59811_WILLIAMS, GENE_20120508 (2)

L J CAMA / ❑ DREDGE & FILL"
QENERAL PERMIT Previous permit#
�qew ❑Modification ❑Complete Reissue El Partial Reissue kfP 4 2012Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources QA9-
and the Coastal Resources Commission in an area of environmental concern pursuant t-Q!J -�NCU C i'
CITY ules attached.
Applicant Name G e (U, t*.,, Project Location: County tic, r e
Address 401, Mu t b,,, R �
City jC 14 Nu w lC State_ ZIP a1 q LAg'
Phone # ( kA'4 q - S6CI Fax # (_)
Authorized Agent VA, r„ u
Affected ❑ CW ElEW ElPTA h ES ElPTS
AEC(s): ❑ OEA ElHHF ❑ IH I UBA ❑ N/A
❑ PWS: ❑ FC:
ORW: yes /moo ' PNA yes / Crit.Hab. yes /!no
Street Address/ State Road/ Lot #(s) iap F a., m& ri„r . p , 1 r,,A
Subdivision Mc r.5 Pv,
City YEA}� NK ZIP -�)ctzl-i
Phone # ( ) River Basin r. } !!
Adj. Wtr. Body u r r . c k Sy", r� c1 n /man /unkn�
Closest Maj. Wtr. Body C u, - { • de So � . a
Type of Project/ Activity " ' c'_ L.� r�l�' r:. �! t� tvt �o . •d
(Scale:
Pier (dock) length _
-- I
Platform(s) - - -- -- —
-J - UV
Finger pier(s)
Groin length
gt
number
C�ulkhead ,Riprap length
I
1
avg distance offshore
max distance offshore_ !r�)
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length I
SAV: not sure yes no
Sandbags: not sure yes
Moratorium; no
Photos: no
Waiver Attached: yes
A building permit may be required
Notes/ Special
ooConditions 1+7;
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Agent orApplicant.Prrinted Name ermit cer s Signature
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Sigrfature Please read compliance statement on back of permit Issuing Date Expiration Date
ApplicationFee(s) Check# - Local Planning Jurisdiction Rover File Name