53898_SOUTHERN SHORES REALTY_20091008

.CAMA_L!-w'REDGE & FILL
GE RAL PERMIT
;lew odification ❑Complete Reiss
As authorized by the State of North Carolina, Departme7
and the Coastal Resources Commission in an area of envtr
Previous permit #
El Partial Reissue Date previous permit issued
o
rof Environment and Natural Resources 11
nmental concern pursuant to I SA NCAC ,; f '
^. Rules attached.
Applicant Name KProject Location: County J a
Address - PI) Street Address/ State Road/ Lot #(s)
Cityt� State ZIP
Phone # 207 W 13 # O Subdivision �}}
Authorized Agent City_Jtr�— ZIP
Affected ❑ Cw ❑ EW PTA ❑ ES PTS Phone # O r � River Basin ,t
AEC s : ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Bod C AAJ ,+�.L (nat () I y fn /unkn)
❑ PWS: ❑ FC:
ORW: yes /f n P N A � e�s)no Crit.Hab. yes / Closest Maj. Wtr. Body 'A� ' _ -
Type of Project/ Activity _ IR E>rJ
(Scale: A 1-7-Y
Groin length
number
�lkbZDRiprap length y
avg distance offshore
max distance offshore } f
Shoreline Length=
SAV: of su
Sandbags: not sure
Moratorium:
A building permit may be required by: YR�,, ke�> ❑ See note on back regarding River Basin rules.
Notes/ Special Conditions
{( ent or Applicant Printed Name
Signatu Please read`compliance state ent on back of permit
Application Feejs) Check #
Permit Officer' 2' na ure
ty01
Issuing Date 1 Expiration Date
15
l
LocalPingJutoReri File Name