54133_RADIO ISLAND DEV CO_20090610 (2)

6AMA / [DREDGE & FILL GE RAL PERMIT No ° 5 413
Previous permit #
w, ❑Modification ❑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 Res rces Commission in an area of envir n ntal concern pursuant to I SA NCAC
es
Applicant Name; Project Location: County a
Address Street Add r ss/ State Road/ Lot #(s)
City State ZIP
Phone ( ) # ( ) SubdMISio :.,
Authorized°Agent -> _ CityNBody
ZIP
Affected ❑ CW �A PTS Phone # (hKVRiver Basi
AEC s ; ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
() ❑ P ❑F Adj. Wtr. Bodyat an unkn
ORW: es / o PNA Closest Maj. W
y yes o Crit.Hab. yes / no
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
ber
B Ikhea praplength
avg distance offshore
max distance offshore
T
Basin, channel
cubic yards_
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAV: not sure yes
Sandbags: not sure yes
Moratorium: n/a yes
Photos: yes
Waiver Attached: yes
A building permit may be required
Notes/ Special Conditions
>plicant Prin ed Name
�* �Ple �e,reeaad co 5
Fee(s)
(Scale: ,
U- 'X
_,I I — ID See note on back regarding River Basin
on back of permit **
Check # Loc'al PfanrfingJufis&AdoR--' " Rover File