43256_WEST, STANLEY_20051221

�CAM.A JP.DREDGE & FILL .'; :
GENERAL PERMIT 2
Previous permit #
[New ❑Modification DComplete Reissue DPartial Reissue 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 15A NCAC IN.
_ C Rules attached.
Applicant Name-!L- C ! � F- �T Project Location: County
Address > q Street Address/ State Road/ Lot #(s)
City + r rc r- t� i r.� S '-> w� State ' C ZIP 2 `� ` 1 1 t-; t\,-i—
Phone # t :) (o 1� 3 ' { { Fax # (,) Subdivision
Authorized Agent i 6 t_ -
i' �1�\nSY: fl`�(3_i tJC' city--,,- >>'�;�`� ZIP
Affected 0 CW ,PEW GPTA [;'ES ❑ PTS
AEC(s): OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
PW S: ❑ FC:
ORW: yes PNA yes j Crit. Hab. yes / no
Phone # O River Bashi_!
r + J- ✓+\ '
Adj. Wtr. Body j mat ;_ `-7 - > f. `_-(rmt1man unkn�
Closest Maj. Wtr. Body — �' ti-• �-
Type of Project/ Activity !• t p.�, i '+N t l (• t . r i" -
Pier (dock) length v u L O
Platforms) --
Finger pier(s)- K x
Groin length
number
Bul1&aaJ Riprap length
,
-`�avg distance offshore -
max distance offshore j
Basin, channel --
cubic yards
Boat ramp
Boathouse/ Boat lift-
Beach Bulldozing
Other
(Scale: ° { )
.
Shoreline Length
'
SAV. not sure yes
Sandbags: • not sure yes r o> -
Moratorium: n/a yes io
ry �.
Photos: yes no
Waiver Attached: yes 'Lo. ---- --—=------ ------ -- ----=
------ ----- - - --- - ---
- -- - - -------
A building permit may be required by-.'- —ia
❑ See note on back regarding River Basin rules.
Notes/ Special Conditions ht
f r
n )• rf.
i-- .'� oft , t G.. 1 r
.r •�zsa.. iti 2. .Pra,__1w,..J c ,per Y_ S Lt-.,
--r ? l.- •. ; 1
lPrinted
Agent or Applicant Name
Pefxnit Officer's Signature
Signature "Please read compliance statement on back of permit"
Issuing Date
Expiration Date
ApplicationFee(s) Check#
Local Planning Jurisdiction
Rover File Name .