HomeMy WebLinkAbout46355_JOHNSON, MIKE_20060912q CAMA / ❑ DREDGE & FILL
GENERAL PERMIT
�r 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 _i �� 17,)O
in of environmental concern pursuant to 15A NCACVJ
and the Coastal Resources Commission area
Rules attached.
ian
Applicant Name i (i ��� C k� %� e :
Project Location: County VL
S %1' '- r. I,r� E
/hf_
Street Address/ State Road/ Lot #(s)
Address 1U
). L I < State ZIP �`f
0 oS j�21 A � y C#4�
City_f
L)6a�f
Phone # (� �) Cl �.tL� Fax # ()
Subdivision r.l��T4)
City ZIP
�� i� �f)�Rf�C
Authorized Agent f,tJli2
❑ CW 'KEW PTA ❑ ES O PTS
Phone # ( ) River Basin i� jn(
A
Affected ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
�n
Adj. Wtr. Body �yi� ft�l (,��`af
Yman /unkn)
AEC(s):
❑ PWS: ❑FC:
Closest Maj. Wtr. Body -�_ ��
ORW: yes / PNA yes / Crit. Hab. yes
69
Type of Project/
t V 1 I
Pier dock) length 't. LQ
Platforms) !6' Kilo
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ �oatlif� ��'
tit' D��,rh
Beach Bulldozing ��2C
Other
16
Shoreline Length 1-70 ! "' i
SAM not sure X}' no
_ I —
Sandbags: not sure yes �'�
3J± I
Moratorium: yes no _
Photos: no -_
i
Waiver Attached: yes
A building permit may be required by:IL4 C
Notes/ Special Conditions
(Scale: A j )
See note on back regarding River Basin rules.
Agent or Applicant Printed Name Permit Officer's Signature
Signature Pleasereadcompliance statement on,,backofpermitIssuingDat
s