41494_MCKINNEY, SCOTT_20050519

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CAMA /DREDGE & FILL 4� - 4- 9 4
GENERAL PERMIT 'T
Previous permit #
ew Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ZOCJ
Rules attached.
Applicant Name SG /})� XLN� E `i Project Location: County Q�0,5�o�, �o�..✓T"�
Address I CS A r" t� Oc. V- 1 QeA Street Address/ State Road/ Lot #(s)
City-,5gD�P E 2lL State 0 L ZIP Z$
Phone # ( ) Fax # (_) Subdivision t,[_y r-
Authorized Agent I\ tJo l 111A L2U= �,�; S S �r,Z,rL� t AS �r,YiZ G S 1_ City u Eat I _ZIP Z)t3 1 (00
Affected Xc I�(EW /c�TA CES =PTS Phone # ( ) River Basin'd sTc D,.i ,4-
[IOEA ElHHF C IH -- UBA = N/A /
AEC(s): Adj. Wtr. Body _ Z�J � C� I �� �}� P d, (nat /unkn�
❑ PWS: - FC:
Closest Maj. Wtr. Body %�
ORW: yes PNA des no Crit. Hab. yes / no �=
no = rL
Type of Project/ Activity 4- P! G 2 I ` x ► L ' `I E ? ? `� 2-Li nT
IS PI E2- -29 1"���4?-5S (Scale:
Pier (dock) length-
Platform(s) I Io X I (o
_
Finger pier(s)� f1�3 x1S t, Z- X 1. 4lZ t L
Groin length?
number - - - - - -
Bulkhead/ Riprap length i6 CL Z X Z1)
avg distance offshore
max distance offshore
Basin. channel -- - - --- �— — -- - -l�b� Lr ---- —
cubic yards
Boat ramp
Boathou e/ Boatlift %Z X Z L4
Beach Bulldozing
Other i I
Shoreline Length % 5 1✓ *f
IV
SAM not sure yes no —_---
Sandbags: not sure yes `
Moratorium: n/a yes Rio
Photos: yes 1� �
P
Waiver Attached: no -- - - - - -
es --- - -- ---- -- - - -
A building permit maybe required by: L See note on back regarding River Basin rules.
Notes/ Special Conditions Dx-�c 5 A r_ Z ~ > 5"!_- As t=- 1, FJ L . Nc-V Z S LT P 5 -
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Agent or plicant Printed Name
Signature Please read com a statement on back of permit*"
Application Fee(s) Check #
Permit Officer's Signature
5=1C)- of
Issuing Date Expiration Date
Local PlanningJurisdiaion Rover File Name