54130_RADIO ISLAND DEV CO_20090610 (2)

�AMIA / DREDGE & FILL
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GENERAL PEORMiT
MKew OModification OComplete Reissue
Previous permit #
❑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 ��Ld
Applicant. Name.����yLfb: (V
_ ° Project Location: County
Address
Street Address/ State Road/ Lot #(s)
City State
IP
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Phone # - ax #, )
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Subdivision}
Authorized Agent .; ,•
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City! I f -# ZIP i
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Affected cw pa ©e5` ❑ PTs
Phone # (_) River Basin6aa.,
0 OEA 0 HHF ❑ IH ❑ UBA ❑ N/A
AEC(s):
Adj. Wtr. Body 4- (nat man unkn
O PWS: ❑ FC:
� )
ORW: yes / 6 PNA yes / Crit.Hab.
Closest Maj. Wtr. Body
yes / no
Type of Project/ Activity
Pier (dock) length__
Platform(s)_
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length /1
avg distance offshore
max distance offshore
(Scale: % L )
l��" ✓ L/,.� ��"' ✓ -' u ' / Lam_ '��
f
Basin, channel V
cubic yards_
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
eline Length
ff
SA not sure yes no
Sandbags: not sure yes
Moratorium: n/a yes
Photos: yes
Waiver Attached: yes no - - ---- - -- -
A building permit may be required by: t
Notes/ Special Conditions 7 -e ;A 1Y.&
Qv!
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See on back regarding River Basin rules.
Signature