35188D - Harrall

!CAMA/ DREDGE & FILL
1ENERAL PERMIT Previous permit#
New _Modification LJComplete Reissue JPartial Reissue Date previous permit issued
-ized 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 77-/ /n200
�// T Mules attached.
t Name ll1G/vt a,$ 'Ma Yvan `/I" Project Location: County ,�j/-/(i-kS`(u/Ck..
L3OD 3Y TZ,LJ I UY1-i P1'
C-e- Street Address/State Road/Lot#(s) $
h a ri o*]Z, State AlC. ZIP.Z SA l 0 S'C.0`f to r i d
( Q ) 566, O8OS Fax#( ) Subdivision
ed Agent 7c i— �j M I A 1 City Oa CO Is IC 6('GL`1 ZIP b"-'{(-
❑CW I EW VPTA ❑ES ❑PTS Phone# ( ) River Basin 4,(,'m F
❑OEA ❑HHF ❑IH ❑UBA 1 N/A 7
❑ PWS: ❑FC: Adj.Wtr. Body Ca K-)6_C (nat
yes / PNA yes / Crit.Hab. yes / no Closest Maj.Wtr. Body A/Wu-)no
Project/Activity (Gr 1 -,'rcf /"r aric1 j (6/aaiji 04k,
(Scale: / 11--z
:k)length /fio X3
(s) TX/
er(s) $X /(O
igth
(i%li^J 6 L
nber
I/Riprap length _._.__----- "'
distance offshore
K distance offshore
annel
,ic yards /
ip ,----
ie/Boatlift
1 lb i i - I
illdotmg
f i} f - a���, — i _
/v
.
a...
Length 50/ I —
ri_ SU
not sure yes no
S $Hv c.3/Nt __
not sure yes 0 Cun Cry // 1 1
um: n/a yes 6
yes I I
ttached: yes m
ig permit may be required by: ` -atkiYi O/ 6//-G6n /5& 5PliCh • See note on back regarding River Basin ru

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: 1,46,,; <, S 7t '/'Y6; I'
ADDITIONAL NAMES:
AEC DESIG: Et ; ,.i_ DEVELOP AREA: .C;' L PROJ DESC: P - /a
(Will only take 6) ——
(Will only take 1)
WORK: Pi /(c, 3 /6,
;Will only take 4)
I 5X/D
MAINT:
'Will only take 4)
MP: ( u /7 .
will only take 6)
ACTION EXPIRATION
)REDGE&FILL REQUIRED: /77/014 V1/0-/
;AMA MAJOR DEVEL REQUIRED: i/7/0q- 1/1-1/°f-

SENDER: COMPLETE THIS SECTION l
COMPLETE THIS SECTION ON DELIVERY t
■ Complete items 1,2,and 3.Also complete A. Signature _
item 4 if Restricted Delivery is desired. ,�/ ,/
■ Print your name and address on the reverse X A , /��� 1�so that we can return the card to you. Agent
• Attach this card to the back of the mailpiece, Addressee
or on the front if spaceP. •ecewed by(Printed Name)_
permits. :�ci�,c ��/ _ ate of Delivery
1. Article Addressed to: �//' // A�
/f �/ D. Is delivery address different from item ■,es
$hl) ' v� //_ / 1 If YES,enter delivery address below: 0 N
23 Cvt-(and5-1-
coal s'e Bekh !)C 3. Service Type
/n �£ertified Mail CI Express Mail
/p�
v ! 9 0 Registered ❑Return Receipt for Merchandise
0 Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee)
2. Article Number ❑Yes
(Transfer from service/al 7003 1010 0000 7018 8264
PS Form 3811,August 2001
Domestic Return Receipt
102595-02-M-7540
SENDER: COMPLETE THIS SECTION
III COMPLETE items 1,2,and 3.Also complete A THIS SECT/ON ON DELIVERY
item 4 if Restricted Delivery is desired. ature
■ Print your name and address on the reverse
so that we can return the card to /
/�._ 1 0•
Agent
■ Attach this card to the back of the mailpiece, ddressee
or on the front if B. Received by(Pnifted Name)
space permits. Date of Delivery
1. Article Addressed to: / L f/��
D. Is delivery address different from item 1? 0 Yes
titIA, If YES,enter delivery address below:
CI No
Y QULAQ4
(Iyhilr,u4)& l95.2O0
3. Service Type
jaCceertified Mail 0 Express Mail
❑Registered ❑Return
Receipt for Merchandise
0 Insured Mail f1 r r,

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