36476_SCHAUMBER, PETER_20031126

Phone # (
River Basin
Adj. Wtr. Body �, t k=Ftlr r/ C Ce'��-ti-, (nat /man /unkn)
Closest Maj. Wtr. Body.
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7.- - -
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l GAMA / 1] DREDGE & FILL / a
GENERAL PERMIT Previous permit #
5,f; lew .[]Modification []Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by. the State of North Carolina, Department of Environment and" Natural Resources �7
and the Coastal Resources Commission in an area of environmental concern pursuant to 1 SA NCAC
Rules attached.
Applicant Name t r E o,\ SC 1J 1 t,r Sri D [ r� Project Location: County l l� ? r c �c. r ,� rr,�- „ .
Address. �✓Street Address/ State Road/ Lot # s
City Jr15� ;r: o:v State ZIP
Phone '`#. (2y_) . 64 7 ...19, -7 Fax # ( ) Subdivision %fir
f�
Authorized Agent. City ( cf' ' �f zip
❑ CW ❑ Ew ❑ PTA []'ES ❑ PTS
Affected AEC(s): 7YOEA [I HHF ElIH ❑ uBA ❑ N/A
❑ PWS: ❑FC:
ORW: yes / PNA yes / 6Crit. Hab. yes / no
Type of Project/_,Activityj-..f -
Pier (dock) length..
Platforrn(s)
r...
Finger pier(s)—
Groin length
-
number
I - --
Bulkhead% Riprap length
avg distance offshore
d" tan offshore
MAX rs ce
Basin, channel
A building permit maybe required by:
Notes/ Special Conditions ';G'
Agent or Applicant Printed Name Permit Officeo
Signature Please read compliance statement on back of ermit °** Issu" in bate
❑ See note on back regarding River Basin rules.
Date