34013_PECK, BERIT_20030529 (2)

�1CAMA / C411DREDGE & FILL
,, Irevious permit#
GENERAL PERMITIt P
INev modification ❑Complete Reissue ❑y
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 o7 fl . Z Y C 0
Rules attached.
Applicant Name Project Location: County h• /f•r >-
Address___ 3 3b 56(s, a sir vC Street Address/ State Road/ Lot #(s)
City (at, (o,4ot 4 State �J[ ZIP I. e
Phone # ( ) 313- 2 JJ j Fax # ( )
Authorized Agent u n la H
Affected ❑ CW (2 EW I PTA N ES X PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
ORW: & /no PNA yes / ® Crit. Hab. yes / no
Subdivision �,t&
City %a,r ZIP 7s r8 c�
Phone # ( ) River Basin Ad*
Adj. Wtr. Body 'tf, (ilek /Areft 6"11r- Xn/man /unkn)
Closest Maj. Wtr. Body RCrs4 r icEl" J
Type ofProject/ Activity Irc✓IC1•j Ictl! i, 4r,I C% w,,��a��1i
(GtI ft,H} ft. (Scale:A/oNr )
Pier (dock) length '
Platform(s)
Finger pier(s)
Groin length
number
t
Bulkhead/ Tpra length
avg dis ce offshore
max distance offshore s
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length SGO
SAM not sure
yes
, n
Sandbags: not sure
'yes
Moratorium: n/a
yes
Photos:
yes
Waiver Attached:
yes
n
NEES
MEN
No
MEMO
M
■
M
SENSEe
1
jamon
NJ
JUNE
ME
so
M
ME
ME
M
SEEM
No
ME
ME
ME
ME
ME
ME
0
0
MEN
ME
ME
ME
ME
ME
ON
A building permit may be required by: 4t r 4c, t � 1,
❑ See note on back regarding River Basin rules.
Notes/Special Conditions 064"0411 rf w+41., , MwJ be .j,-_ obe"r w1rlr�t
t !
Seth , c.1c Wall r.rv�l I - Olt A, -/,-,I .fit .. '� o )) I �
C f�r'e-fr•� (;.' lJh,`t. 'r 11i41 Idr�4av��i^Y�epr�R iMH�i i�r�. �.� 6+ u1•� R J 1 4
Agent or Applicant Printed Name / s I
_16
Signature"'*Pleasereadcompliancestatement onback ofperm it
Application Fee(s) Check #
� dd�
Permit Officer's Signature
S-79-o3
$-z9.07
Issuing Date
Expiration Date
ToSZ? IZ A
Local Planning Jurisdiction
Rover File Name