38767_CURCIO, LARRY_20041108 (2)

IS CAMA /'ff§ DR DV�EE FILL' I 9-am ERMIT
GENE revlou it#
'$New EIM'Odi ati ElComplete Reissue' ElPartial Reissue 2 2044e previous permit issued
0 rth� Resources
.A �orizecl by the State o I h Carolina, Department of Environment and Natural
Coastal Resources Comrhission in an area of environmental concern p NWIDLV.
a C 12LRuies
I ' . \, attached. ttached.
Applicant Name ProjectLocation, CountyIM-
Address JaV) Street Address/ State.R6ad/ Lot #(s) sarli%4
C S
Stite I
S �-'
.Phone # %IkO' Fax Subdivision C`e,N
7
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Authorized Agent city \-So, ZIP ?,n 0&
E) CW --%EW % PTA AES 0 PTS Phone # River Basin
Affected El OEA' 0 HHF C3 1H 0 USA E3 N/A
AEC(s): Adj. Wtr. Body tz. EnaU) man /unkn)
0 PWS: 0FQ_
no
Closest Maj. Wtr. Body
Yes IC
ORW: . yes ,On PNA no Crit.Halb. yes no
Type of Project/ Activity C, )k
(Scale: N� t-a
Pier (dock) length S2 ]II ez
Platform(.,)_
Finger pler(s)
Groin length
number
(BC.IkDhQ / Riprap length
avg distance offshore
max distance offshore —a
casin, channel —
cubic yards_,,
Boat ramp -_ —
Boathouse/ Boatlift
Beach Bulldozing
Other Ria t a 1%
Shoreline Length % 1;0
SAM not sure !" no
Sandbags, not sure yes ED)
Moratorium: n/a yes Co
Photos: IYRIS:5 no
Waiver Attached: yes ( no
M
0
M
M
on
MEN
mom
0
Otis
13
0
_0
L
WE
A building permit may be required by: t*A rN -
- ?)Cs r
Notes/ Special Conditions
Agent or Applicant Printed Name
.Signature **�Please read compliance statement on back of permit"
V -)alzo
Aoolication Feels) Check#
'
See note on back regarding River Basin rules.
Perm!Orer's Sivnature
Issuing Date Expiration Date
V, wamsif�
Local Planning jurisdiction Rover File Name