41749_JONES, BUCH_20050624

CAMA / DREDGE & FILL IN'' JX1 o4 9
G ERAL PERMIT (' Q �C
Previous permit # �r�'
'New''" Modification Complete Reissue Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC / 1
)� Rul attached.
Applicant Name Project Location: County t "=
Address i1 Street Address/ State Road/ Lot #(s)
T- r'
City— j{�/� yA 0 A2- — State _n'r CZIP -� 3 �"
Phone # (r} ) Fax # ( _ ) Subdivision
Authorized Agent �1� -/�a/ f (c „/� - - City �Ya, f :, z r iy ZIP
Affected
CW EW ' --1 A ES PTS Phone # ( ) River Basin
OEA - HHF IH UBA N/A
AEC(s): Adj. Wtr. Body ,`k C" _ ti man /unkn)
PWS: FC:
ORW: yes / n� PNA yes /�on Crit. Hab. yes / _!N ; Closest Maj. Wtr. Body
Type of Project/ Activity
Pier (dock) length vO
Platform(s) ' /�
lf� 3�1
Finger pierX
s) 7
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore i
Basin, channel
r
cubic yards
B
(!7th..sel Boat ift J
Beach Bulldozing
Other
"sr a, -j t y'<
y (Scale: C) n z
47
I f4'13, pTc
Shoreline Length ? - — \i
< -- —
7 Y
SAM not sure yes Eio} ilk
�— —
�/
f
rUdrT•j n
Sandbags: not sure yes r'�P
Moratorium: n/a yes -n
Photos: yes
�nP
Waiver Attached: yes n
C
e
A building permit may be required by:
note on back regarding River Basin rules.
U t
J
Notes/ Special Conditions U�l 1'"� ' <�
`l 't
�'�L J 'b `
?�' G ✓2 �''fJ
Agent or Applicant Printed Name
Permit Offi ignature
r
PSignatulease eadciane�enton back ofpermit
°J y d3�
issuft Date
Expiration Dace
Application Fee(s)
Check #
Local Planningf urisdiction
Rover File Name

Donald Oxendine NCDL 3584956
Donna Molina NCDL 8050154
66-7704/253i
1348
5114 Kershaw Rd.
Oriental, NC 28571-8723
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®Freraud ProFud tegibr
Ph. 252-249-1301
Date
Pay to the ,/ 1
Order /\ J
of
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STATE EMPLOYEES' GRERiT
UNION
NEW BERN, NORTH CAR'OLINa
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