General Permits (4941)

{'rF11 �'SA / REDGE L NY 44, IS
RIT Previous permit -4
J���NewModification ❑ lete Reissue CPartial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources /14'9
0
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC '71>> -
� Rules attached.
Applicant Name(44.v f'�'�'►L�- fit/ f�J Vl1,1-, ' ,. Project Location: County_
Address_ _� rm��G�1L%G4o,� Street Address/ State Road/ Lot #(s)
City._ 4tA State /v zIP_ J'%/
- —,� %G? �-e, e-4,
Phone�� Fax # (-) Subdivision
Authorized Agent City S? r vl/C.r ZIP- &S
Affected L. CW � '-!krTA -I S D PTS Phone # -7`0"W River Basin
Eli OEA ❑ HHF � _: I UBA _1 [I N/A y D, y _ na man unkn)
AEC(s): � Ad'. Wtr. Body r �'�f>< /3 t—
❑ PWS ❑FC: - /j,,
ORW: / no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. B
esody—(�/Sl
Type of Project/ Activity cyn�47o / /a D /� t / !�U l�le / �/ 4
Owt el4 i5 � i �Q w /iy �-// (Scale:
Pier (dock) length
Platforms)
Finger pier(s)
Groin length
number
ead/ iprap length
avg distance offshore'L7 6jV I
max distance offshore_
Basin, channel N e ( p �G
1Jl .
cubic yards
Boat ramp
Boathouse/ Boatlift
Q{ 10
i
Beach Bulldozing " f
Other If
Shoreline Length
SAV: not sure yes
i
Sandbags: not sure yes - - -- -
-
Moratorium: n/a yes � �
Photos: yes � t 1 .� � _-
Waiver Attached: yes
A building permit may be required by: 1 See note on back regarding River Basin rules.
��3�f i Notes/ Special Conditions �/ 1s'D QG CleCI.., L� td --vd►-i-•� (y f2�G /'O?/x0' �j D USG
21 6 v l WCd -k eA.-Id a.,� �-lp- ed e W 41,e
IC 4 uw r vrp S4 //" J
WAgentplicant Printed Na
Pleas read compliance statement on back of permit"
UD 0D 9350
Application Fee(s) Check #
PermitOfficesSi ature
4ge)r
( S 0� b
IssuEx iration Date
Local Planningjuris iction Rover File Name

2372
LAWREI:CE SULLIVAN, JR. 66-112/531
ELEANOR M. SULLIVAN rJ j --le BRANCH 02201
BOX 12
27
270 EAST CITY Yj
SMYRorNC 28581 P
BTW Iyo& J
BRANCH BANKING AND TRUST COMPANY
„� -BANK BBT �Ban BdT.coln --- �
//V'lV1 �lufnrNurro— — '
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1.0 5 3 10 1 1 2 1l.000 5 1 10 70►, 28 Su-0 2 3? 2