32950_BAILEY, BILL_20021106 (2)

AMA / ❑ DREDGE & FILL NY 32950,E
ENFERAL PERMIT Previous permit #
%,New odification ❑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 ri ,
les attached.
Applicant Narne?l L Project Location: County�(y`T
Address Street Address/ State Road/ Lot #(s)
City State.%ffC ZIPL--J-n ,
Phone # — # (_) Subdivision
Authorized Ag O—' City ZIP
Affected El CW A ❑ ES ❑ PTS Phone # 0 River Basin
Q OEA HHF IH ❑ USA El
AEC(s): Adj. Wtr. Body a a unkn
❑ PWS: ❑ FC:
ORW: yes / PNA yes no Crit. Hab. yes / no Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale: � 5 )
Pier (dock) lenlIgt^^ 1
Platform(s} I r� L 1 - -1 1
r(s} l C%'-r--to" 1 ' -; - — - 1 --- - — -
41 T�
Groin length®
- - — -
i
T
number C,
Bulkhead/ Poprap length - - 8 ci- t
av distance offshore
max distance offshore I -!� _, - _ . _
, 'l
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift - —
Beach Bulldozi --
Other
ki
I '
t
-- - ..
I
Shoreline Length
SAM not sure yes no i
l
y
Sandbags:es o not sure
t/ I i
a Phortos:num: n/a y� nc�
Waiver Attached: yes no
A buildingpermit may be re uired b : ❑ See note on back regarding River Basin rules.
i
P Y 9 Y Sa+' S
Notes/ Special Conditions
. n .D IJ
is
Agent or Applicant Printed Name
Signature* Please read compliance ;taterp6t on back of permit"
91- l .�cr ,,�• 55( A
Application Fee(s) Check #
Permit Offs er's SigTo
re -V
o ---.3
Issuingg Expira on Date
Local NAin'gJOMTiction Rover File Name