The URL can be used to link to this page

Home My WebLink About42516_ALBEMARLE EMC_20050901d f ac FILL A 12516 ,.� j �r�AL PEt'T Previous permit # --w []Modification . ❑Complete Reissue El Partial Rei Date previous permit issued _actiliorized by the State of NortH.Carolina, Department of Environment and Natural Resources (,Poo and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC A les attached. Applicant Name �� tm Ar!rt EM C, Address �//++, City 1-+4 ► Stately C. ZlJ'_'/ Phone # W) Fax # ( �1)�Z(!/' $��D iauthorized fge�rat i rns s i. a jaAAfect d [1 CW o � A ❑ ES AE❑ OEA ❑ HHF IH ❑ UBA 0 N/A 9RW: ❑PWS:❑FC: yes / no PNA yes / 0 Crit. Habno . yes / a Type of Project/ Activity Pier Platt Fing Groff Bul Basl Boat Boa Bevlc Ot, Sao. SAV. Sand Mo Phot Waiv =o Project Location: County %5 QU i)TAe► k _ Street Address/ State Road/ Lot #(s) nn.11 AA Subdivision '� City ZIP Phone # ( River Basin aw'-tan�- Utnnam� !Q. Adj. Wtr. Body nt man unkn Closest Maj. Wtr. Body 1e k 1? Dl^i rr length9M ARM �Ij�,ir'•' ■■■ ■ .� �r��' a �. �,•..■. Mi.-.a..✓.lA ■�� N�. �.�.�.r A i mill fT[2 ��i�41 '0 . I i length PIN wIn number avg distance offshore_ max distance offshore— n I . . . . . . � ME A ,err �"�11 � ��►�,�� ■ kv `1■Yrl .►� PJ■.■■B �ii ■ cubic yards BE ramp [r11��■■iWIMh: ..■■■■dam �p IMEM N ■ ■ Bulldozing 1 MEMO MIN ■\,. ■■■�.■�■IMMIMME ■.■■IE ARM. ■■.■■... ■ �.■..�.SI�..m■■...■ME .■ IMMEMMIMMUME MEMIME �i�.li��■fin AL . w- —10 1rrl■ W-WO asOSJJk'nOA A building permit may be required by: l' SitiaDn . ❑ See note on back regarding River Basin rules. Notes/ Special Conditions 7T . on Agent Applicant Printed Name Permit kq � 4►�► IOSv A��4% ature * * Please read compliance statement on back of permit' 1 ISSUVIDU Expiration Date :11 UO .DO/ 33N0l sa.A20..l� A Chip+ J eA rk—i, Local P�anni -Jurisdiction Rover Flle Name