43250_GODWIN, JERRY_20051206 (2)

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DEC-06-2005 09:55 From.: To:910 686 1558 P.2
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AMA / `K6REDQE 1� & FILL 9 4 3 2 5 0r
GENERAL PERMIT Previous permit #
ow f_)Modificatlon LlCompiote Reissue I iPortial Reissue Date previous permit issued !/ /
As authorized by the State of North Caroiinn, Ocpartmont of Environment and Natural Resources /�
and the Coasad Resources Cornmission In an area of environmental concern pursuant to I SA NCAC� (r/ Poo
J �/ Rules oft ached.
Applicant Name. ./�''V 1 �2!�h• _ project I ocatlan: County- /�/G�Y
Address V �i�j j Street AddreW State Road/ Lot #(s)
�1/` f
City /r►'1Lrn/krl
Phone # (-qJQ) �14...tjpb Fax # ( ) —�"' Subdlvision. !�
_'..�... l�C� . - _.. ...__......._' �5 ._
AuthorizadAgent 2o.illl blk?wf City
n Cw MtW fik<A s i- PTS Phone # Rlvar Basin
Affected
(._.._....) - • -•- --
OEA )-i h1MF U iH u uaA U N/A
AEC(s): Adl, Mr. Body Tjunkn)
n PWS; (-iFC; Fes/
OaW: ! no ?NA yes ! Crit, Hab. yes / no ClosestMaj, Wm Body.__.�.!IJA/!�!._..,�Lr�i /
'type of Project/ Acthrlty r L✓ / r !� ' �:,
f _.. (Scale:
Plor(dock)length
Platform (li) I -
i
41
Groin length
Ibar
ulkheaNRlpraplength
avg distarsn offshoro
max distance offshore } I I
Smin, channelVF
CiIbIC yard6 00'//
,
I . �77/J i
Boat ram.--- - -- AAA 7 ! 41f1<� i
Bonthousc/Boadlft ! i
i
8oach 8uildo:ing
Shoreline Long h
SAV: not sure yes
Sandbass: not sure yes go
Moratorium: n(a Y.f P�• (•`l� �% i , I i /
Photos:
I I
Walver Attached
A building permit tray be required by. July C-0 - S_.. Sea note on back rWding River Basin rules.
Notes/ ode! Condidons 4l
_ J. ' �+
ant or Arp Ili= Prl�i rsml Pa t er's Si�:x
3441
Signs e " erase end campl• essatemeneonback o(pormit'" I wingD�rte Expiration Data
4o" — — 1111��0• �—ll«���
,Appication Fee Chock* hocal Planning jurbdlctlon Rover He Name