56088_SPRATT, MARTIN_20100720 (2)

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❑LAMA / ❑ DREDGE- & FILL / n
GENERAL', -PERMIT
Previous permit #
il:]New ❑Modification []Complete Reissue El Partial Reissue 61 Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources -; r
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
r 95Rules attached.
Applicant Name /Vf A a " f1 `? %C Project Location: County ice': r ` i t t t"3
Address'
City j�i t State--ClZI -
Phone # (_) f Fax # (^----
Authorized Agent 'a
Affected ,NCW �aEW _[ PTA 9ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑FC:
ORW: yes / (rt PNA yes,. / no Crit.Hab. yes /"no
J
Type of Project/ Activity
s
Pier(dock) length
Platf.
Fing
Groi
Bulk
Basil
Boat
Boat
Beac
Oth(
Shor
SAV:
Sand
Mon
Phot
Wain
A bu
Street.Address/ State Road/ Lot #(s) 0 —! —17';'; 4,
Subdivision
City ZIP r'�-/7 r�
Phone # River Basin f�'-
r 'KN
Adj. Wtr. Bodyl r7 ,;f efi b f. {1�',-Tt.'(.' �_ �r S 'Vman /unkn)
F;
Closest Maj. Wtr. Body f U �'6 ! V4-7.
(Scale: -7 )
Mims
RAN
M-
06
WE
"I N—W
A
ANNE
length
01
WiNINERN
number
NONE
-sead/ Riprap, length
avg distance offshore
max distance offshore —
Mr.
IME
channel
cubic yards_
ramp
n
Ell
=MEN
inan
ills
a!W
H
NEEMENE
ENMMNM
11
MEEM&4E
Im
NJ
Inswiffi-M
MEWAIRM
NEV.40"A
I
E
ME
I
A
r.
a
ME
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No
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I
?A
M
ME
M�l
ling,aWME
LT
0
payl
NEON
0
MMI
HEM
N( "o,tes/ Special Conditions ? is _t�J'_-fi
_�a i
�i It
N -i'o c°X lr-�' si
f'r !" „�..... 4,. j i,f �" i 1 r. .� a: 3 ?F ;'1t f t`� R n t D.
i Agent or AppJicant Priked Name
Signs a Please read compliance statement on back of permit
Application Fee(s) eck #
PermitOffi er's SignatIAqqh�
re
I ring ate X., i'-t' n Date
(X Sri C f, 0
Local Planning Jurisdiction Rover File Name

Fax Send Report S
Date/Time NOV-18-2011 04:49PM FRI
Fax Number
Fax Name : DCM MHDCTY
Model Name SCX-5x30 Series
No. Name/Number StartTime Time Mode Page Result
526 92492429 11-18 04:47PM 01'01 ECM 002/002 O.K
Division of Coastal Management
AP
NCD NR
North Carolina Department of En ronment and Natural Resources
R—rly Eaves Perdue, vernar Dee Freeman, Secretary
FAX CVER
DATE: j $ ( t /(�
TO: I �� r 01
OFFICE: oilS
FAX #:
TELEPHONE#:
TOTAL PAGES 11 JCLUDING COVER SHEET:
FROM: - l9nn
Morehead Qty Office
400 Commei ce Avenue
Morehead City, Nor Jh Carolina 28557
Phone: [phone]
FAX: [phone]
www.nocoartal 3nagement.ne
RE: I o r r +r 04