43417_GUTHRIE, AUSTIN_20051012 (2)

LAMA / OREDGE & FILL NO 4 3 417e
GENERAL PERMIT Previous permit #
ew ❑Modification L'Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources —7 k/ 1160
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
O Rules attached.
Applicant Name 4A--v n6:L1.4f Project Location: County —c4r _
Address J-1-7 W (9 Street Address/ State Road/
/Lot #(s)
City 6c 4 / Stag ZIP /l t" —� Cog,,
Phone # Fax # (_) Subdivision
Authorized Agent
Affected ( Q w
AEC(s):
❑ PWS:
ORW: yes / no
❑ EW ❑ PTA DES ❑ PTS
❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ FC:
PNA yes la Crit. Hab. yes / no
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger
Groin length
number
5ulkhe / Riprap length)
avg distance offshore
max distance offshore—�
Basin, channel /1
0^
cubic yards
o, —
Boat ramp
f
Boathouse/ Boatlift
Beach Bulldozing
Other_
_
Shoreline Length oD r--
SAM not sure
yes n
Sandbags: not sure
yes n
Moratorium: n/a
yes
Photos:
yes
Waiver Attached:
yes
A building permit may be required by:
Notes/ Special Conditions
Agent or Applicant Printed Name
i
(-r L'-3 L-1
Signe"Please read compliance statement on back of permit
at
— o o ' `— ------ ---- ----- --- 7±
Application Fee(s) Check #
City (_G ,i�i/ O//t4- zip ! %
Phone # ( ) /{ / River Basin `� i4c
Adj. Wtr. Body W h he +�i�'L na man unkn
Closest Maj. Wtr. Body G
(Scale: A, --a )
[-' See note on back regarding River Basin rules.
PerrWij fficeJr's Signature
4--
1151— 1 h-L1
Issuing Dat Expiration Date
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Loca Planning]urisdiction Rover File Name

North Carolina
Michael F. Easley, Governor
October 13, 2005
A�
NCDENR
Department of Environment and Natural
Division of Coastal Management
Charles S. Jones, Director
Attached is General Permit #43417C
Resources
William G. Ross Jr., Secretary
In order to validate this permit, please sign all three (3) copies as indicated. Retain the white
copy for your files and return the signed yellow and pink copies to us in the enclosed, self-
addressed envelope.If the signed permit copies are not returned to this office before the initiation
of development, you will be working without authorization and will be subject to a Notice of
Violation and subsequent civil penalties.
We appreciate your early attention to this matter.
Sincerely,
Ryan Davenport/LSB
Coastal Management Representatives
Enclosures
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] \ FAX: [phone] \ Internet: www.nccoastalmanagement.net
An Equal Opportunity \ Affirmative Action Employer — 50% Recycled \ 10%n Post Consumer Paper

E. USTIN GUTHRIE
S ET O. GUTHRIE
52. CEDAR PT BLVD 393-8406
SWANSBORO, NC 28584
8709
Date
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66-30/531
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