36877D - Harrison

,
(AMA / DREDGE & FILL
IENERAL PERMIT Previous permit# r-
New Modification ' ,Complete Reissue - Partial Reissue Date previous permit issued ----
zed by the State of North Carolina,Department of Environment and Natural Resources fT'L - IT
pasta)Resources Commission in an area of environmental concern pursuant to I SA NCAC I tJ V
I ❑ es attached.
Nc ame�ie✓ �. 1ILrSOIJkap, electpcation: County I.t.� I ©k.7,- '
i l U P-A1,D C UJ/73f4L-Efrif I Stet Address/State Road/Lot#(s)
(UM I ti)G7 AJ State NC ZIP 28P( 573 to }7-A-P LET bN -
( )2 3/- 5 S/1 Fax#( ) Subdivision `----!
d Agent 7 /74 c y NOir7/1- City GV(c4Wt u.J c 7-63 ZIP ZB 411
❑CW L-EW ,PTA ❑ES PTS Phone# --�f C4Z
T ( ) River Basin
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body A`1(.J a.) (nat
❑ PWS: LJ FC: _
&)/ no PNA ye / no Crit.Hab. yes / no Closest Maj.Wtr. Body / /PP L% Soo A,d
Project/Activity afro rvc-A i try- O'!-- p i-C.A'I I la or" ) -- f'ba (i',1` ( C?!L 4 �pg4-/,
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ber_ PIG;(k054i 16fX(b D—7� �7TU f>E LL1C`�}?tC-.0
Riprap length 1 P o o/M `� - >3Ei.LI(- W I Ttff N 16'X f(r .F aTPk1 N -
iistance offshore P ro 61'Po 0�
distance offshore C41-
nnel
:yards
oatlift 1' fX I L/
dozing
=LLWTtl-- 9'X/v,'
_ength
l Der F—''4 Zf 7 < / >
not sure yes CD
not sure yes n f o p r-i—
n: n/a yes n q� f1 AfSON P L 1 Y
es no tt 36 Fjf1" ) C/46t- - : e�71ic+1ne�-4 Voyi (''jl 4400
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ached: yes gam.
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permit may be required by: . See note on back regarding River Basin ruk
. . - -- - ,i ._L_ / ` i. i -

GENERAL PERMIT COMPUTER FORM
PPLICANT NAME: `i D h-er S a A
DDITIONAL NAMES: 5 I`' `"S N 0
EC DESIG: DEVELOP AREA:° o 2-`PROD DESC:
'ill only take 6)
(Will only take 1)
ORK: 1712-- - ( (OD 122 - / re Zoo
ill only tale 4)
— - to
AINT:
ill only take 4)
IP: w r ` D
11 only take 6)
ACTION EXPIRATION
EDGE&FILL REQUIRED: 3 " 7 ` U /7- C
\MA MAJOR DEVEL REQUIRED:

FRAM 1 Jimmy Pbrth - CMC F ( ND. : 9162566357 Feb, 29 2004 05:30FM P3
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DI .T mmy� North - C C FAX NO. : 5102566s57 Mar. 10 mew 07:: f I P2
ATIrnC- .]:.0 14E1Ai.P&Qp.XKIX.Q 'NF.R Iyc)IDICATIONLIVItaa FORM
Name Of Lnd;vi dual Applying For p, ,,��•• ��� ; , r,. ,.
Address Of Property: > ,(3 _(/ a s .
(Lot or argot , Sweet or R,e�, by &cam,
I hereby certify that Ion property adjacent to the above-referencedproperty.
applying for this permit has de�c r ed tote as shown on the winge development
letter.
proposing. A description or drawing, with disnettmions, should drawing
with this
AI have no objsaxiont to this proposal.
.-.. -U .. .Lii .1f. Itr Mf� j. i .• . .fir♦.• ,. af.I :4.. ..•. • ..-: .,
ttabd.hy� 3S tf+
�f e�c r k ""'1Sitid�ed irhd a�� t
wA rtrELSECnast
I understand that a pier, dock, mooring primp. breakwater. boat house, lift or must set baa minimum dimes of 15' m from r area of rips/Ian access latle� sandbagsbe
with to waive thesetback you mug in fiat the appropriate blank below.)vrafvpd me. (If you
•
.....,,_„_..,, I do wish to waive the 15' setback r eguiremen t-
I du_not wish to waive Ra 15' setback requirement.

MAR-08-84 84 :08 PM 28368 737636837 9195534543 P. e2
J '
' 1I
. Jimmy North - CMC FAX N0. ; 910256b357 Mar. es 2�04 133t;9PM Pi
4ru. l.�l� U1,15 r -1_CJy_3.t.) ��
•
III'id Applying Far
P ,/`'j
Add
'eis Of Property; �-�`�.�, o —
__ t A
,(4-t
(Lot or�5treet i;beet or Road
City do County
I hereby oat*
�Y f that I own property adJacent to the above-referenced property. iadiv-
permit has described to itie es shown On the wed drawing the I ual
Kit ey t are proposing. A descr1Pdcm or drawing, with dimensions, :bouad be provide with ment
�thb
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., I have no objections to this proposal,
1
.. Ili
'`-F��11�by( -i ii Mail u • ... .:. .
i
uadarstand that a.pier, dock, mooring pilings, breakwater, boat house, lit or m
t be
'Mt belt AL rainintuza distance of IS` my area of riparianarxygismless waived by zee. of you
wish•
m Waive the setback, you must initial the appropriate blank below,)
I d0 wish to waive the 15' setback rcquiremect. . ,
I donut wish to waive the IS' setback requiremem,
.;
iiiiiimmimemr
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