41706_ESTATE OF ELLE SANFORD & WARREN, CAROLYN & PROFFILT, DOUG_20050512

T CAIVIA / L i DREDGE & PILL
GENERAL PERMIT
QRew L-IModification Complete Reissue JPartial Reissue
N° 41706 c
Previous permit #
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 I SA NCAC
a%�s Pry ��' ff ules attached
Applicant Nam�iK'cQfi1G �O/4rcl .
I -I re- Project Location: County -)CA �Pr�
Address ci-b (2 0 r-r Street jAddress/ State Road/ Lot #(s) _
City /-i or - l , state vc ZIP G/ j % 2- 1 J
Phone # ()7�S- 7/G �J Fax # () Subdivision _
Authorized Agent ! r ll('C AL. Cam,, tfi _ Cityaf�e C r _ ZIP
Affected i`-' CW P�EW �,YTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A
LL PWS: ❑ FC:
ORW: yes noJ' PNA yes Crit. Hab. yes / no
Phone # ( River Basin Ki� (1� �"
Adj. Wtr. Body_ -8 5� Ll c' "'tip/ n man unkn
Closest Maj. Wtr. Body 6U� `-c ou H-
Type of Project/ Activity
X -3 7 3 c%�
Pier (dock) length_ 3 %
(Scale:I'ITf )
Platform(s) l V t A/ 6 r--
',�
Finger pier(s) /
G:� i
�UJ� j6ae'l
JJJ J
Groin length
i
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathous Boatli 2 13
Beach Bulldozing_
M
Other /
Shoreline Length 3 (d T "z
2 2007
SAM not sure yes o
Sandbags: not sure yes (no/Pr(J
Moratorium: n/a yes n �M®r Qad City CM
Photos: yes
Waiver Attached: yes n
A building permit may be required by: �P'�✓` ` �`� �' See note on back regarding River Basin rules.
Notes/ Special Conditions 2 �j o/3� C. C
P J i�J � riz-'
i
Agent or Applicint Printed Na
Signature lease read compliance statement ontack of permit
C (2d
Application Fee(s) Check #
2/&i
Issuing Date f 'Expiration Date
A 0/-e �ZjC; 70 6 ei
Local Planning Jurisdiction Rover File Name

MILDRED P GENET 1 772
64-22/610
BRANCH 27203
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WACHOVIA b55 C�
Wachovia Bank, N.A. q
wachowa.com
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