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