60184_LINDTVEIT, HERB_20120501

µ}.) �r 60184
LAMA /DREDGE 8e FILL
GEN��AL PERMIT Previous permit#
New dification 1Complete Reissue 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 I SA NCAC
ff /* ! Rules attached.
Applicant Name _ L•- i .�_ Project Location: County (®'�
Address( _ ^ (y9-
�g
Street Address/ State Road/ Lot #(s)�
City / tj�,�fl State i ZIP`9(�
Phone # Fax # (_ Subdivision{
Authorized Agent _ _ Gty_ZIP
El Cw 'NM �PtA ❑ ES ❑ PTS Phone # () River Basin
Affected OEA HHF ❑ IH n UBA D N/A
AEC(s): Adj. Wtr. Body (nat ma unkn
El PWS: ❑FC:
ORW: yes no PNA yes / .0 Crit.Hab. yes /69Y
Closest Maj. Win Body
Type of Project/ Activity
Pier (dock) length ____ _
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
�max distance off�hore
Basin, hannel
cubic yards (i
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length _ _-_-
SAV: not sure yes
Sandbags: not sure yes
Moratorium: n/a yes
Photos: yes
Waiver Attached: yes
A building permit may be
Notes/ Special Conditi�
Agent
Signe @tur9
rr
i�
b
-R,P A0 r
read compliance statement on back of permit
I(!
(Scale: 411-4 )
See n to on bac egarding River
co
Permit
Dat
E iration Date
/
V co

Personal Account Information