43046_HELLER, HARRY_20051205 (2)

GENERA GE & FILL
AL
C PERMIT
N ElComplete Reissue E]Partial Reissue
Previous permit #
Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources 2610
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC "I es,att-ached MILOZ71mi, Vgln:717
Applicant Name- 4, TOK
Y% 4,
Address Ah t�
City E) State Zip
Phone # A -I J 1 _W,555 Fax #
Authorized Agent j/4 L) 6 ior R Y
dEW -.PTA �'EJ IPTS
,CW § ES
Affected 0'
AEC(s): El OEA OHHF E11H E UIBA 0 N/A
0 Pws: 0 FO
1�
CIRW: yes / J�4 PNA yes pc�,' Crit. Hab.
yes
Project Location: County cuia am cle,-
Street Address/ State Road/ Lot #(s)
U.',,­v 339 OR)F71A S"PAJOS Oaf'
Subdivision rhOA-IMNY
City CL)!?_ �1_ A ZIP
Phone # (W ) 2016 River Basin
Adj.Wtr.Body Q) X@52 /m n /unkn)
Closest Maj. Wtr. Body Ci.AKOTR 1r_.CQ
Is
Type of Project/ Activity WU701-C-1 Wfl) 0 11.#1411�1­rnwnyt &A-1 )(U fi. a- Ow'0"
y or
S
CPIatTO -
Finge
Groin
Bulkh
Basin
Boat
Boat
Beac
Shor
SAM
Sand
Mora
Phot
III A '.A I
(Scale: Aj7:.r'
COCK) lerl&Ln rglrfl? J1:7
;�r,xos) ik g•� fa° �d
house/
__
-
—
—�--- 1 ����
A,
i ,F� —yi �
..--.
_—
L't
- _ _ _
r pier(s)
length
number
ead/ Riprap length
avg distance offshore
F-1
7
—
_J
I V�h
4__
#11,
max distance offshore
,channel
VIV
V
cubic yards
ramp
-Flo
Ile!
Boatlift
14 OV
h Bulldozing
N,
eline Length
not sure yes
L-1
Tl
i
7
7n:
yes bags: not sure
pin
r
yes
orium: no
CIS: no
(5
i—J
I
Waiver Attached: yes Q9 ____ 11 __
171 rh- Ty MAO-, �
A building permit may be required by: Cue if fl ('41 ❑See note on back regarding River Basin rules.
Notes/ Special Conditions
10,161- 1, lardylj.� _4q! P eAl I�As--SML U-SA-02,9&-
Agent or Applicant Hinted Name
U J
Signature{ Please read compliance giatement on back of permit
U Z��
Application Fee(s') Check #
Permit
5
Issuing
Date
1 11; r MV r i t
Local PlaMin'jjiurisdiaion Rover'File Name