59950_LAMB, ALLEN GLENN_20120816

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CAMA / ❑DREDGE & FILL
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ENERAL PERMIT
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Previous permit#
ew ❑Modification [-]Complete Reissue I] 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 NCACaxt
Applicant Name A N (714T4 6mB
Rules attached.
Project Location: County pe-h a 01 rt
Address-.1 92 L,4A't
Street Address/ State Road/ Lot #(s)
City #11Tfib StateAIC ZIP 77M
Phone # (, Fax # (,)
Subdivision__��`�/
Authorized Agent
CityNigr r-18� ZIP
Affected El cW IFW kPTA O ES ❑ PTS
Phone # (_) River Basin )
AEC(s): 0 °EA ❑ HHF 0 !H ❑ UBA ❑ N/A
Adj. Wtr. Body �'T(• i �� � El
❑ PWS: ❑FC:
na man /unkn�
ORW: yes / n� PNA yes / Crit.Hab. yes / o?
p /—
Closest Maj. Wtr. Body— 4 t E I G -S/w l
Type of Project/ Activity
If
Groin length
number
Bulkhead/ Riprap length_
avg distance offshore
max distance offshore
Basin, channel
i
cubic yards ,
-...
Boat ramp
Boathous<9oast `9 /C T - -- -
tidr�—
Beach Bulldozing
he
Shoreline Length 9
SAV: of s yes no
Sandbags: not sure Yes yo' i �- -
i
Moratorium: n/a es o r �,1 .I -
Photos: no - -�•
Waiver Attached: yes 19
A building permit maybe required by:
Notes/ Special Conditions
Agent or p cat Printed Name
Signature Please re d compliance statement on back of permit" � }�
Application Fee(s) Check #
Permit
A
(Scale:
❑ See note on back regarding River Basin rules. I
Issuing Datb ' ' Expirat on Date
� IM /s C o'F )W 11
Local anningjurisdicuon Rover File Name