42845_HEINISCH, ROBERT_20050902 (2)

SEP-02-2005 05:38 From: To:252 9377 5107 F.2
/CAI%AA / f YDREDDE & FILL N? 4�+84
GENERAL PERMIT Previous permit # JJJ���
New DModificatlon ' 1Complete Reissue i lPartlal Reissue Date previous permit Issued
As authorized by the State of North Carolina, Dop i-cmont of Environment and Natural Resources / /s-ev
and the Coastal Resources Commission In an area of environmental concern pursuant to 15A NCAC
u os aaacho .
Applicant Name . _ ._- Q Ile(_ - _` �h t �"' Project Location: Counry_---_1,�,.1e­'2e!- i
Address Street Address/ State Road/ Lot #(5)
City 011V/44 C7 I Swte / ZIP
Phone # (91Q) y . W,96' Fax # Subdivision
Authorized Agent r Clry�B/��_ P���... __-.__ ZIP•�s'`1.2�
Affected (, Cvd "' '"' PT5 Phone # ( }�N_._ River Basin . � A�7�
I` OEA 7 HHF D IH ❑ UBA I I NIA L
AEC s : i pwS. 1-�Pc. Adj. Wtr, Bod a►i Af� net /unkn
ORW: yes /® PNA yes / ,0 Crit. Hab. yes j no Closest M.-J. Wtr. Body —10* ^ /C G✓f' �
Types of Project/ Activity
(Scale:
Pier (dock) lengt L
I i
Finger plar(s)
— I ,
I j � I �
Grain le t, Gr ng I ....... _
number _—� I' ` —. / T.
Bulkhead/ Rlprap length I P 1
avg distance of(choro __.._ T— I'
r
max distance onehoro �t r t
Ba=i . channel 9)-" Lei X
I J—
cubic yards Boat ramp
BoathoutCl 8oadi(t
I
j i I I
Beach BulldozinY _
Other
I
Shoreline Langrh ��Q___,• i'1�r i
SAV' not sure yet ,V — I / V II
Sandbags. not aura yes
Moratorium' n!a yet fo
Photos: yes � � �O�4 �ler✓�� �`�' ; 1 1. WalverAttached; 9 no
A building permit may be required by: C_-- �See note on back regarding River Basin rulos.
Not�' Speclal Co 11"""OVIWIA <2�4 // '171,30 /'
ciltlona ��i�� / //►// S' fC _4/
"IN
Agent or pllc rintedName P ItOWilaa
Slgnatur "Please 404pinte stammont on back of permit" luulng Dace Expiratl Date
13�57,
Application Foa(s) Chock ti' Locai Planning jurisdiction Rover File Name
CEP-02-2005 10:00 95X P.02