55605_TINKHAM, STEVE_20100604

CAMtee
D E �E & FILL 1 ✓
GENL PERMIT �� Previous permit #
New dification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by of North Carolina, Department of Environment and Natural Resources I
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
e1 VRules attached.
Applicant�% Name • 1 ! +1 4' i f �' 1 Project Location: County I f
Address t"tag ( 1. i ? k)C Street Address/ State Road/Lot #(s)"
City ` La. r�,, StateYQC-- ZIP �� i 1� f bb �S;
Phone # ( 5S2) 35-1-& , 1:1 Fax # ( ) Subdivision
Authorized Agent City r ZIP
Affected ❑ CW b EW VTA ❑ ES ❑ PTS Phone # ( ) ivA$Ftsasin' �i
AEC s : ❑ OEA ❑ HHF IH ❑ UBA ❑ N/A Adj. Wtr. Body Y{ - P ( I l n b �n unkn
O ❑ PWS: ❑FC:
ORW: yes / no PNA yes / (no Crit.Hab. yes / no
Closest Maj. Wtr. Body
1
Type of Project/ Activity
t- cl•nd 5.S'x�'o1Of)rrn
(Scale: L )
Pier (dock) length
, _ v _
Platform(s) S. �J �X -71 ! f... {
1_..7�--- -
L.
Finger pier(s)
Groin length
number ---- - -
Bulkhead/ Riprap length
avg distance offshore IV -
I
max distance offshore
�T
Basin, channel_\•P _
_-
cubic yards j
Boat ramp —
Boathouse/ Boatlift1�_
Beach Bulldozing
Other
Shoreline Length � rit1
SAV: not sure yes no
Sandbags: not sure yes o
Moratorium: n/a J yes no
Photos: es no a' _it___ _
Waiver Attached: yes no `
A building permit may be required by:
Notes/ Special Conditions
IV i
' I
- — --
�� I I
I
Agent or Applichnt ri ed a /
1
Signature ** Please read compliance statement on back of permit"
Application Fee(s) Check #
i
: I
❑ See note on back regarding River Basin rules.
Yr� �J\J 9- 416. e nds
L
Per it ffic r s Sin ure
-6 -2611
Issui g Dat Exp' ation ate
Local Planifinz lurisdiction Rover File Name