34010_KEEL, ALAN_20030522

—. WE PERMIT
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XINew C1Modification ❑Complete Reissue []Partial Reissue
Previous permit #
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 I SA NCAC 0v
Applicant NameAl`to kre I
Rules attached.
Project Location: County �� r i,. c 4-
Address, ('� �� a r ,�
Street Address/ State Road/ Lot # s
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City W 04 A ZIP Z$5}o
S tuft.
jjState
Phone # (ZS%)�3 "35�,q Pax+# (ZSZ.) �yS�1S2s'
Subdivision
Authorized Agent - r e
City
ZIP
Affected ` D Cw FXEW XTTA DES OPTS
Phone # () River Basin IdWe & K-
AEC(s): ❑ OEA ❑ HHF O IH ❑ UBA O N/A
❑ PWS: El FC:
Adj. Wtr. Body fah «�qdr lq RO ( �,(�11-1.-Anat unkn)
RW: 5/ no PNA yes / Crit. Hab. yes / no
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Closest Maj. Wtr. Body_;; vW _ _
CA�L
Type of Project/ Activity 1
f j
Pier (dock) length ty
%Platform(s)
'`Finger piers)
Groin length i
number ---
Bulkhead/ Riprap length
avg distance offshore
max distance offshore (Ain
Basin, channels
cubic yards
Boat ramp
I
Boathouse/ oa t Zy ! [
t�YlLuve�f
Beach Bulldozing
Other
o c k-- ,S X i g. :—J ;
i
i
-- I
Shoreline Length
SAV: not sure yes (�
Sandbags: not sure yes---
1
Moratorium: n/a yes-
�
Photos: yes
V i
Waiver Attached: yes
A building permit may be required by: Car+e(2T
Notes/ Special Conditions t v+e .o Pet IV
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Agent or Applicant P%ri„nted Name
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Sig
nature nature Please read com liance sta ment on g p back of permit
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Application Fee(s) Check #
Permit
(Scale: Alc,,Vi--
)
❑ See note on back regarding River Basin rules.
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Issuing Date
Expiration Date
Cc>_je"f CI".
J-OrZZ, /YA
_
Local Planningf urisdiction
_
Rover File Name