43660_GASNON. PHIL_20050119

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AMA /❑ DREDGE & FILL lr 0 4 3 6 6 0 C
ENERAL PERMIT
Previous permit #
ew ❑Modification ❑Complete Reissue ElPartial 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 15A NCAC
les attached.
Applicant Name I' I �Aj� (� v1 Project Location: County_ -- �� ✓�
Address 0 6 t�:P-V-YAQ Street Address/ State Road/ Lot #(s)
Stat ZIP "rA-y IV Q /"a //� `�/
� !/E1
Phone # O 1 / _ Fax # (} Subdivision'''
Authorized Agent City__6-! ZIP
❑ CW �7, EW
❑ PTA 04!!J? ❑ PTS
Affected
ElOEA ❑ HHF
ElIH IJ UBA ElN/A
AEC(s):
❑ PWS:
❑ FC:
ORW:
/ no PNA
C.2s
yes / no Grit. Hajb. yes / no
Type of Project/ Activity
/
�c., 6, 1/C"Pn //
Phone # () _ _. %River Basin 1414-���}"
Adj. Wtr. Body_( L-t ✓ 0�4 Gnaw man unkn
Closest Maj. Wtr. Body
(Scale:�-7 )
Pier (dock) length _
� r[b
Finger pier(s) l /" �-{ f U u t/
t ��
5
Groin length (�APR -S006
number
Bulkhea' Riprap length / I
avg distance offshore __- 0 Morehead Cite DCM -_ -�
max distance offshore_ `J v
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length / f
SAM not sure yes o
Sandbags: not sure yes
Moratorium: n/a yes
Photos: yes
Waiver Attached: yes an
A building permit may be required by:
Notes/ Special Conditions
statement on back of permit —
See note on back
S4A4 ✓� c
ing River Basin rules.
f,qr-
V
Permi ice rIs5i, ure
Issuing Date v xpiration
Application Fee(s) Check #
Local Planning Jurisdiction Rover File Name

YVON PHIL GAGNON
PH 354-5969
606 EMERALD DR
EMERALD ISLE, NG 29594
l'"y to the
( hrle'r of J Q
State Emp1 Pees' Cry tad city, `iUnion
6
2566
O 66-77D412531
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Dollars ►=� m
I•)i f"MI I III■ 2S�6
— -- ----------
is 2 5 3 L 7 70 4 9:08 6 28 t, 40 5
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