37815D - McIver

:LAMA/ ❑DREDGE & FILL
3ENERAL PERMIT
Previous permit#
iNew -Modification -Complete Reissue ❑Partial Reissue Date previous permit issued
s—
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 7 //"a0
} R. - � ❑ attached.
�J t Name u I.-I to, y11 E I tic- . Project Location: County 11[4v llaMaa.
Z I Z Gl iIm 1 D p LC $ L).J D boo f p Street Address/State Road/Lot#(s) ,Cief/ J,'J/2 S
A) I L f State Nc, ZIP ZKII l/ 1 5 rc NO Iz ir/ cq we sr.
( ) 554 0-53 ,& Fax#( ) Subdivision --
ed Agent gcI ql`1-la w City 60 LYYI MNG.FDA ZIP 2�-64
❑CW PTA ❑ES ❑PTS Phone# ( )' �� River Basin C I '
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
❑ PWS: ❑FC: Adj.Wtr. Body Ai Lac() (nat
es.�' no PNA --.6 / no Crit.Hab. yes / no Closest Maj.Wtr. Body l�'���� ��v�+�
'Project/Activity 604(1c i' / I C.(OGa 1:C boa�"�'7f.
(Scale: !ry.:,
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4ttached: no ) /I n//
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ng permit may be required by: YIN �f a0I;p/t . P See note on back regarding River Basin r

GENERAL PERMIT COMPUTER FORM s
APPLICANT j u/i f 12c /!/-r/2
ADDITIONAL N A_MES:
AEC D:SIG: DEVELOP AREA: :_ O P y PROJ DE SC: .' -/12-
. (ail only take 6) (a it only take 1)
WORK: 61. I u, ig
(WM only tale 4)
MA NT:
(lk IL only take 4)
IMP: OW ,4i,
(Ka]only take 6)
ACTION =RATION
DREDGE&FF.! R QUIREED:
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30385
F AND S MARINE CONTRACTORS, INC.
P.O. BOX 868, TEL. [phone]
WRIGHTSVILLE BEACH, NC 28480 J It D 66-85/531
M , DATE /TO T
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PAY Al G�.0 (y!j
ORDHE OF /7 4Z
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DOLLARSRBC
Is, 3b89e
Centuraura
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g C RBC Centura Bank L% Y
Wri�s�ville Beach,NC 48 ''
FOR 7 !1 ACMN7tO f J
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