3968_BRADLEY, MICHAEL_20040826 (3)

La's- A1VIA / ❑ DREDGE & FILL
GENERAL PE
RMIT Previous permit#_
iE]New ❑Modification KComplete Reissue ❑Partial Reissue Date previous permit issued 3 30 D�
As authorized by the State of North Carolina, Department of ErMronment and Natural Resources
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC - a Did
❑ Rules attached.
Applicant Name t LLB ( g reLa Ifly Project Loan=: County i7,,9 eTE21r7—
Address % 0.1-1 �N Street Address/ State Road/ Lot #(s)
City 1 ab A,} State Alc- Zp.�Q65/4, S�m�
Phone # (��vZ),-
,�111 "lclq J Fax # (_) Subdivision
Authorized Agent
Affected 0 CW a& UAA ❑ ES ❑ PTS
AEC(s): D OEA ❑ HHF ❑ IH ❑ USA 0 N/A
City
ZIP
Phone # (`} J River Basin
Adj. VVw.Body �H d•ytlE� e� t.lm'ar) /unkn)
o FWS: ❑rc
OI W- yes / 00 PNA yes / d;�) Crit. Hab. yes/no Closest Maj. Wtr. Body
Type of ProaeW Acti�vitY r c 4 - yip r/ai9er'17�--
.. 2DNTl. F*©o rt �/j P leS
Pier (dock) length
Bulkhead/ Riprap length *- -
avg distance offshore -
max distance offshoreBasinchannel
-
�r
,
cubic yards i i ;
YdE
Boat ramp
Boathouse! BoatfifC
c
Beach ButldornFg 1 -
--- 1- = ram' _ , .
fi
Other
l--i N
ShoreUne Length
SAM not sure
Sandbags: not sure yes
Moratorkm n/a
Photos: yes 1W
- _—
Waiver Attached: no
A building permit may be required by: V �� J f / ❑ See note on>bade regarding River Basin rules.
Notes/ Special Conditions /ti� r -i D eX:&JVd `t" ur Aer (�3tc T/ter LvQ +mod -AeL -- e
EX Ce� c-, y re-,oL-4 ve-t p ri Aj ; .yo I- IA,-, C re SP
her
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Agent or Applicant Printed Name /
OL3Z�j $9 LA�
Signature 'c`* Please read complianctstatement on bads of permit'
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huftDate Expiration Date

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ADJACENT MARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
-� d' � r 1rS S P' s
(Name of Property Owner)
property located at '
(Lot, Block, Road, etc..)'
on qtne�, in ' !�r' , N.C.
(Waterbody) (Town and/or County)
He has described to me as shown below, the' development he is proposing at that location,
and, I have no objections to his proposal.
DESCRIPTION AND/OR DRANVC1G OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing derelopment)
No < 39165 7'
r
-((xi l/'� 1,'y DOf�S u!�7`j flG.��i•� �/4Crjl �J G'evl
-�j
4#*-4&d C41Y 64 /1"-'(
Signature
Print or Type Namle
TPi?nhnnp Nhimhrr
JA�e:

I9 AMA IE DREDGE & FILL
GENERAL PERMIT Previous permit #
❑New ❑Modification Complete Reissue ❑Partial Reissue Date previous permit issuedd D
As authorized by the State of North Carolina, Department of Environment and Natural Resources a DOD
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
❑ Rules attached.
Applicant Name Mi Project Location: County &9i 4-715 67T
Address Street Address/ State Road/ Lot #(s)
City F QUa-a►'� State AAA ZIPo%gS//, 5� �
Phone # (�Jj�) o2y� "rfa g� Fax # (,) Subdivision
Authorized Agent CityZIP_
Affected ❑ Cw [Ew E-WTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ Pws: ❑ FC:
ORW: yes / '(_o, PNA yes / � Crit. Hab. yes / no
Phone # ( )� _ Riven Basin
Adj. Wtr: Body(�//t IlA�a'uAAR nat /mag /unkn)
Closest Maj. Wtr: Body Oq yr 7 &wd
Type of Project/ Activity rer L - #ewb T/,�q�'�
Pier (dock) length 714 ry �y
(Scale:
Platform(s) �� r X 94 �/
Finger pier(s)_ f 7X /4o-T Y/2.
Groin length
number /
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
r
rb
cubic yards
Boat ramp 4
C i
Boathouse/ Boatlift 13A l7
Beach Bulldozing j
Other MDD�S
2
83
Shoreline Length
SAM not sure
yes
®
Sandbags: not sure
yes
iO
Moratorium: n/a
yes
dQ
Photos:
yes
a
Waiver Attached: (2 no
A building permit may be required rby: Lr:1 C-4w "Qr' r -L
Notes/ Special Conditions
'0111AW-5 Ivor- 4 exceed
vv. her
I/Z A 4 -e- 1 P, 6,(
Ag�enntt ojr Applicant Printed Name
�c� P L'A"— —
Signature ** Please read complian statement on back of permit **
r'K— 4 rin
e qC
N/
D See note onbackregarding River Basin rules.
A--f r-pg& ri x_3 , AJO r -/Z,
Permit Officer's Signature
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Issuing Date Expiration Date
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