45147_TOWN OF BEAUFORT_20060411 (2)

VCAMA / ❑ DREDGE & FILL NO* 4 514'7d
CaENERAL PERMIT Previous permit #
ew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources 711 &6e)U
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
--r-+ .ules attached.
Applicant Name (i �"� �� Project Location: County_�/�/�
Address X < Street Address/ State Road/ Lot # s
City J j �"-G"�"o` Stats4�"(' ZIP .� _LAY' V, f-1
�SZ `13S'
Phone # O
Fax # O_
) 1;
Authorized Agent 4P-1
,;
Affected ElCW [IEW
❑ PTAs �S
❑ PTS
AEC(s): ❑ OEA [IHHF
❑ IH ❑ UBA
❑ N/A
❑ PWS:
❑ FC:
ORW: yes / PNA
yes Crit. Hab. yes / no
Type of Project/ Activity
/ 0d r
?J'#-C t /'l A i-7
Pier (dock) length
Platfi
Finge
Groi
Bulkl
Basir
Boat
Boat
Beac
Othe
Shor
SAM
Sand
Mon
Phot
Wan
Subdivision
CityZIP--
Phone # ( ). River Basin 111
p
Adj. Wtr. Body 1 o'V "l l /�(r (JC man unkn
Closest Maj. Wtr. Body e JrOa;�tl
1-1
(Scale:
irm(s)
r pier(s)
i length
number --`—
I
C)
� `--
i
1
III
-'--
—
Ij
J
I
L I
iead6 Riprap length
avg distance offshore
max distance offshore,channel
--- —{ ---'--
— �
j
r
cubic yards
ramp
ty 9-1
—
i
- =-
-- —
---- -
i
louse/ Boatlift _-
!'
- c. F n-er
I
i Bulldozing -- —
r l 4 1
dine Length % TOy
not sure yes n
nags: not sure yes
corium: n/a yes
�s: yes n —
'
I
I
~- _- Y
�— C
(Qv - f
^
I -
I
r-
A building permit may be required by:
❑ See note on back regarding River Basin rules.
Notes/ Special Conditions : j-e [/yV-1y � T'10-1y C 'T A -el
(S 1 O" 4 P c eA-4— L.),'' (A+—/7
Agent or Applicant Printed Name
Y/u
Signature ** Please read compliance statement on back of permit ** Issuing
/ ."i t - / C-6-L
V
a
Date
r/A JIFA