35190D - Meletis

CAMA/ ,`l DREDGE & FILL
i E NI E RAL PERMIT Previous permit#
New __Modification Complete Reissue _Partial Reissue Date previous permit issued
ized by the State of North Carolina,Department of Environment and Natural Resources �l
oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC 7/r //(.,0 W 7// /
XRules attached.
Name Pete /t(Ci&+1 j Project Location: County
00'7 j,r i i r r^CI 14 I?c c d Street Address/State Road/Lot#(s) /2 3
f o/)Ye5V i Il e. State 1J C ZIP 9- 115 (p T 51Ye e
(70 7'7!r6,Fax#( ) Subdivision
:dAgent 1) l MGr'ri5e:TA City 5f4i15ef 5Cnc. (n ZIP__
.CW PTA PS ❑PTS Phone# ( ) River Basin L 14,1
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body CC(rlrti-C (nat /rl
❑PWS: ❑FC: /vywW
no ies / no PNA yes / Crit.Hab. yes / no Closest Maj.Wtr. Body
Project/Activity eUvi�iY1,4.C4 Net,k) 64 I k_` eael rI i Ode_ n
�i
(Scale: I '� ,
k)length no X
:s) I0 1< I if
.r(s)
gth
fiber
/,`tiprap length 50
distance offshore
distance offshore +�1
snnel
is yards
/U
P
e/Boatlift
i
Ildozing At
-- O! 54)
Length 50/ r.11 A2_
not sure yes no
not sure yes
gym: n/a yes no
yes no
ttached: yes =--
g permit may be required by: /i -c/Y? 1145 'i7.Sc 7 C C,1_ I I See note on back regarding River Basin ru

GENERAL PERMIT COMPUTER FORM
•
APPLICANT NAME: Pe 7LE" /tfe l&-I-i s
ADDITIONAL NAMES:
AEC DESIG: CAA-) (5l v PT" l✓S DEVELOP AREA: .O 3 PROJ DESC: P - is
(Will only take 6) (Will only take 1)
WORK: Th 50 TE JoJ
(Will only take 4)
PR /6) 9-
MALNr:
(Will only take 4)
IMP: 5-O o
(will only take 6)
L�l/ll Jo
ACTION EXPIRATION
DREDGE&FILL REQUIRED: //7/G 44/7/0V
CAMA MAJOR DEVEL REQUIRED: i/7/0 V/7/G

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COMPLETE THIS SECTION ON DELIVERY
SENDER: COMPLETE THIS SECTION
• Complete items 1,2,and 3.Also complete A. Received by(Please Print Clearly) B. Date of Delivery
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you. C. Signature
• Attach this card to the back of the mailpiece,
or on the front if space permits. X ❑Agent
1. Article Addressed to: ❑Addressee
D. Is delivery address different from item 1? CIYes
If YES,enter delivery address below: 0 No
IV:at) FII C,.,,. ,rCo ).
A, �x �583 / DEC 2 r 7003
06/0/6•/ ' 64,4-0C c 3. Srce Type s i0
(� �ertified Mail �xpress Mail
❑ Registered Return Receipt for Merchandise
86 /7 ❑Insured Mail ❑C.O.D.
4. Restricted Delivery?(Extra Fee)
2. Article Number(Copy from service label) ❑Yes
7°9R 34°D Co/Scgc9LZ 7 Z9
PS Form 3811,July 1999
Domestic Return Receipt
102595-00-M-09f
SENDER: COMPLETE THIS SECTION
COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete
■ A. Received by(Please Print Clearly) B. Date of Delivery
itP is desired.
n t your name Restrictedm 4 if and addrress on the reverse
so that we can return the card to you. C. Signature
■ Attach this card to the back of the mailpiece,
or on the front if space permits. X
L4 0 Agent
1. Article Addressed to: ❑Addressee
D. Is de ery address different from item 1? 0 Yes
If YES,enter delivery address below: 0 No
STEVE Tb v D
6 o' / B,2
�r7 l�r ,C. 3. Service Type
�
Certified Mail ❑
2 8 227 7 ❑Registered press Mail
Return Receipt for Merchandise
0 Insured Mail ❑C.O.D.
2. Article Number 4. Restricted Delivery?(Extra Fee)
�le (Copy from service label) ❑Yes
Co
3vocc3- 88
PS Form 3811,July 1999 6
Domestic Return Receipt
102595.00-M-0952

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