General Permits (7506)

CAMLa / /7REDGE & - ILL
^� GENERAL PERMIT
Previous permit #
/New 'Modification Complete Reissue
Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources -`7 ,
to 15A NCAC
and the Coastal Resources Commission in an area of environmental
concern pursuant Rules acwched.
r' f, j `i• r :
Project Location: County
.r
Applicant Name - -� - I- O
+,- Z< / j
Street Address/ State Road/ Lot #(s)
,
Address
City �� t, n` ' State / ZIP
_
Phone # ! L 7r'G .._ , J: I Fax # ( )
Subdivisioji
i ZIP
(�'
Authorized Agent
l _
,�I/ City /
River Basin ' r ,
CW t,,EW i(PTA ES PTS
Affected HHF IH UBA NIA
Phone # ( ) ___. ,,
1
Adj. Wtr. Body (? �1''� /.� (hat (man /unkn)
OEA
AEC(s): FC
PWS: -
-
I'? -1 )
Closest Maj. Wtr. Body
ORW: yes / no PNA yes Crit. Hab.
yes / no
Type of Project/ Activity _____ `
(Scale: �) )
Pier (dock) length -
S c . •, , . /
Platforrnts)
Finger pier(s)
Groin length
+
\ -
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp - __-
i; ;
Boathouse/ Boatlift
i
Shoreline Length ._ �rf' I I
SAV: not sure yes `o' i
Sandbags: not sure yes of / fl
Moratorium: n/a yeso
Photos: yes C°i
Waiver Attached: yes no
� See note on back regarding River Basin rules.
A building permit may be required by: _ - !
A t
Notes/ Special Conditions _
Agent or,Appliiccant Printed Name
t
Signanrre * * Please read compliance statement on back of permit
�_ nliracion Fee(s� Check #
Permit Officer's Signatu e
I,suingDare Expi ationDate
Local Planning jurisdiction Rover File Name

WILLIE G 13RASWELL
GERALDIPVEPH 252-726 O g
NEW AIL RUN
RC 285-1381 �p DR 1848702S ELL
COMAIA14D ASSET PRO
CRAM
sass 5275
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der o{ C D b�% 66-211530 98204
I / YN Date
A c�- &,b $/2 d `) ��
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CODE

.aspx 2/4/2008