53832_PRATT, STEVE_20090722

L�CAIVIA / N/DREDGE & FILL
CxENqF AL PERMIT Previous permit #
qew /A-fo ification DComplete Reissue D Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources
and the Coastal Resources Commis§Fop in an area of environmental concern pursuant to 15A NCAC 9
J
[I(Ku'es attached.
Applicant Name SCIS kralf Project Location: County__
Address 9,.As- r Street Address/ State Road/ Lot #(s�
City Eli 7A61i i State NC, ZIP
Phone# WT) r17 91-/ 9 .5 k' AJ
Authorized Agent rill .3i"ta-11irs
Affected D Cw �IW )JPTA (ES D PTS
AEC(s): 0 OEA 0 HHF 0 1H [I UBA El N/A
[I Pws: 0 FC:
ORW: yes /��no-\ PNA yes / rn,) Crit.Hab. yes
Subdivision
City 4
I �2 k IN L �k lub ZIP Z1 9 (; 9
Phone # (—) River Basin On ';:r. ( i CIL i I L
Adj. Wtr. Body K(nat man /Lmkn)
Closest Maj. Wtr. Body -
Type of Project/ Activity r'w:,-')JrACC- ?
VW'I
)n &0 CLind Ilnsfa I L4(j nery vinq1
bLt Wbr
Z
(Scale:
Pier (dock) length
Platform(s)
I
Finger pier(s)
Groin length
Q\
number
Bulkhead/ Riprap length
a,g distance offshore
V
max distance offshore
Basin, channel
cubic yards
J
Boat ramp
Boathouse/ Boatlift
-1c5
Beach Bulldozing
04 Other
14+
41-
Shoreline Length AtOo
\2'z
SAV: not sure yes
I -A
Sandbags. t no su
n Moratorlium. a
Photos: no
Waiver Attached: yes no1 - --
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A building permit may be required by: i ) k-
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0 See note on back regarding River Basin rules.
Notes/ Special Conditions f"
Ag "/Vllr�ficant Print
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
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