40881_HATCHELL CONCRETE_20050321

CAMA / r DREDGE &FILL
,; . ' 4 s 40881
GENERAL PERMIT
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Previous permit#
. ;New ' ❑Modification !-Cornplete Reissue CPartial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources
and the Coastal Resources Commission;in7af-7LZnviro ental concern pursuant to l SA NCAC�
Rules attached.
Applicant Name,[' t
Project Location: County
Address
Street Address/ State Road/ Lot #(s)
City + ' ! - State ZIP
Phone # ('-) h u- �-f Fax # ( 3;) -r : •.' = _
Subdivision -
Authorized Agent
City r=' ZIP
Affected ❑ Cw EtEW Q PTA SES ❑ PTS
Phone # ( ) River Basin '>f :sc�
AEC(s): ❑ OEA ElHHF ❑ IH ❑ USA ❑ N/A
Adj. Wtr. Body /{, l >q,A !' Pnat../man /unkn�
El Pws: El Fc:
--
ORW: yes / �rlg' PNA yes /:lio Crit. Hab. yes / no.
Closest Maj. Wtr. Body
-Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number --
Bulkhead/_Riprap length
avg distance offshore r '�
max distance offshore {' -
Basin, channel -"
�rJ
cubic yards
Boat ramp
Boathouse/ Boatlift --I
i
Beach Bulldozing
Other
��U ciT I
f
Shoreline Length
- 7
SAV: not sore
yes
�a
Sandbags: not sure
yes
Moratorium: -Qa
yes
no
-
Photos:
fyes
no
I -- - - { ! .
Waiver Attached:'
es
A building permit maxbe required by: (Giy r3 j;'441 1 See note on back regarding River Basin rules.
Notes/ Special Conditions
y
Agent or Applicant�rinted Name
r r �
Signtitire
Please read compf ance statement on back of permit
j
Application Feels) % Check #
/:g-
Permit Officer's Signature
Issui gDate EkpiratiA Date
Local Plan nfngjurisdiction Rover File Name
11