47701_BELCH, C. J._20070302

40 47701
Previous permit # JI) 'A
ssue Date previous permit issued
Natural Resources
-suant to I SA NCAC 0 714�
,r /K] Rules attached.
Project Lce ion: County .i+s /� ; h r'-4,,,, C,„ .
Street Address/ Sta},te Road/ Lot #(s)�,/'
Subdivision /4
City nor ZIP �Z 7 9 7 D
Phone # ( ) River. Basinu��4 ti
Adj. Wtr. Body /1` %„ p'!a al e ��/ na /man /unkn)
Closest Maj. Wtr. Body Alb,, y Lo
Type of Project/ Activity OivL,bst o c!r�s�a�c,c�� wea;,� H Hc�-QtcC----f of` *0,-,—
p !
m 4r d� C 4 s-t ~� ; �., �o ��'I fZ (Scale: )k/,.,.� )
Pier (dock) length
Fing,
Groi
Bulk
Basil
Boat
Boat
Beat
Oth4
Shor
SAV
Sanc
Mor
Phoi
Wah
i
F
—i—
number
lead/ Riprap length —
I
avg distance offshore
max distance offshore
-i
_
--
channel ^� /vd
cubic yards
ramp
louse/ Boatlift
i Bulldozing _
;�,
I -
-C_
-
dine Len _ �s .G�
sure
I-
nogyes no
gags: not sure yes n
torium: n/a es no
y
-
-
-�-
i
_--i-
--
-=
I
—
-
I _ - -:— — - -- - -
�s: yes-
erAttached: vnc nn--
A building permit may be required by: 6'� Cis !'�• neJgTa / a /❑ See note on back regarding River Basin rules.
Notes/ Special Conditions �,P.� �Y'�'�rh cerc r , a Gy �" 7) D N 5��� 4770
o.
n, t�h�4rayrrA'.
Agent or i ri ame
Signature """ ead compliance state m aback of permit"""
2-0v Qa -29 S O
Application Fee(s) Check#
rermitU"icer's))5igna uM
/ Issuing Date Expiration Date
Local Planning)urisdiction Rover File Name