59036_RUBY, DUANE_20120313

LXCAMA / ❑ DREDGE & FILL REc
7RA� PERMIT Modificon ❑Complete Reissue ❑Partial Reissue n ?�?� Previous permit #_t/
—� ue Date previous permit issued
As authorized by the St4 -af North Carolina, Department of Environment and Natural Resources
and the Coastal Resources Commission in -an-area of environmental concern pursuant to I SA NCAC r
�R�ule-satta�ched.
Applicant Name i t t P
Project Location: County
Address
Street Address/ State Road Lot #(s)
City v t State ZIP �? 'J
Phone # ( ) } - Fax # (,) - J ( Subdivision
Authorized Agent ' tr n r..� �C1t.r r�.r�<. �,( R` L- r� (I,- Ci
tY l I 5 zip qV
Affected GW �N EW X PTA ❑ ES b PTS
AEC(s):
❑ OEA ❑ HHF ❑ IH ❑ USA ❑ H/A
❑ PWS: ❑FC:
Finger pier(s)
Bulkhead/ Riprap length
avg distance offshore
cubic yards
Shoreline Length 7
% building permit may be required by:
ant or Applicant Printed Name
,ature Please read compliance statement on back of permit"
Acation Fee(s) Check #
Phone #
Adj. Wtr
( ) Riv r Basin cis 1-0
Body C tt i Y1 Gl r G r nat an nkn
aj. Wtr. Body C Y LR t 1