53277_SHEFFIELD, STEVE_20090408 (2)

-. CAMA / ElDREDGE,& FILL
GENERAL PERMIT J
ew ❑Modification' El Complete Reissue ❑Partial Reissue
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
Applicant Name
Address 3
Ciry VaiD X� StateZlP
Phone # ( #g17yp Fax # ( )
Authorized Agent A,' 1?. p�
Affected ElCW ❑ EW ❑PTA ❑ ES ❑ PTS
AEC(s): JEA �MHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑FC:
ORW: yes / (9 PNA yes /0 Crit.Hab. yes /9
Previous permit #
Date previous permit issued
attached.
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City !7} ZIPW 1 q
Phone # O River Basin
Adj. Wtr. Body ]4TL 4h1t} C i j j , r��/man /unkn)
Closest Maj. Wtr. Body KAollr CJC6�)UV
Type of Project/ Activity W % ;-11AL.L j AAAY 1B APS
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length_
'avg distance offshore
max distance offshore
Basin, channel
cubic yards_
Boat ramp
Boathouse/ Boatlift
Beach Bulldoiing -- --- - —.-- - -- -- - -�
yy�� /
,thr hL tJ YC ,
t" --
Shoreline Length
_ . I
SAV: not sure yes
Sandbags: not sure yes
i
Moratorium: n/ yes no
Photos: no
Waiver Attached: yes t --- --_� ----�_ -�
A building permit may be required by:
Notes/ Special Conditions
L O Cfl-L C61VO17-10f11>-
Agent or Ap ant rinted a Permit
Signatu lease read compliance statement on back of permit" Issuing
❑ See note on back regarding River Basin rules.
5-
��d C '0
Application Fee(s) Check # Local Planning uris iction Rover Fie Name