59984_WHITE, BOBBY_20120821

�CAMA / ❑ DREDGE & FILL
- - 'ry-�' ?''
N E PERMIT
Previous permit #�
New odification ❑Complete 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 15A NCAC
pp
Applicant Name
Y/J�F
Project Location:
Rules attached.
County %w mks
Address 167 L
Street Address/ State Road/ Lot #(s)
Cityf 11 State_ PJC ZIP r
rL
Phone # ( 0176MFax # ()
Subdivision
Authorized Agent
City ""'
�r
ZIP 77
Affected ❑ CW XEW )C PTA ❑ ES ❑ PTS
Phone # ( )
�y,L
River Basin rtq (jr�
AEC s : ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
)
Ad'. Wtr. Bod
I y
- � .. A -r, f 11f�
91
nq mpan unkn
❑ PWS: ❑FC:
�'
ORW: yes / no PNA yes / Crit.Hab. yes / is
Closest Maj. Wtr.
Bod T � SJ' /L,l
() - a
Type of Project/ Activity KIFMDVJ5
5
length
Platform(s) �=
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length_
avg distance offshore_
max distance offshore
Basin. channel
cubic yards
I
Boat ramp
oathou oat'
Beach Bulldozing
Shoreline Length L ^
SAV: of s es no - f - - 1 4 - _ ... - _ y _
Sandbags: not sure yes � 8 � f NWL
Moratorium: n/a yes
Photos: no
Waiver Attached: y no - - ----V` TY--
W-911 %fW, 0
(Scale: )
A building permit may be required by: ! a Tl u(f pf (I r—KTFV )(P ❑ See note on back regarding River Basin rules.
Notes/ Special Conditions
a
Agent or Appli nt Printed Name t
Signat re Please read compliance statement on back of permit
�ago,00 �Y
Application Fee(s) Check #
Permit
I
Issuing Datd Expiration Datd '
1001JIi s + ,-21)3A
Local Planning Jurisdiction Rover File Name