HomeMy WebLinkAbout37243_MELTON, DENNIS_20040218XCAMA / ❑DREDGE & FILL
�
GiENERAL PERMIT
Previous permit#
XNew ❑Modification CComplete Reissue ClPartial Reissue Date previous permit issued '
As authorized by the State of North Carolina, Department of Environment and Natural Resources r
7
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC /
/
Applicant Name-21711r S' Ael 7
[Rulesattached.
Project Location: County_
Address
Street Address/ State Road/ Lot #(s)
City V�eiIvxState/U6 ZIP •- 7
Phone # t% C3-G//S Fax # (. i ) ..
Subdivision 1,U)•r, �,
Authorized Agent ,.� f�� � S
City .44, 'f ZIP ,c
Affected �eCW �2EW [ PTA El ES ❑PTS
,'/'SSG
Phone # ( ) River Basin
AEC s : ElOEA ❑ HHF ElIH ❑ UBA El N/A
()
Ad'. Wtr. Bod
) y ((nat• /man /unkn)
❑ PWS: ❑ FC:
�l"6 �! "G
ORW: yes / on- PNA res)i no Crit. Hab. yes / no
Closest Maj. Wtr. Body_.�•y
Type of Project/ Activity e r; ,; / !
YP 1 tY r� C,. �/ -��.� r �.,�/ 0— �' 30
(Scale•
Pier (dock) length �5 i L, r ✓ _--_--.--_-- l� _ ---
/ I_ -
s — e -`•? --- ---I r' � _ L-
Fingerier
� - I J
Dr r
Groin length
number 1
Bulkhead/ Riprap length
1 l
avg distance offshore I ! - I � I _ � 1 � � � �` - ✓ {� `: • • `; � � .
max distance offshore I
I I
Basin, channel J
i i I
I
cubic yards
4 I
Boat ramp
: I i
Boathouse/ Boatlift
Beach Bulldozing
I —L
Other — -
Shoreline Length /OU l a. 1 '
I I
SAV: not sure yes no
Sandbags: not sure yes no t
-i 37►f .
Moratorium: Na, yes into t; ( ' -tt '.. I
Photos:; yes ,o-
__`.---
L 1 I
Waiver Attached: yes no �--�----'----��--- � � -- -! --1
A building permit may be required by: ,, �'�� ��>. ❑ See note on back/ ., X1regarding River Basin rules.
Notes/ Special Conditions .Dc: �� C Ft:, ( /u,'�% f i c i' <e�. �/ /-n t c1 ron'r ✓
Agent or Applicant Printed Name Permit Officer's Signatuire
Signature *�" Please read compliance statement on back of permit' Issuing ate Expiration Date
v
Application Fee(s) Check # Local Planningjurisdiction Rover File Name
_,-��.-_._________. _ - _.-.ems.. vt� - r��..�,��.-.��_.. _._---- --�.,__r... �__��.�_. ..�.e.-. __.�_...., �...v-ti.,._.-----.... .r: _.__�.,:�::.'s .'+��•-�°'-�r.J_.c...>,