43433_BACH, MICHAEL_20051102

'JCAMA / DREDGE & FILL
"A
NY 43433
GENERAL PERMIT
�� ��IClew ❑Modification ❑Com Complete Reissue ❑Partial Reissue
P
Previous permit#
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 /
/
t%��� �'t t1
-7 Rules attached.
-__
i . licant Name r'!
nP
Project Location: Count
1 y
Address l�r r ,� f �`�
Street Address/ State Road/ Lot #(s)
City /�� f l State(- ZIP
Phone # Fax # (_)
Subdivision
Authorized Agent
City f✓ l f ZIP
❑ CW SEW ETA ❑ ES CI PTS
Affected
Phone # (__) River Basin
❑ OEA ❑ HHF ❑ I ❑ UBA ❑ N/A
AEC(s):
Adj. Wtr. Body— J P c-/'t r l' ' (nat /man /unkn)
❑ PWS: El FC:
/ �-
ORW: yes Co . PNA yes / to Crit. Hab. yes / no
Closest Maj. Wtr. Body__. -
Type of Project/ ActivityY �T 3
(Scale:
Pier (dock) length
Platforms)
Finger piers)
Groin length
number --
Bulkhead/ Riprap length -
avg distance offshore
max distance offshore —
L�?channel �? S
cubic yards f
Boat ramp
Boathouse/ Boadift
Beach Bulldozing
Other
Shoreline Length
�5— '
SAM not sure
yes
60)
Sandbags: not sure
yes
&
Moratorium: n/a
yes
0V
Photos:
yes
(ao
Waiver Attached:
yes
�9
A
'Cit/ r
A building permit may be required by: IV C See note on back regarding River Basin rules.
� 11
Notes/ Special Conditions
i
Agent or Applicant Printed Name
Signature "Please read compliance statem nt on back of permit"
C.
-
Application Fee(s) Check #
Permit fficer'sSignature
b.
IssuingD to Expiration Date
_T J/c19C4
Local PlanningJurisdiction Rover File Name

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O C T 2007
Morehead ON ociv

G MICHAEL BACH COMMAND ASSET PROGRAM 1718
NCDL 2053758 66-21/530
5221 Driftwood Lane 252-222-0147 BRANCH 77614
Morehead City, NC 28557 / C7 l l O 'T
Date
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;?dero ! L Y't 266
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WACHOVIA SECURITIES CODE
Wachovia Bank, N.A. %} ,
For
1:0 5 3000 2 191: 400 3 38 4 4011' ? L8
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