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HomeMy WebLinkAbout42607_GRAY, RODULPH & BETTE_20051010AMA / 1REE?GE & FILA 260 GENERAL PERMIT Previous permit # ElNew ❑Modification omplete Reissue OPartial Reissue Date previous permit issued As authorized by the State bf North Carolina, Department of Environment and Natural Resources -�1� 1�," and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC �71 /0 �, Rules attached. Applicant Name. 12\,t U "� %�� (A f id Project Location: County � r� Address �$ 3� "IN City �{� �-N Stater ZIP Phone # (%W_'Wax # Authorized Agent Affected ❑ CW AEC(s): ❑ OEA ❑ PWS EW 7'A S ❑ PTS ❑ HHF ❑ IH UBA ❑ N/A ORW: yes /(n� PNA Type of Project/ Activity _ _ ❑ FC: yes / no Crit. Hab. yes / Street Address/ State Road/ Lot #(s) 'P!(al CD OuvA Sr Subdivision City o 1914h! ZIP d L Phone # ( ) River BasinJ�U�IC Adj. Wtr. Body PAM Ll CA SO UAID 62/man unkn Closest Maj. Wtr. Body PIMA' i CO—IZI L. B 1/L (Scale: A r Pier (dock) length I ,y Platform(s) Finger pier(s) Groin length number ulkhe iprap length avg distance offshore max distance offshore Basin, channel ■■■■■VIA■■■■■ MMEN NOO■■ ■■ ■ IBM ME ■E■ ■■■ ■ ■ ■ ■. ■ lif =!..! ...............MIN Lill AD 1i WOLQO f Agent or Applicant Frrint6id Name Signat Please read compliance statementon back of permit Application Fee(s) 2,$-"Check # Permit Issuing DatZ ° ' ExpiratiorfDate Local Planningjurisdiction Rover ileName