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HomeMy WebLinkAbout41906_RE, JOHN_20050701i�AMA / LJ DREDGE & FILL lv ? 41906 GENERAL PERMIT Previous permit # %✓� � A A L evv ❑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_ ` , d' " f yles attached. Applicant Name ��h _ Project Location: County___ Y�j/n� �"'f/`- -- Address rD f��/ Street Address/ State Road/ Lctt #(s) D V State QIP v" - 1 q r;) — 60d, � ve City _ �-� Phone # �" ) y� Fax # ( ) Subdivision «kzl' �```�` t^� Authorized Agent Affected i- Cw TA AEC(s): OEA ❑ HHF ❑ IH CI PWS: ❑ FC: ORW: yes / innno PNA Type of Project/ Activity Pier (dock) length y7 0 ,1' " Platform(s) Finger pier(s) Groin length number Bulkhead/ Riprap length — avg distance offshore max distance offshore Basin, channel ,— r cubic yards_ ' Boat ramp Boathouse/ Boatlift r Beach Bulldozing ' Other �� �f•P i Shoreline Length SAM notsur Sandbags: not sure yes o Moratorium: n/a yes n Photos: yes Waiver Attached: yes n A building permit may be required Notes/ Special Conditions City 6,OIi�/ rl-oc zip d) /f7_ ❑ ES ❑ PTS Phone # ( ) River Basin ❑ UBA ❑ N/A r� V� 1 "t Adj. Wtr. Body_, ( na man /unkn) Crit. Hab. yes / no Closest Maj. Wtr. Body�`�__ (Scale: N Ott 'e�- ) K 3 b' - � �7 Agent or 'caJPrined Name Signature lease read compliance statement on back of permit / Uu. 0, � 3 y� Annlication Fee(s) Check # r 7& `T"- A,4Zy �r .v a note on back regarding River Basin rules. Permit Officers Signature Issuing D to a a t. 0 o Local Planningjurisdiction Expiration Date i; a - A4- - l d i Rover File Name 2%"Ja'k,r t'4t 1�,tJCL3K! v jrKVrrxa x V wrtxK nrrAli `1' (FOR A PLMMOORING BOATHOUSE) I hemby certify that I awn pWerty 4acent to _S c. jj , j (,' ,- 2s= (&ante of Property Owner) O[A4 , Road, ems.) Materbody) . (Town anwata Caad)) He has deaaol)ed to me, as drown below, the he is pnvposing at that k cat m, and, I hoe no'ckecfi= to his poposal. I unkntand that a p�nwovng mustbe setbakamimmnm x offif#= fed (151) fivm my area of access nmless waived by me. I o not wish to waive the setback gmt- I &o wish tD waive that setback DESCRUFIMN AND/OR DRAWING OF PROPOSED DEV LOST: I (To he fiVed is by &&Maal prnpo*g deveiopmsw) p_*-jt� t• l`t. � � l �1 L 1 '�'a garc 4 T �T Nam Td4how Number - . '� i L 'J �! ... M-S e c f f e 1, a d d o - m r n h. 5 e e k b w c v d e f I s L*1 �� INNERBANKS MARINE CONSTRUCTION, INC. r _ ! �1, rt �, ` r �r J \ " �,� 2065 1 fir, P.O. BOX 190 PH. 252-249 1429 ORIENTAL, NC 28571 ��� f ` !• ! ri 1 !' PAY h` °�� ss-soisst TO THE i. ` ORDER OF ,1.`� �� / 11 R /.� ,t J;`�%�+%`>f44� xl�l DATE 472 Q icy 411 V At r $ 100, c�c > f\ .r rf��r%)-- DOLLARS K CITIZENS472 "\ FrstCitizanc eank.B Trust Co ,`'l�f }� X J��( J•l �t't ��� r, �' \!�`\,f -<Tt� �'`• Oriental, N.C.. 28571 ^f"N / ' 1• r /X •% )//.' - j - f J www.fiirstcitizens.com jNr'r�r�r� ,'� �� , �r•' ,_, FOR II'00 20 6 5n' 1:0 5 3 L00 300I:004 7 1y20 i 28 2.2n l ^4