58930_LINDSAY, RANDALL AND CHRISTINE_20111130

RECEIVED
CA,MA / CI DREDGE & FILL
cl ERAL PERMIT nF� I Ui1 Previous permit# ��
b�.1evv ❑Modification ❑Complete Reissue ❑Partial Reissue L Date previous permit issued
IAs 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
r?l Rules attached.
Applicant Name Ray%&11 i C,r,,5 -t f%.k Ltn&q
Addressl i b r
Project Location: County
Street Address/ State Road/ Lot #(s)
City ``"!-,r-,�11tk
State IJL, ZIP a-�99
2-al i40•'; 5i2"�+y3C'
Phone # (4 S'}) (,�b - 4-41 L4 Fax # (_)
Subdivision 0 I iC -1 1 t'
Authorized Agent
Ci
ZIP
❑ CW d EW
Affected
(; PTA ES ❑ PTS
Phone # ( )
River Basin
PC, Jr,
OEA HHF
[I
AEC(s):
❑ IH [I USA 0 N/A
Adj. Wtr. Body C, i -f�
fb,r,; Jt is 13c
(nat i>ran)/unkn)
❑ PWS:
El
Closest Maj. Wtr. Body
ORW: yes / nd PNA
yes /<CV Crit.Hab. yes /_np.
Type of Project/ Activity ; v i V i -c < <l lZe o 14 eg ,, 4�. + Q.c `._.
Pier (dock) length
Finger pier(s)
Groin length
number
9s11kheadPRiprap length i
avg distance offshore
max distance offshore
Basin, channel
cubic yards_
Boatramp
Boathouse/ Boatlift
Beach Bulldozing
Other_
Shoreline Length 83
SAV: not sure
yes
no
Sandbags: not sure
yes
40)
Moratorium: ,
yes
no
Photos:
no
Waiver Attached:
yes
(9
(Scale: 1 ` -,), 0' )
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A building permit may be required by: 0 .-r r . �i C. K ❑ See note on back regarding River Basin rules.
Notes/ Special Conditions j 'tA
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Agent or Applicant Printed Name
u
� 1
Signature Please read compliance st tement on bate f permit
Application Fee(s) Check #
11-3y—a01 !-30-dolA
Issuing Date Expiration Date
Local Planning jurisdiction Rover File Name