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HomeMy WebLinkAbout38894_SMITH, JAMES W_20040624rl.. ❑CAMA / ❑ DREDGE & FILL 'GENERAL PERMIT e 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 t _ O Rules attached. Applicant Name Joel Project Location: County T Address , C c rJr P I r+y ; z 4✓ City ✓tr State A ZIP 1$424 -a Phone#Fax#( ) Authorized Agent Affected Q cW AEC(s): ❑ OEA ❑ PWS: ORW: yes / rio. oroe Pd EW N3 PTA ❑ ES ❑ PTS ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ FC: PNA yes./ no Crit. Hab. yes / no Street Address/ State Road/ Lot #(s) Subdivision city i, �� r6. ar, �' ZIP Phone # ` ( ) River Basin 04 • � r-dic Adj. Wtr. Body ! `� • J ('Pek (nat /man /unkn) Closest Maj. Wtr. Body %`jl .' , � P V- Type of Project/ Activity qq r' (Scale' Pier (dock) length Platform(s) f 7 -- Finger pier(s) Groin length number ----- C Bulkhead/ Riprap length-- avgdistance offshore max distance offshore - f Basin, channel cubic yardsill 7 — Boat ramp _ _ 1 —� _ r Z 4-t rW� I K :-.. Boathouse/ Boatlift Beach Bulldozing _ I Other Shoreline Length — — - -- 1 SAM not sure yes no, Sandbags: not sure yes - - — — — — Moratorium: n/a yes no, ' I 7 I — Photos: yes not i jj I Waiver Attached: re`e} no ---__.. ------- - --- —_ _.----_-_--- t-------- -� ` �! A building permit may be required by: (�' , ' t 1 /� ❑ See note on back regarding River Basin rules. Notes/ Special Conditions P « Nr N'v/• v.cy(f "~-c "'"+,"� ��!—'G� �. �rCi�'Yf i Agent or Applicant Printed Name Signature +sa Please read compliance statement on back of Application Fee(s) Check # AJ Permit Officer's Signature Issuing Date Expiration Date :2tt GrJ Local Planning jurisdiction Rover File Name