HomeMy WebLinkAbout53608_LANE, BELLY_20090416MA / fDREDGE & FILL E 5360C
RAL PERMIT " Previous permit #
❑Modification OComplete Reissue ElPartial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources 31
and the Coastal Resources.Com isslon in area of environmental concern pursuant to 15A NCAC_
�Iules attache` __.
Applicant Name Pr ject Location: County _
Addre s rj - treet Address/ State ad/ Lot #(s)
City i State; ZIP
Phone # O Fax # O Subdivision
Authorized Agent Al 4 City A ZIP
Affected ❑ CW ram/ ❑ ES ❑ PTS Phone # O _ River Basin
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ URA ❑ N/A Adj. Wtr. Body � nat an nkn
❑ PWS: ❑FC:
ORW: yes / ° / PNA yes / J Crit.Hab. yes / no Closest Maj. Wtr. Body
Type of Project/ Activity
t
Lg
Pier (dock) length
(Scale:
Platform(s)
Finger pier(s)
I
i
i
Groin length
u er
Bulkhead iprap length
i
avg distance offshore
max distance offshore_!
Basin, channel
cubic yards
—
-
—
_
Boat ramp
1
Boathouse! Boatlift
I
Beach Bulldozing
—
—'
_!
Other
I _--o
1 I
i
I
i
i
I
Shoreline length -
I�
SAV: not sure yes
Sandbags: not sure yes n
--
Moratorium: n/a yes
—I--
—
— — j
Photos: yes o
Waiver Attached: s no
A building permit may be required by:
❑ See note op, back regarding River Basin rules.
Notes) Special Conditions
f
1 _kk,
/ l� Ltl
Yrrf r f
S
i
CAJIC�--o�
Agent or Applicant Print N 1
c(�Z_Z
Signaturee read compliance statement on b ck of ermi
of
Appl cation Fee(s) Check #