HomeMy WebLinkAbout34702_HOOVER, TOM_20030718AMA / 742KCUUr- do I -ILL
ENERAL PERMIT Previous
New ❑Modification El Complete Reissue ❑Partial Reissue Date 'e
As authorized by the State of North Carolina, Department of Environment and Natural Resources
and the Coastal Resources Comm' lion in an area of environmental concern pursuant to 15A NCAC G
s a± f Urd
permit issued
i
Applicant Nam Project Lo tion: County_��C
Address Ice Street dress/ State Road/ Lot #(s)�
City Stat ZIP ay'
Phone # xi)rq Fax # () Su division_
Authorized Agent ity
ZIP
Affected ❑ CW )AW PTA ElES ElPTS Phone # ( River Basing
AEC(s): ❑ OEA ❑ HHF 11H ❑ USA ❑ N/A Adj. Wtr. Bold. nat a unkn
❑ PWS: El 60
o
ORW: y / no PNA yes Crit. Hab. yes / no Closest Maj. Wtr. Body
Type of Project/ Activity _JhF
(Scale: )
Pier (dock) length
Platform(s)J AA
! ,
Finger pier(s) �- —I
- - - f
Groin length
number f �✓ I
Bulkhead/ Riprap length _ _ _
i
avg distance offshore I}
max distance offshore l
asi channel U l�� X► �� C o 1
I
-- --1--
cubic yards
Boat ramp'
am -
P
Boathouse/ Boatlift
�- -,.� - - - - �w►a- - Beach Bulldozing
Other—t—
{ I
Shoreline Length
SAM not sure yes
Sandbags: not sure yes
Moratorium: n/a yes o
Photos: yes
Waiver Attached: yes - ---
A building permit may be required by:
Notes/ Special Conditions ��
•
I
I i I i
5.5. �-W�
T - � lips
L- See note on back regarding River Basin rules.
71_ /11—I_
Agent or Applicant Printed Name
Signature ** Please read compliance staff ent on back of permit
1906-0 3 5u/-
Application Fee(s) Check #
f
Permit
610 -:5 10 11 15
Issuing a�t xpira n Date
{. /�i
Local Planningf urisdiction Rover File Name