43570_ALEXANDRIS, DEMETRIS_20051208 (2)

CAMAj' XbREDGE & FILL lv? 435'70
GENERALCew
PERMIT Previous permit #
❑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 15A NCAC
'B-Rules attached.
Applicant Name_ Be w,. �yf Z,CGL.� d r r s Project Location: County t4 ,e b Vet/
Address r y Ira �l C r d W�1 &,-bar / , Street Address/ State Road/ Lot #(s)
City C�a,r I)W e, State �C ZIP o2g� 7S .5 g0� �L�DDG/s2
Phone # (�6 ) �Q� -ola-�� Fax # ( ) Subdivision_ir
Authorized Agent OC2.,� City %V%w & r /J ZIP 12g5 6 1�9
Affected ❑ Cw k6f } PTA kES ❑ PTS Phone # (7,*Y)56V - -2,2 44 River Basin A t a-5 e-
AEC s : ElOEA ElHHF ❑ IH ElUBA ❑ N/A
() Adj. Wtr. Body L'�9�fy-t. dFr A v� (na
❑ PWS: ❑FC: o
ORW: yes / no PNA yes no Crit. Hab. yes / no Closest Maj. Wtr. Body �%Gy�, e �/ �''
Type of Project/ Activity ,��1/- ee- LlD Q7" 6�/,,bec. , ho,IV Cz
1 Ile Dell 7?CV 6�� r4owA-4eA-CeL.ce ekeQ-J'kScale: N`TS )
Pier (dock) length-�t[��•_2(
Platform(s) f
Finger pier(s)
Groin length number }�/f%%Q
- - -- - - -- n -
Bulkhead Riprap length LIZ9 /Q�SST
avg distance offshore / z J
C J
max distance offshore
RPM a •r!�_C-
Basin, channel - --cv�2 --
16S6-s-ir r -
cubic yards 7 = %�./G / �/ /
Boat ramp
Boathouse/ Boatlift --f% / -- - - — -- ----- -----
Beach Bulldozing_
Other
- - -
Shoreline Length L O t7
SAV. not sure yes
Sandbags: not sure yes 3CaDy
Moratorium: n/a yes 69i 7 � //�
Photos: yes 9 V U"'�U�e r Aaz K
Waiver Attached: es no —_-
A building permit may be required by: UE.t) See note on back regarding River Basin rules.
Notes/ Special Conditions /)A744tn �O ��%� �j QeGs 2� SpO� (5 79 he ajleltsr �D �
-'row b v 1 dle&j a,,,-J h e-id b s �'�„<< e , 3> ,Uo "',,
4) Cam �e­ ed q w-o dee� e-r cl—7`l T .
Agent or Applicant Printed Name
Signature **Ple a compliancestatement on fpermit
300
Application Fee(s) Check #
Permit Officer's Signature
Issuing Date Expiration Date
&I /2D8141 , 9
Local Planningf urisdiction Rover File Name