40069_BLUE HERON BAY COMMUNITY ASSOC_20050307

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i CAMA / DREDGE & FILL
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GENERAL PERMIT
Previous perittil a
INew !Modification Complete Reissue Partial Reissue Date previous permit issued -
As authorized by the State of North Carolina, Depin tnle it of Environment
acid Natural Resources
and the Coastal Resources Commission in anal ea of environmental concern
pursuant to I SA NCAC
,/ i1
Applicant Name ��(', cl7N/,h.', , / t % �� .r/..., ,
I1111,`ti:llt:lched.
Project Location: County
Address
Street Address/ State Road/ Lot #(s)
City /UpL✓/'d✓ ( State /L'c' 71P ,le ,.
// 'i ./',i,,, //, ,/ ,
Phone # .1'i L 3 t� 7 •� `/'l r� Fax #
Authorized Agent
ity / i , ,, • , f /II' .` ,' > /(,
CW .f'Ew PTS
Affected
Phone N ( l'l,1) .: `% !�/'% River Basin /, %, l%, E
OEA HHF IH HIM N/A
AEC(s):
�;
Adj. Wtr. Body /Jbw' (,(nat %ntan_ /unk
Pws. FC
—
ORW: ,y(s/ no PNA yes � no Crit. Nab. yes / no
< :Ii lu•sl f
Mal. Wtr. Body ,
Type of Project/ Activity -! .{_,/ f l .., A!% !- _
__ __ __ --- / `/i • �,1i J , / t
Pier (dock) length —
/ •. / I f r ., r /
Platfornt(s)
Finger pier(s)
Groin length , ;( �/ / // : /•
number
Bulkhead/ Riprap length '�,, �, 1 . I ; : 7
l
/ 1 ' /� • / J
avg distance offshore
max distance offshore
s
Basin, channel
i, cubic yards
Boat ramp I
Boathouse/ Boatlift
} /
Beach Bulldozing
Other
Shoreline Length
SAV: not sure yes
6o
Sandbags: not sure yes
(lio)
Moratorium: n/a yes
(ui
Photos: yes
e6i
Waiver Attached: yes
no
A building permit may be required by:
Notes/ Special Conditions
/
Agent or Applicant Printed Nante
Signature # Please read compliance statement on bade of pet nul I•snnm I ).n,•
Application Fee(s) t hc•d< // „� .111'lannu1". Jier.dl, n„
iee noi,• , n, I .i, Ic I, Ill is- River Basin rules.
i
1. xpi aunn Date
hover Filo Name

4
1aRobertsmith
Ma
Ph. 252-393-8759
66-301531
10042
298
DATE _�v
—
NewWNC 28570
PAY TO THE yy e �/ 0
ORDER OF ^�.� t cash. DOLLARS
C� i na ure line. gray type and linework, First Citizens Bank logo on back.. li��,.res ❑t`do noAY`sl.
Lark for: N icro Pnnt s g
RS `T CITIZENS 299
nr First -Chin N.C.
Benk 6T111-1.. CwrW>•m'
J%p uL'q�Lrj1, PI wi11.N Rh �7s.c�
FORLC� 2986302077
1;0 5 3 L00 300":00
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