39015D - Gallagher

5,bAMA/ ❑DREDGE & FILL
'ENERAL 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 r
:oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC / i t /Li `,
❑Rules attached.
t Name 7 M GGl)a 1'L i e' Project Location: County Ong/l'iA/
3qe A pi'r;J I2A ,J Street Address/State Road/Lot#(s)
2P14-ii Arv//{1Q(J4l StateOli ZIP VT1)01 ZZ 1 ( J4 cr'In,a t 1 1.-
CLL�/1 9 b 4-4 I/ Fax#(IPA t/ ' 2,859 Subdivision k1�74l/wG `r 1/ r
:edAgent l7hi1 61.5'S(/1 City Shr4e1 c zip €
%CW EW %PTA ,S /0 PTS Phone# ( ) / River Basin Cl
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❑OEA 0 HHF ❑IH ❑UBA ❑N/A
Adj.Wtr. Body A 71/1/Iw'
4 i
,.p PWS: ❑FC: /9-1 W
/ ' Closest Maj.Wtr. Body
ye / no PNA es / no Crit.Hab. yes / no
F Project/Activity N e'..w ,p;e✓/ -Do/4.-4 ,,, 1 6 r�q,�' /�-c), of h4 IC;✓t C et j ,e 4
(/ .(Scale: (ie,!
Eck)length 1 3 b 'aC 5
iier,(s) 2.'k LP', X 2..-' 1rl ' Y4 L.l -4F_-' , ' Or , i t Z (1c 41fe l" 1 _..
t
:ngth -r � •�� t
tuber 1 i _� �_ j
d/Riprap length —I Ti X ..._ r—
g distance offshore 1__ 4! 1 .,,-- i _
sx distance offshore — i
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cannel i i 1 ( �tt__
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bic yards .....t 1 • `
0J1g .' y
Is Boatlift IZ /2' 1 } •+'� e'{i rJA�i
1 � 1
ulldozing i j i I i V'
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i j i
I 1 ear 1
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14 +_.
e Length __._ 1 • ' I i i i
not sure yes no i
i i i
s: not sure yes no
lum: n/a yes no
I r I .-_ —
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Yes no 1 i
1 1 —1
ng permit may be required by: Ofi 5 I nl.J ( 614 04 1, r I I See note on back regarding River Basin n

GE. RAT. PERMIT COMPUTER FORM
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.DDITIONAL NAMES: �o h n Gals ;Q yE C DESIG: C(JE.CJ' PT)EJ DE\-OP.^ti =_:_0.0 3 PRO1 DESC: f - 12
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WORK: FR / 3 (, , 5 . BL / 2) ► Z
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ACTION D2IRATI ON
DREDGE&MI,R:QLTIED: r1/ 3 o I 0 4 D/ 3 0/0 4
CAMA MAJOR DEVEL REQUIR.'U: rIl 3 01(7k1 1 o 13 a/O

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1 ER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
•
mplete items 1,2,and 3.Also complete A. ' ure
n 4 if Restricted Delivery is desired. -1 �� �?' % ❑Agent
it your name and address on the reverse ,/� ve-efG 0 Addressee
that we can return the card to you. ived by(Pn ed Name) C. Date of Deli ry
ach this card to the back of the mailpiece, ✓/�/
t 'J
)n the front if space permits.
D. Is delivery address different from item 1? 0 Yes
cle Addressed to: If YES,enter delivery address below: 0 No
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COLONIAL GLASSIGID
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9 .411 , 94, ❑
3. Service Type \I% c
/0 Qd 450 ti Vit Certified Mail ❑Express Mail 6u c
❑Registered 0 Return Receipt for Merchandise r' , = -
a,3 60- 0 Insured Mail 0 C.O.D. I O X,
4. Restricted Delivery?(Extra Fee) 0 Yes LW
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:le Number 3=? l
nsfer from servio 7204 0750 0001 0287 1725 15 ' = =,g`"
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rm 3811,August 2001 Domestic Return Receipt 102595-02-M-1540 0 of
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