42762_GOODMAN, JAMES_20050920 (2)

,-LAMA / ❑ DREDGE & FILL
N? 42762
G1,5NERAL PERMIT
L�-❑Modification ❑Complete
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Previous permit #_ )U
ew , Reissue ❑Partial Reissue
Date previous permit issued JV'%
As authorized by the State of North Carolina, Department of Environment and Natural Resources I )
n—M, / QU
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC !
/
Applicant Name �D'��1 CIO ditto t\
p�RG/fes attached.
Project Location: County/o, sM
Address
Street Address/ State Road/ Lot #(s)
City )��9199 : StateA/C ziP,-476 U q
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Fy l✓fr�j�%/ le',
Phone # () Fax # ()
Subdivision
Authorized Agent �( �. ,�► (gl° e1
City C� /`" n / zip
Affected C Cw = Ew ❑ PTA C+� a PTS
Phone # ( ) River Basin
AEC 5 : 71 OEA HHF C IH ❑ UBA � N/A
-,
Ad'. Wtr. Body �J G l�
I y at,iman /unkn)
El PWS: ❑ FC:
ORW: yes /�j PNA yes / io Crit. Hab. yes / no
Closest Maj. Wtr. Body
Type of Project/ Activity ("V-'fi'K<-fi 3—? Y , /— / /') /- r-
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number=7
Bulkhead O.Ripr-apengthavg istance offshore .—
max distance offshore_
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
„s-
v;
Shoreline Length
(Scale:.o
I( O w
SAM not sure yes no - - __ -_. _ _- _ a-Z-Q'
Sandbags: not sure yes 0r77
-
Moratorium: n/a yes 6)`
Photos: yes A —�
Waiver Attached: yes no — — - - - - ---- --
A building permit may be required by: / ' `�"^ �C' ,note on back regardi River Basin rules.
Notes/ Special Conditions ` /f,�/'�/' I ``�� f A[1,i��✓ V� ��G / �'�
Agent or Appli t Printed Name
�Z
Signatu Please rea compliance statement on back of permit"
Application Fee(s) Check #
PLIFmitOffiEetr gnature
Issuing Date Expiration Date
g" 0 IfA
Local Planning Jurisdiction Rover File Name