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38571_ABERNATHE, FRED_20040624 (2)
CAMA / ❑ DREDGE & FILL GENERAL PERMIT New ❑Modification ❑Complete Reissue Previous permit# ❑Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources Coastal Resources 7 0. 1 and the Commission in an area of environmental concern pursuant to 15A NCAC ZC'r 11 Applicant Name Y—i' e O'i ��e !' ✓� �-t�C I0/ 0 04d (1 n 9 C f Rules attached. G�� j( Protect Location: County (�� y Address l�C treet Address/ State Road/ Lot #(s) City 7°>f State- cTC—ZIP 2�5 ( f r' �,C /vl o, l r� rim �, Dom. Phone # (9) 1D i ` 12 34 Fax # (_) Subdivision Authorized agent City ! �t,� BPS �C,r� A zip 2-'!�LJ01-11 ?<fCW -© EW YPTA ❑ PTS Affected Phone # (,) River Basin ��, roc OEA ElHHF ❑ IH ElUBA ❑ N/A AEC(s): Adj. Wtr. Body C AA , nat man unkn ❑ PWS: ❑ FC: 1 C G� ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr, Body Type of Project/ Activity L—, A 1 k fo (^ c f ev) T Z. P o r' C �- o q 4 �� f (Scale: / ) Pier (dock) lenw�yy Platform(ffA I Y Finger pier(s) Groin length number Bulkhead/ Riprap length avg distance offshore max distance offshore Basin, channel cubic yards Boat ramp Boathouse oatlift 142 X Beach Bulldozing Other Shoreline Length" �'V55 ' SAV: not sure _ yes Sandbags: not sure yes Moratorium: n/a yes Photos: yes Waiver Attached: yes no ---. no) -- A building permit may be required by: r e h A. e'' Notes/ Special Conditions re (A kt4 /{gent or.Appl' t Pint d a e Signature ** Please read compliance statement on back of permit*'" °° , to 76 �- Application Fee(s) Check # ❑ See note on back regarding River Basin rules. Permit Officer's Signature 17,41 o� ?4-1 y Issuing bate Expiration Date Local Planning Jurisdiction Rover File Name