42329_CROTTS, DALE AND JENNY_20050726

I-V&AM^ / L',�'15REDGE & FILL
G"I'G�I ERAL PERMIT
V14ew nModification (]Complete Reissue
7�61w
Previous permit #
]Partial Reissue Date previous permit issued
d Natural Resources /
wrsuant to I SA NCAC 7 E� �� UU -7 , /100
[�ni'es attached.
Project Location: Countys
Street Address/ State Road/ Lot #(s)
Ph # Subdivision
Authorized Agent
Affected I ] CW 6AW k-yPTA I VES I I PTS
AEC(s): IJ OEA I.-] HHF I I IH I I UBA I I N/A
❑ PWS: U FC:
ORW: yes"' -no PNA (yes�Y no Crit. Hab.
Type of Project/ Activity. PA / tiR1a Qi Px �0
Pier (dock) length // t }�� y
Platform(s)_ _��'7-�� C f'T m4
Finger pier(s) __
Groin length -
number
r
Bulkhead/ Riprap length
t_
avg distance offshore
max distance offshore__
Basin, channel - If
cubic yards _
City -60 I-L-V I _ ZIP -
Phone # ( ) River Basin Lo--t
Adj. Wtr. Body L 4 (j( tvou i<_ F✓� �y 2,_ ' Oat man unkn)
yes / no Closest Maj. Wtr. Body LPL/ la/
A Pt 1K80-4f) LA n D
(Scale: / ; 30)
�J
Boat ramp
Boathouse/ o [lift .ii
i
Beach Bulldozing__
OtherIdA _ 16
Shoreline Length
SAV. not sure
yes
Sandbags: not sure yes
-
-
Tr
Moratorium: n/a yes«17000ddd1
I
4
i
Photos: yes00
Waiver Attached: yes no
A building permit may be required by: W c\c
Notes/ Special Conditions
\.c2M ,
Agent or Applicant
Signature' "PI era complian slat entonback ofpermit CI?
_ °a f �J
Application Fee(s) Check #
I
See note on back regarding River Basin rules.
P rmit ficer'sSignature
_ 6-7 - 1D,�-Os
Issuing Date Expiration Date
Local Planningf urisdiction Rover File Name