42798_LAND, LARRY_20050919 (2)

rAMA / . DREDGE & FILL `� J $ 6
GEIV=F4L 0E12MIT
N° 42798,
Previous permit #
etiv Modification Complete Reissue Partial Reissue Date previous permit issued_
As authorized by the State of North Carolina, Department of Environment and Natural Resources r"'/►ti e '
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC ,� o0
e ules attached.
Applicant Name Gam/ i► ',� �r Project Location: County CA
Address ��V L� d� Street Address/ State Ro d/ Lot #
ctyrloPC%�t�oStatue _ zIP,��-__-- _ --
Phone #R - _ y # (----_-) _ -_._. _ . Subdivision 1,E8 O
Authorized Agent C;tyr'aFdCre� p� ZIP 8 2O061
Affected CW JQW %p rA ES PTS Phone # ( ) Rive t r 004
OEA HHF IH UBA N/A /' (A � -- --
AEC(s): Adj. Wtr. Body �t JD �:� ,�/unkn)
PWS: FC: - - -
ORW: yes n PNA yes 0 Crit. Hab. yes / no
Type of Project/ Activity S 04P
Pier (dock) length
Platform(s)
Finger pier(s)_
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
(57,(W.Dff'NP9 3-
cubic yards 's yis
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAV: not sure yes
Sandbags: not sure yes n
Moratorium: n/a yes
Photos: yes
Waiver Attached: yes
A building permit may be required by:
Notes/ Special Conditions
Closest Maj. Wtr. Body
444
0
Zo .
(Scale: J
CAr+crc- -- See note on back regarding River Basin rules.
A ink Plot /99S" 39 — y83
t c�- - t ✓� --- - - -
Agent or App)' nt Printed Name Pe Off er's S' nature
Signature ** Please read compliance statement on back of permit ** Issuing to
/, f--
E iration Date
—-,o-%^ 1 d I LJ A

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