53652_PARKER, RALPH_20090430 (2)

IPGE & FILL , �C,
G;,2"L, PER IT
iONevV -Modification [�_�plete Reissue OPartlal-
As '
authorized by, State of North Carolina, Department of Environment
and the Coastal Resources Commission in an area of environmental concern pursuant to
'51,652
Previous permit #
Date previous permit io?sbdA-10—"��
Applicant Name Project Location: County
Street Address/ State Road/ Lot #(s)
Address
City St e ZIP"
Phone #O�ld 1 i-IL9ax# O Subdivision
Authorized Agent
0 Cw �IPTA D PTS
E
Affected M
I%W E H F 0 H ❑ UBA 0 N/A
0 OEA LAEC(s): D Pws: 0 FC:
ORW: yes PNA yes / 40
Type of Project/ Activity t P I � �D -A
Pier
Platfo
Finger
Groin
Ikh
Basin
Boat
Boat.
Beac
Oth(
Shor
SAV:
Sand
Mor
Phot
City ZIP
---Phon-e-*-(-:-=) River Basin"
unknn
Adj. Wtr. Body De— r t an unkn
Crit.Hab. yes / no Closest Mai. W.tr. Body -
I
lock) length
.1(s)
T
I
1-
--ji
�J-
I
I
T
T
T
ELL
pier(:s)
length
camber
a:.d>/iprap length
distance offsho,
&
-nax distance offshore
--t--
V-7
channel
cubic yards
ramp
r-N-
—T—
—i
iousel Boatlift—
T
i Bulldozing
r
eline Length
not sure yes
bags: not sure yes
atorium: n/a yes
os: yes
T
T-
L
Waiver Attached: yes U - --�!
A building permit may be required by:
Notes/ Special Conditions Cn I
Agent or Applicant Printed Name
Signature ** Please r c ance statement on bac ofpermit **
0-0! AI,
Application Fee(s) rh ec r#
El See note on back regarding River Basin
A 11) A
P I ri r
DM
Issuin ate Expiribon to
Locht,PlAn6ingJurisdiL-T1`bn Ro�er-Flle Mn

� ;� d , ,'.. 'r �' ,
. � 1. � �� ,
• � �
1 • -f r l c.
i i ` �• 1 .'.l . f/ � � `
.., 1 � � ;,.��
., ,�
. �.
. .
•�� -
'��'�'.�- ` �'� _ � ,� �'�_� ter, � �'��
„" +' Ai .f� .'
I r � ,� I
y�; �.
�� ' r
•r ,�,� ..
� .r.
� `� • ��
r•, � � '�i
11 r'
�a s�.,�� �„ f ,�;� ,t�,/��
'' ( % r r .y
,r r. i .�� 1: � '
y AA!'1 ;r�� .r r' t
� •.
f• � � `t �i