35046_MURPHY, PHILIP JR_20031010

L9CAMA / Q16REDGE & FILL
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G NERA IT L PERM
Previous #
ew Modification -Complete Reissue ❑Partial
Reissue
permit
As. authorized by the State of North Carolina, Department of Environment and Natural Resources
Date previous permit issued -
and the Coastal Resources Commission in an area of environmental concern
pursuant to 15A NCAC�f
' / 70 Q.
.
AP R tp} �, l?- %�l�rR
Project Location:
s attached.
County ✓P�
Ad'
e
Street'Address/ State Road/ Lot #(s)' C h e/
GtY;1�['be3rir " State_ ZIP_:i33
Phone # mow) :<; , Fax #{=_)
Subdivision
ii
Authorized Agent ..-. (c , � • A .. ..
City
s O CW EW ' O PTA . )J ES (O PTS ; ,
Affected
Phone # (/06
(�—
l.3 ' : :River Basin
AEC s : EA 0 l4w ..0114 ❑ UBA •. , WA .:
O
Adj. Wtr. Body
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I%�N%)el.. 0657rT/�
Pws: f FC
nat an /unkn)
ORW?' es no PNA, es / no Crit. Hab.
Y l- Y. Y� l no
Closest Maj. Wtc Body_
Type. of Project/ Activity �. /%I eon-i4a
�b /ih
r�,r yI A'%TI
(Scaler, - 30 )
Pier (dock) length
`aN
• _ -- CSC — --- - _ _
Shoreline Length
SAV. -riot sure yes no
Sandbags not sure .yes . no
Moratorium: = n/a , yes no -
Photos: Yes no I
Waiver Attached-
- Yes : no, i --- - - - -- i
A building permit may be -required by: 44�y AeOL11-,f
Notes/ Special Conditions �e ,Cq p,Q�� f �&,oG
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❑ See note on back regarding River Basin rules.
.02 -t>, 57k/?7KA_q JVOR K ,
'P 16 cer's5ignature
ead compliance statement on back of permit ** Is uin Date `' ` f
p g J'� � {�T Expiration Date
°�•� .. � N_�_ P,lt�/ /ITV /C�'. � � Check # Local PlanningJnrrsd�cYion Rovgr Hie Name