45143_NORBUTT, ROBERT_20060412

• kAMA / ❑DREDGE & FILLPERMIT.. sew ❑Modification ❑Complete Reissue ❑Partial Reiss Date mit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources `� r► 7 1006.
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
ules aacled.
Applicant Name Project Location: County_
Address / C>vti -el Street Address/ State Road/ Lot #(s) _
City C- �'� od State ZIP l � - M, —
Phone # (�\1) -7/C,Yax # ( ) Subdivision
Authorized Agent City `> �L}(�o ZIP _
�p'cwW ETA ❑ ES ❑ PTS Phone # O River Basin
El)
Affected � OEA HHF ❑ IH 0 USA 0 N/A ✓?
AEC(s): Adj. Wtr. Body��''' y.
na '�� �'�
❑ PWS: ElFC: manunkn
ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body o ��
_ 'x / f
Type of Project/ Activity �. � �� �� G' i�` ('2 f
Pier (dock) length
Platform(s) 10 A1
t
Finger pier(s) S �%/C 6
Groin length ,
u ber -
m n
Bulkhead/ Riprap length 1 a r
avg distance offshore _I
max distance offshore �.
Basin, channel —�
cubic yards
Boat ramp
Boathous oatlif
Beach Bulldozing V
Other l
1�
Shoreline Length
SAM not sure yes n
Sandbags: not sure yes o
Moratorium: n/a yes n'
Photos: yes i _i-
t
Waiver Attached: yes n ---
A building permit may be required by:
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
6b
U� L
(Sca1e:,,//7J- )
❑ See note on back regarding River Basin rules.
u
7&LN
ExitiratidAn Date n

ROBERTA. NORBUTT
LINDA S. NORBUTT
PH. 252-728-7104
729 COMET DR.
BEAUFORT, NC 28516
PAY TO
THE ORDF,R OF
State Em 10 e& Credit Union
�1 �—�I/Y2.1 ead City, N—,—,th Carolina
32
MEMO
1:2S3 177o49j:o8E 27614
88-7704/2531 15 4 5
08627614109
DATE
10911' 1S4S
RS (') sw�..e.e.