49605_SIRMON, JOHN_20080110

DC.CU--L& / El. DREDGE & FILL
GENERAL PERMIT
L
PNew ❑Modification El Complete Reissue ❑Partial Reissue
'.i 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--
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Applicant Name j
APp f' M
_-
,)Rules attached.
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Project Location: County
Address
Street Address/ State Road/ Lot #(s) Q(F_SR- j 2Q
3
City 'iP 1 r r r State . , Z(. ZIP
91�11
Phone # `. t: ':
(--� � Y ? Fax # ()
Subdivision �-'—
Authorized Agent
City ;, -; ZIP'
❑ CW 5TW 'ROTA C] ES
Affected
Phone # ( 4 ; ) River Basin �� � ? t f 3 ;
❑ OEA HF ❑ IH ❑ UBA ❑ N/A
AEC(s):
❑ PWS: ❑ pC;
1` ) -a..
Ad'. Wtr. Bod ' '
I Y � ({ � i t + !lt i i i � � t i/Y f� �(nat /man /unk�
ORW: yes / no PNA yes / no Crit.Hab. yes / no
!�'s
Closest Maj. Wtr. Body ( ->� rYl, 1 r If S C' U n to
Ty
pE of fFroject/ Activity i
Q t i�r"1?l X (Scale: r
Pier (dock) lengt� j�
Platform(s) � j( .2- };
Finger pier(s�
Groin length
_ a -
number -
Bulkhead/ Riprap length--
avg distance offshore
max distance offshore ,yj' �� 7
Basin, channel ne-i �bb(l
cubic yards -
Boat ramp
Boathouse/ Boatlift'-
Beach Bulldozing t-
Other
Shore'i I h -
I I T1
ne engt SAV: notsure yes Sandbags: not sure es ivxNstt—)—
Y -
Moratorium: a yes no
CfPhotos: es no T T�j - - _1 .-: - n-- -- -
Is -1Z
Waiver Attached: yes no - --'— i_ �r . yi—
A building permit may be required by:ecial Conditions
-'e_I(;,j j yj CU )S El See note on back regarding River Basin rules.
Notes/ S i r
P f ` ±C( ,� rl N , I r rr lc i� rr h,► �� r�< 5
I I D1r\(P (.I (i I l D
Agent or Applicant Printed Name
Signature.- Please read compliance statement on back of permit
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Application Fee(s) Check #