45101_GILLIKIN, AL CARL_20060330 (4)

11 DREDGE & FILL )4510M
0
GENE !- PERMIT Previous permit #
ew N s
.,(j P previous permit issued
J Modification ication DComplete Reissue OPartial Reis �l
difi Reissue D Date
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 I SA NCAC
M Rules attached.
Applicant Name Project Location: County_
Address Street Address/ State Road/ Lot
Cit State i ZIPS
Phone # J, Fax # O Subdivision
Authorized Agent City ZIP
EW Phone# River Basin
Affected L1 CW �TA [-1 ES El PITS
0 OEA D HHF 01H El UBA 0 NIA
AEC(s): Adj. Wtr. Body 6at dman /unkn)
0 PWS: El FC:
� -!
ORW: /yes J no PNA yes /(ro :,
Crit.Hab. yes Pno
Closest Maj. Wtr. Body ?I
'
Type of Project/ Activity
Pier (dock) length I I ;' r t
Platfo
Finge
Groin
Bulkl
Basir
Boat
Boat
Beac
Oth(
Shor
SAM
Sand
Mori
Phoi
WaiN
(Scale: k(I'l '�,>. )
rm(s)
r pier(s)
V4.
-4—
I
J
4
T
�p
11
length
L
77-
i jq/l
V.
number
iead/ Riprap length I t4
avg distance offshore
max distance offshore
,channel
cubic yards
ramp 6b
CFM
louse/�o.tlif�
-i Bulldozing
!I-.
I
r
J
I
Eli—
—1�
=1-11Z
I\I
L
.-fine Length
no
(-r'8-isure) yes
bags: not sure yes
Ltorium: n/a yes
Ds: yes 1
P.r Attarhpd- vp�: 11� nn
4 Lt' --11
L
4�
A building permit may be required by:
El See note on back regarding River Basin rules.
Notes/ Special Conditions VV
f"
e
ki-Y F I. U r I
lki
Agent or Applicant Printed Name AR
P4
ermit Officer's
2006
nature
t
lssmin�. te
Signature "Please read compliance statemeMt"h Cla
D C.,164
6piration tiate

f
A
MONITORING & COMPLETION REPORT r
[CAMA Major Development & State Dredge & Fill Permits] i`
PERMITTEE'S NAME: PERMIT # O
LOCATION: ��� c II FIELD REP.
PHONE: " /,7Q5 —fT y (D , DATE REPORTEDLY COMPLETE:
DATE OF INSPECTION
1) Do the pwasured dimensions of the development differ from those indicated in the permit and workplat?
YES/ O [ ircle one].
COMMENT:
2) SEDIMENTATION & EROSION CONTROL: Has Permittee seeded, grassed, or otherwise stabilized all
disturbed areas? YES/NO [circle one],
COMMENT:
3) FUTURE MO RING & ENFORCEMENT ACTION: Is further investigation or enforcement action
needed? Y /NO ircle one].
COMMENT: