42467_WILDER, JESSE_20051019 (2)

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ENERAL PERMIT Previous permit #
ew ❑Modification 'ElComplete Reissue ❑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 F ` El Rules attached.
Applicant Namey C Project Location: County___����� -
Address / Go �/ Street Address/ State Road/ Lot #(s)
City. tate� ZIP i -7 l �'I 10 G /'2 e✓Y� 61
Phone # `� r # (—) Subdivision
f ZIP ✓�
Authorized Agent City % ,�71ral4'
River Basin`'�`
p;CW ❑ Phone #
ES ❑ PTS (— )
Affected ❑ OEA j tiHF ❑ 1H ❑ UBA ❑ N/A O c-C Q�C na man unkn
AEC(s): Adj. Wtr. Body
❑ PWS: ❑ Fc d Utz
Closest Maj. Wtr. Body
ORW: yes no PNA yes nol Crit. Hab. yes / no
Type of Project/ Activity
Pier (dock) length
Platform(s) - _ - -
Finger pier(s) _
Groin length
number
Bulkhead/ Riprap length ---
avg distance offshore
max distance offshore _
Basin, channel -_
--
cubic yards ' —t
Boat rampCyG—
Boathouse/ Boatlift- -
Beach Bulldozing - -
banobags: not sure Y� U
Moratorium: n/a yes 60
Photos: ye. /& �9 - - --
Waiver Attached: yes
A building permit may be required by:
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature , ' Please read compliance statement on back of permit **
A n _,;UC—f.N Check#
7 See note on back regarding River Basin rules.
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at Ex lio
Local Planning Jurisdiction Rover File Name

r
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor Charles S. Jones, Director William G. Ross Jr., Secretary
October 19, 2005
Jesse Wilder
10012 Ray Rd
Raleigh, NC 27613
Attached is General Permit #42467C
In order to validate order to validate this permit, please sign all three (3) copies as indicated. Retain the white
copy for your files and return the signed yellow and pink copies to us in the enclosed, self-
addressed envelope. If the signed permit copies are not returned to this office before the initiation
of development, you will be working without authorization and will be subject to a Notice of
Violation and subsequent civil penalties.
We appreciate your early attention to this matter.
Sincerely,
aA
R an y aven ort/LSB P
Coastal Management Representatives
Enclosures
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] \ FAX: [phone] \ Internet: www.nccoastaimanagement.net
An Eoual owortunity\ Affirmative Action Employer - 50%Recycled \ 10%Post consumer Paper

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