45310_POWELL, ROBERT & BOUNCUA, FRANCES_20060620

AMA /'DREDGE & FILL f.;. j_. A ,�"I
GENERAL PERMIT R 4
Previous permit #
New ❑Modification ❑Complete Reissue ❑Partial 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 15A NCAC—W, j 1 J CD.
�j t ides attached.
Applicant Name FAO i<7 r pow it '( R«,�p�Q� 0� vie oject Location: County � c u 91 AA k.
Address VZ lg � of,Q -P,9 Street Address/ State Road/ Lot #(s)
City i State zip
Phone # # (_) µ Subdivision-0 i n's IDvJ PP cvf'd
Authorized Agent City, . _ ZIP D -1 -10 Ci
Affected ❑ CW W VkTA PS CDa PTS Phone # ( �, ) 3jigs fm iver Basin 1�lg� r
AEC s : ❑ OIEA HHF ❑ IH ❑ UBA ❑ WA
() ❑ PWS: ❑FC: Adj. Wtr. Body : nat a unkn
ORW: yes / no PNA yes ro) Crit. Hab. yes /no Closest Maj. Wtr. Body fd �l�
Type of Project/ Activity �� i VA \nUI�,p� S r 14 1 QLaA
Pier (dock) length
Platform(s)
Finger piers)
Groin length
�-^ner
`BulkheadURiprap length
*'�vggg distance offshore
max distance offshore r
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
(Scale: &ITS )
s
■
I
Shoreline Length
SAM not sure yes
Sandbags: not sure yes—
I- peg► f eo
Moratorium: es no
Photos: noT.
Waiver Attached: ves ink_
A building permit may be required by: �, , Ay ; r-% J IA r 1,
Notes/ Special Conditions
r�
Agent
yorrApplicant Printed Name i� Permit
Signature Please read cornplience sfatementon backof permit *� issuing
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❑ See note on back regarding River Basin rules.
d'
Offic r s Signature )' -
Date Expiration D;ira