.)74
1121‘._ j 0___,0 /74/ Dollars f z.":e"
WACHOVIA •
Wachovia Bank,N.A.
www.wachovia.com 2 _ ���
For S^--s� L `ram nr
1:053LL04001: 1.0L001, L50755211' L 5
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