General Permits (7515)

GENEL PERMIT
Previous permit # -`'
�64ew ❑
odification
❑Complete Reissue
❑Partial Reissue Date previous permit issued
As authorized b he U
to of North Carolina, Department of Environment
and Natural Resources
and the Coastal R rces Commission
in an area of environmental concern pursuant to I SA NCAC
F
Applicant Name
I .. G
❑ Ruless attached.
Project Location: County A*nl
Address aj``
l�h
C/C Street Address/ State Road/ Lot #(s)
w
/{p�YI
State ZIP
Phone # (9/d)
. 3�� I Fax # (_) Subdivision
Authorized Agent
�C �j�
,��/I'�i
City f/l// ����;,h ZIP Z
Affected CW
C�Ew
LP D
PTA ES'- [IPTS
Phone # (_) River Basin C1,OP f'�Cr�
s OEA
AEC:
❑ HHF
❑ tH ❑ UBA 0 N/A
Ad'. Wtr. Body�T��/h/
l nat man unkn
❑ PWS:
ORW: �es�/ no
PNA
❑FC:
s / no Crit. Hab.
yes / no Closest Maj. Wtr. Body j�/'i %l i//l ✓%� .
Type of Project/ Activity
ier (dock) length 1— yG
I
Platform(s)�- --- +
Finger piers)
Groin length
rf
r --� /
>
(Scale: !� )
I
Bulkh Rlprap length
-
avg distance offshore
max distance offshore�T I--- _.-- t
Basin, channel
cubic yards
Boat ramp j tlJt-" r —( — --i -- — - — --- — —
Boathouse/ Boatlift +
Beach Bulldozing
Other
I.�.-_.. - � r Y-
r , j
Shoreline Length
SAM -not sure ..yes tp�7
Sandbags not sure yes Rd--
�_� 71'
oratorlum Na yesI-Photos— —
Waiver Attached: yes•
A building permit may be required by:
Notes/ Special Conditions i- / - �-
PV
sir
A- 'A__u Mx AI-
--'- � --,
i ay� �_
See note on back regarding River Basin rules.
;1
✓-
S Ste/ •
Permr Otn�cfe s ai acure
is ._ .. ..a - -, Issuing
tiDate _ Expiration mentonbackofpermrt*t.i--,"A/)
„_.
r Check # LocaiPlanningJurfsdictton - ve 'I Name
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