38070_CARLTON, DARREL_20040427 (2)

CAMA / DREDGE & FILL i V 9 3 8 0'7 (
GENERAL PERMIT Previous permit#
XNew EModification Complete Reissue ClPartial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources
and the Coastal Resources Commission in an area of environmental concern pursuant to 1 SA NCAC D fit(, i
Rules attached.
Applicant Name tka'+l (6,16 ,
Address_ 107
14-r P4
CityP4Vt/ or.�
State/�C ZIP ZBSbZ
Phone # (ZSZ) iy
-0 T I
Fax # I(—)
Authorized Agent
(t 6 d 1%c k
Affected ❑ CW
[KEW
-t'SPTA N ES [.Ws
AEC(s): ❑ OEA
❑ HHF
❑ IH ❑ UBA ❑ N/A
❑ PWS:
❑FC:
ORW: yes / 0
PNA
yes / 9 Crit. Hab. yes / no
Project Location: County ( ra ✓(,,
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # (�) River Basin ,)FVJ L
Adj. Wtr. Body /tip v v, R+ ✓ f. ' (nat man /unkn
Closest Maj. Wtr. Body
Type of Project/ Activity �r c ( r� ; r , r k ✓^ �' F t-�_ 1 1 f n i ✓-"1 �ic' �Z ✓� rLt c
trif-; tt, /t . t.1. (Scale: /t1Uti% )
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length [�
number
i
Bulkhead/ R; length_ it
avg distance offshore
max distance offshore
Basin, channel __ \
cubic yards_
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
25
{
i
Shoreline Length 1L-
1 C+�f1f'P.lLf�r(tr('�i�u�F I
SAM not sure yes \� j _ J _.-
Sandbags: not sure yes \Iro> I
Moratorium: n/a yes (fo� 7
Photos: yes of
Waiver Attached: yes
A building permit may be required by: /_ l;I ✓t r r!� . See note on back regarding River Basin rules.
Notes/ Special Conditions QI l �� t • F 14, /jry ;:{-V l t- /vi V ; i i/- ,) r /zx fC �� � y ,^z <, j%t' c � �i r ;n s,i t f YL
5'f":ry�e r rv�':Iyl.f-c^�f� w' !!Ar ✓J �r^Y `C1/� �h Cy,,,NJI. 11• /{ail/c'7 <<'?F -r (G�>^�
11.0., ! ri ,- �� �f'l 4 ✓/�i1 f:. :, f K✓; 1`;CL HJ C /i r 0YhCL / /... i' 1'i�P r� .�_ lam• �-�/C{i<(J•
i7/i
'-Agent 6r Applicant PriDted Nam
Signature ** Please read compliance statement on back of permit **
Application Fee(s) Check #
Le�/ ��,
Permit Officer's Signature
0V 12-2 /ac>L (22 Z4 � 0
Issuing Date Expiration Date
l rdV1h (C iu31`!1?A
Local Planning Jurisdiction Rover File Name