44780_GAULDEN, GARRY_20060322

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GE & FILL 1�I 9 44'78�PERMIT Previous permit #
Modification El 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 1 110
Rules attached,
Applicant Name LJProject Location: County. �7
Address v -
u (L _ Street Address/ State Road/ Lot #(s)
City Statet ZlP — - - - - — - -
Phone # (q�a) Fax # O Subdivision_. —
Authorized Agent ��,� i'I b, City -5 ZI Pc�%'s 3
Affected El ❑ EW El PTA ?ES ❑ PTS Phone # () -- River Basin h. -
AEC(s):
D OEA ElHHF ❑ 1H ❑ USA ❑ Adj. Wtr. Body N/A p Q nat man unkn
El PWS: El FQ
�.j�(d (L��"
ORW: r>/ no PNA yes /ro) Crit. Hab. yes / no Closest Mal. Wtr. Body- 1
Type of Project/ Activity .:T�q t L .(��a i
(Scale:, )
Pier (dock) length
Platform(s)_ _
Finger pier(s) _
Groin length
mber _
Bulk a Riprap length��
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp _
Boathouse/ Boatlift
Beach Bulldozing`
Other
- -- + -T--
Shoreline Length 1' ` _--
SAM not sure
yes no
Sandbags: not sure
yes
Moratorium: n/a
yes o
Photos:
yes
Waiver Attached:
yes o
A building permit may be required by:
Notes/ Special Conditions
Ilfa%of'y L. L&4.-- �,
Agent or Applicant Pfinted Name
Signature Pleas ead compliance statement on back of permit**
Application Fee(s) Check #
Aa
J 0 N
Wrehesr4
q,6
�SL1arz�(a7'il����r'
❑ See note on back regarding River Basin rules.
Permit
Issuing
Local Piafihina Jurisdiction Rover

Personal Account Information Redacted