36083_BURNS, ROBERT_20040129 (2)

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CAMA / ❑ DREDGE & FILL ' �` l � �� 3
GENERAL PERMIT (N ``� /"� Pd�-mit#
New ❑Modification ❑Complete Reissue ❑Partial ReisU _ ___ �-� Date previous permit issued
A� _ _
As Guth tized by the State of North Carolina, Department of Environment and Natural Resources �,�p iC�7 i-i, �,{ >✓k 1 , ,'Ta
and thloastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
Rules attached.
Applicant Name a", j_ i?' !'>"� � kll�� Project Location: County
Address ' �'r.�( t� w Street Address/ State Road/ Lot #(s) )
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CityE,;T41',f' t �;t.:� r� e State i_ZIP f `- j
.-
Phone # (_) . Fax # (�) Subdivision
Authorized Agent.' f-,-c t t'"; < J xl.�ji lh•1, / ' j I h1vj's�'N� �t� .P- ZIP ?r�'
O CW ElEW ❑PTA ❑ ES ElPTS Phone # O River Basin
Affected EA ❑ HHF ❑ IH ElUBA ❑ N/A r{
AEC(s): El PWS: ❑ FC: Adj. Wtr. Body /ice-t nat' man unkn
�
ORW: yes / n�6 PNA yes / Crit. Hab. yes /
Closest Maj. Wtr. Body
Type of Project/Activity "v�-� 1); jKi , (; I;
i j�.; ( J, j,.j t i� ! { rl i l' ; (.1 "f�`,i-4-
(Scale:
Pier (dock) length? J)C — -- -
-
Platform(s) - 1-2-
Finger pier(s
-
'_~�501 I NI L
Groin length
number ` \1 -s JI _
Bulkhead/ Riprap length_
avg distance offshore_
max distance offshore
Basin, channel
cubic yards_
Boat ramp
Boathouse/ Boatlift
14 7t
I
Beach Bulldozing I kl
Other 1-
Shoreline Length `
SAM not sure yes
Sandbags: not sure yes
u
Moratorium: n/a - 'yes
Photos: yes pQ
%
Waiver Attached: yes koo
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A building permit may be required by:
Notes/ Special Conditions
or Applicant Orin ed game
0
regarding River Basin rules.
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Signature Please re compliances Eat ent on back of permit"
Issuin" bate