59832_MCCULLOUGH, ANNEVIA AND JAMES VIA_20120508

1 CAMA / EJ DREDGE &FILL / A ,' '3 `'
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GENERAL PERMIT Previous pei^mit #
HNew gNodification ❑Complete Reissue ❑Partial Reissue JUL
Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources ?0 12
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC +; J D 4 0o z o
.DCAT.11'7I1D CTy Rules attached.
licant Name Ytt �, 1
APP� r V wed a, nr uiG MC{�! lovq Project Location: ounty
Address Q 1A CoN y Avtny< i # Viol 1
City !\)o r� O K State _� A ZIP d 3 S ©1
Phone # (45.;L.) W ` 40 G Fax # (, )
Authorized Agent L �,T r-le, r,n 0c.•n"11., 4L. # �^
Affected ❑ CW [❑.EW N. PTA W ES ❑ PTS
AEC(s): ❑ oEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
CIRW: yes / ,rio, PNA yes / Crit.Hab. yes / now:
Street Address/ State Road/ Lot #(s)
S
Subdivision A i Vj4 1 -,c. iE.
City ZIP.
Phone # ( ) River Basin
Adj. Wtr. Body ryC r i' G ,% i C 5011_. C (rfat;/man /unkn)
Closest Maj. Wtr. Body 41 h.r , -c r I t So
Type of Project/ Activity &)1K !,, <} s�t M7 ja t r -�� + 1 0
Pi ock leneth
Plaif
Fing
Groi
'Bulk
Basi
Boat
Boat
Beac
th
Shor
SAV:
.Sand
Mo
Phot7.
Wale
(Scale: l _ Lj 0 )
�rlength
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■■■■
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•
■■IRS
W.r�■■■■■■■■■■■■■■■■■■■■■■■
max distance offshore
cubic yards_
ramp
louse/ Boatlift
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■
Linel-ength
■n■
■■■■■�■■■■■■■■■■■■■■■■N■UM■
yes not sure .
��IE�IL�C�■■■■■■■■■■Ni■El■
piR1■■■■■■®BRI.�ags:
not sure Yes
■■■■■■■■■■■■■■■■■■■■■■m■■■■1a■■■■
A building permit may be required by: Cv V, r , � c j_ ❑ See note on back regarding River Basin rules.
Notes/ Special Conditions I�. t10U + bv!1` {v.a.�a 4e� . {�� �A ronur+f� Gi ' H-uJoK A,ea cl� :i r6aF ti �i
rl ;� t S -: £ K �s ct � b � � �: �., c � ..+�' �.� 1 r hcc rf !' I N � � r -� ! s .n�.: r 7 � " <� .w. ✓f r f 'i J � � n.l
4�
Agent or Applicant Printed Name
Signature Please read c&pliance statement on back of permit
ILIDO, 00 :1ti-10
Application Fee(s) Check #
54-Ao a-- !�4w,�- boa
Issuing Date Expiration Date
urr, it 1-()S8tN1s-A,
Local Planning Jurisdiction Rover File Name