47332_WIGGS, BILL_20061204 (2)

`�K.r_AIVIA / �IVREDGE & FILL / 71-` 2�
GENERAL PERMIT Previous permit#
"$New !Modification C'Complete Reissue L]Partial 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
FkMules attached.
Applicant Name . Project Location: County
Address L Street Address/ State Road/ Lot # s '
City k State4v ZIP
Phone #e Fax # Subdivision
Authorized Agent L 1�� ^fil (/ N �'Ci4 1 .1 itY .O(�is.t C ! ZIP s
Affected ❑ CW 'I;AEW PTA ❑ ES ❑ PTS Phone # ( ) q River Basin
El AEC s : OEA ❑ HHF ❑ IH ❑ UBA CJN/A Adj. Wtr. Body 1 ��j��� ((`J nat man /unkn () ❑ PWS: ❑ FC: 1 y (/�LiTi i, ! -r�� )
/• Closest Maj. Wtr. Body ' tl
ORW: yes l no PNA yes no! Crit. Hab. yes / no
Type of Project/ Activity �� t 1 o'k'_.t.
(Scale: 17 )
Pier (dock) length
Platform(s) L rCrZL jf 1 t� }�:`- -- __ _'_ i___.. 5 1t ._.._....
Finger pier(s) - - ---
Groin length �Pr �;�-
number i—T- __
14
Bulkhead/ Riprap length _ l4
avg distance offshore
max distance offshore
Dhannelci7 41 r
-- -
i
I -lei
cubic yards ti� f,� £.V
t;
Boat ramp L- //
Boathouse/ Boatlift t
-
�• . l
—�
tt _-
•
Beach Bulldozing
Other -
-��
-
L-� G.IL�--,•# I
SY
! --
i. .
Shoreline Length ;
I
SAV• not sure Vs no
Sandbags: not sure yes no I -
Moratorium: n/aes no
Photos: - I
-.
Waiver Attached: yes
A building permit may be required by:
! l
Notes/ Special ConditionsC/J �,, ' � i i ; •
-i I I X ., 1\A ! 1 ,. i " -7,t,I
•-�A_
Agent or Applicant Printed Nam ,,
Signature ** Please read ci;mpliance statement n back of permit
—i -
❑ See note on back regarding River Basin rules.
Permit Officei''sSigna re
Issuing Date T &piralion Date
a Mew o� 9A
Local P aKninv lurisdictinn ��Rnvor ila Na