General Permits (7524)

's' eav ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources ,q
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC r
• � 't- � Rules attached.
Applicant Name /� f e"01f+4 � �� Project Location: County �i4/"'fC%� I�
Address I f % l IYFJI / nZ4 Street Address/ State Road/ Lot #(s)
City 4c CAf fcr ` State 4-- ZIPS �rSq 11 6Y Er11
Phone # 4.' L S'60 —606 Fax # (`) Subdivision
Authorized Agent City Cove ZIP 0"Otsm
Affected eNcW 4t!rW ETA DES ❑ PTS
AEC(s): O OEA ❑ HHF ❑ IH ❑ USA ❑ WA
❑ PWS: I-FQ
ORW: yes ACD PNA eyes no Crit Haab. yes
Type of Project/ Activity -10 �xr 1 c a G l e-
Phone # ( ) River Basin %K
Adj. Wtr. Body it 91 for -a (fir
Et' n, /man /unkn)
Closest Maj. Wtr. Body `'Y iDk
rve
Pier (dock) length Iw r
Platform(s) j X /Q _ _ _-- IPC7j i1'7ti�'`I or'ele-
Finger pier(s)
Groin length �� b
cScaw=A/`r1
I
number A Sir ,� 1
Bulkhead/ Riprap length d t f r
avg distance offshore Q�Qsk
max distance offshore r'
Basin, channel - - -- - -- - -- ....- ---- - .-
.^ 7 -- ---------- /
cubic yards
Boat ramp
Boathouse/ Boadift
Beach Bulldozing
/
Other
- . .i
Shoreline Length
SAV. not sure yes / x
Sandbags: notsure yes
Moratorium: n/a yes
Photos: yes _ _ --
Waiver Attached: no ----. ------------- --- --
A building permit maybe required by: i-Arlrz-t�
Notes/ Special Conditions "' 7
Printed
Sign a e vY Please read
Application Fee(s)
❑ See note on back regarding River Basin rules.
A Mce�e T14Y1 /C6. l
back of permit ** Issuing/Jate -- t-Wration uate
thr4v-c�"
Check # Local PlanningJurisdiction Rover File Name
y,