53279_SHEFFIELD, STEVE_20090408 (2)

AMA / ❑ DREDGE & FILL
GEN P IT �(�'� J✓ Previous permit #
ew odification ❑Complete 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 15A NCAC s
les attached.
Applicant Name �%/�� �- D Project Location: County
Address 33q Street Address/ State Road/ Lot #(s) C
City State FL ZIP�'_,ir� -� �1�C j —r-L� I�T�
Phone # (_IO � Fax # (__) Subdivision
Authorized Agent City ZIP
Affected ElCW ❑ EW El PTA ❑ ES ❑ PTS Phone # O River Basin�__�(�
AEC(s): EAF �H ElUBA [-IN/A Adj. Wtr. Body C U nat an /unkn
❑ PWS: ❑ FC:
ORW: yes / idO PNA yes / o Crit.Hab. yes / 1-0
Closest Maj. Wtr. Body
Type of Project/ Activity 1 u� �-� It �%►I S
(Scale: N )
Pier (dock) length - - - - - - - ---
Platform(s) .
Fingerpier(s)
i
Groin length uo
number i
Bulkhead/ Riprap length - L__ i- --' - -
avg distance offshore
max V"Oj
nnel distance offshore --
Basin, cha----- - -- -T---- - -
cubic yards I
Boat ramp -
- I
-- --
Boathouse/ Boatlift I n E
r
Beach Bulldozing - _ 1 ---
._
-
�, `
Shoreline Length
SAV: not sure yes
Sandbags: not sure yes o
a II
Moratorium: /a yes no - - _ -
Photos e)
no - -
Waiver Attached: yes - - j---
A building permit may be required by:���"f �. El See note on back regarding River Basin rules.
Notes/ Special Conditions
C!17" i lidi� Of � LOCAL C�aNnl�`/4/tlS
. PAR :.. APR :2 A 2409 � �
Agent or pplicant Prin d N me �PermitOfficSign tF
` , Issuin Date Expiration ate
Signature ** Please read compliance statement on back of permit g
Application F e(s)
Check # Local Planning Jurisdiction Rover File Name