58892_SWADERS, MATHEW & MARTHA_20111003

0-CAMA / El DREDGE & FILL
GENERAL PERMIT Previous permit #
New EJModification ElComplete Reissue El 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 I SA NCAC
0 Rules attached.
V
Applicant Name
V N-1 j E 3 V-Y Project Location: County
Address
4- Nj�t Street Address/ State Road/ Lot #(s)
City"-- fl -
V
Phone #
Authorized Agent
Affected EJ Cw
AEC(s): 0 OEA
EJ Pws:
ORW: yes / qo
dEW El PTA [I ES El PTS
0 HHF 0 lH 0 UBA 0 NIA
C FC:
PNA yes / no Crit.Hab. yes / no
Subdivision
City ZIP
V-I —I
Phone # . 'River Basin;
Adj. Wtr. Body_. (nat /man /unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale:
0; length Pier (dock) eng,
Platform(s)
Finger pier(s)
Groin length
number Ar
�13yl�le. r n k" distance ofii;
Is -
max distance o4i
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
iiq
Shoreline Length
SAV: not sure
yes
Sandbags: not sure
yes FN no
Moratorium: n/a
ye
Photos:
no
Waiver Attached;
yes KZ
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A building permit may be required by:
Notes/ Special Conditions
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PermitOffice-r's'Sim
See note on back regarding River Basin rules.
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read compliance statement on back of perMit�
issuing vats i 4expiration Uate
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Application Fee(s) 6eck # Local
Rover File Name