37832D - Murray

ICAMA I ❑DREDGE & FILL
3ENERAL PERMIT Previous permit#
ONew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
►rized by the State of North Carolina,Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC 7H. 12.D
✓,-) Von , ► ❑Rules attached.
tt Name 1' ' (' rive,4k 7 Project Location: County PC bide i
3 7 Z PA' f -Ro .I Street A ess/S''tate Road/Lot#(s)
Seven S2#; s state 14IC ZIP 215 S 7 e 1SIG, Geo)►`tick "Elva(.
i.OM) 7S 1 `519 5 Fax#( ) Subdivision
zed Agent Dot e P1 rr ; City— brs q; I ter,-CL ZIP ". 8 4
i ❑CW W E PTA CIES ❑PTS Phone# ( ) River Basin C fir!
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
❑Pws: ❑Fc: Adj.Wtr. Body TorS0► ;I So Gi pa of ( at,
yes /(o) PNA yes / no Crit.Hab. yes / no Closest Maj.Wtr. Body 7 10S et ,! So t"'1el
f Project/Activity /Ve-LA) 604. i ) ;l ;.-k. e), ► S- )rq 5 I I 1 /
J (Scale: /1 r=
Dck)length
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Imber � .1 3 �C �1� (J
id/Riprap length ........— I 1 -,_._i. — t av,s ;vv1 r
eg distance offshore i I
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lax distance offshore i 1
:hannel X ay
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ibic yards S i I
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le Length t.- / �..._ { ! ....__i.__ I I
not sure yes 5)f l�(dd
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gs: not sure yes _. --44117'1011111li
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;rium: n/a yes ® -t 7... _— — _... -- __...._..
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yes' no ' I ! j 4 i I }
Attached: yes no I
ling permit may be required by: —7—dr ..a . , Baa LL 7 See note on back regarding River Basin

GENERALPERK CON 'L ER FORM f
•
APPLICANT N ME:
ADDITION:T NAMES:
AECDESIG: DE\•F.OP QR ;: Q O ) PROJ DESC: ? - I Z-
(Will l only tak.o) (Will oniy tat.-I)
WORK:
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(will only tam 5)
ACTION Dcpa.J ON
DR.L sE&FILL REQ=:
CAM-k MAJOR DE r?REQUIRE :

•03-04 08:32 FROM:H U MURRAY DDS 9197384471 TO:19103281189 PAGE:01
1 : R GERALD MATTHEWS CONST CO PHONE ND. : 910 323038c
Mar. 19 2004 02:46AM P1
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