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Home My WebLink About60511_OLIVER, PATRICIA & BRIAN_20121108i CAMA / ��IIGE & FILL ' RECEIVED G` r� f_� . �/N o b U 511 GEN RAL PERMIT Previous permit # XNew Modification / ❑Complete Reissue El Partial Reissue NOV 6 201�Date previous permit issued / As authorized by the State of North Carolina, Department of Environment and Natural Resources v and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ules attached. Applicant Name j38 } r , , ti u R tic ,,-, 6 i , V, r Project Location: County , Address 'I ) tj t-) Me, I J-V-4 L e,,u CiStateA�A_ ZIP ►� 1 Phone # ( ) Fax # ( Authorized Agent Co(oI1c. E'er,s�r,u__,rT ,t Affected ElCW ❑ EW ❑ PTA [IES ❑ PTS AEC(s): X OEA XHHF ❑ IH ❑ UBA ❑ N/A ❑ Pws: ❑ FC: Street Address/ State Road/ Lot #(s) Lois A.L4 Subdivision r ,� City u C. ZIP . Cl L-1 e, Phone # ( ) River Basin r Adj. Wtr. Body "<. /man /unkn) ORW: yes / ;ro% PNA yes / Crit.Hab, yes / no Closest Maj. Wtr. Body ";:.,2 y� Type of Project/ Activity ;^,1,� i ; , ,.t , > : L-& . rd ,_T (_ G t j PC -J Pier (dock) length Platf Fing Groi Bulk Basin Boat Boat $eac Othe Shor SAV: Sand Mora Phot (Scale: erpier(s) n length - - -- - -' -'-�-- -- -- number - U head/ Riprap length- - - - - avg distance offshore max distance offshore ,channel A ►_` cubic yards - - - - �h�/ t_ ra ramp -- --- _ _ . In house/ Boatliftj --"- D ck eline Length a L4 t not sure yes bags: not sure yes - - -- - - t — - I i torium: trF% yes no --- y CIS: yes er Attached: Waiver Attac yes no A building permit may be required by: b, L 1❑ See note on back regarding River Basin rules. Notes/ Special Conditions -1 ki . I Sf? 0 (/ 4 H , 1 90 mrG C�✓� Agent or Applicant Print Name Signature Please read compliance statement on back of permit Application Fee(s) Check # /f Per`mitOfficer's Signature h- gr�/zo/l3 Issuing Date Expiration Ddte Local Planning Jurisdiction Rover File Name er Attached: Waiver Attac yes no A building permit may be required by: b, L 1❑ See note on back regarding River Basin rules. Notes/ Special Conditions -1 ki . I Sf? 0 (/ 4 H , 1 90 mrG C�✓� Agent or Applicant Print Name Signature Please read compliance statement on back of permit Application Fee(s) Check # /f Per`mitOfficer's Signature h- gr�/zo/l3 Issuing Date Expiration Ddte Local Planning Jurisdiction Rover File Name