42802_BENTON, DAVID_20050824 (2)

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1V O 42802
2 0 0
CAMA /DREDGE & FILL
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;GENERAL PERMIT
Previous permit#
w ❑Modification ❑Complete Reissue ❑Partial Reissue
Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources I Z� t t
in concern pursuant to 15A NCAC
and the Coastal Resources Commission an area of environmental
ules attached.
Applicant Name 1-->A r't1r) a 0
Project Location: County p-, L�
Address a L4 c7 lb Z'o At�' V., '-' j
Street Address/ State Road/ Lot #(s)
Stated G ZIP �`� J
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Phone # (^) Fax # (_)
Subdivision
Authorized Agent �k 0:7�1_r00. --5 {� A�u� � �
CIr'z-�`'C ZIP 2��_
C CW y �yZTA -)iC5 ElPTS
7
Phone # (_) River Bas-
r P
Affected J
❑ OEA ❑ HHF ❑ IH ❑ ❑ UBA N/A
Adj. Wtr. Body ",%t- ` �" ' nat ma /unkn
AEC(s):
C PWS: ❑FC:
Closest Maj. Wtr. Body
ORW: yes / no PNA yes /(io Crit. Hab. yes / no
Type of Project/ Activity '�L- L-1_
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- Scale:
Pier (dock)---
Platform(s)
Finger pier(s) X
-
Groin length
number ;
i
-
----- --- --- -- - -- --
Bulkhead/ Riprap length t.-
avg distance offshore - -- --
max distance offshore Z ------
----
— --- -- — -
Basin, channel
----- --
cubic yards - — — Z
S-rC P Dln ✓t S
— - -
Boat ramp -- -
Boathous / Boatl'
Beach Bulldozing
-- ---
-
Other
-�
- --- -- {
I }
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Shoreline Length
SAV.not sur es now�
-
Sandbags: not sure yes (t=1
------'
-----._...� l^--- -----
Moratorium: n/a yes lei
T- ----
Photos: Yes ----- -
-- - - ---
— -- T, -- —�
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Waiver Attached: yes
----'—'--
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A building permit may be required by: SL,t�-� T�
❑ See note on back regarding River Basin rules.
Notes/ Special Conditions r�.t,C kL_
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(Z Lz P 5 �JaS
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Agent or Ap cant Printed Name
Pe it Officer's Signature
11-z.Lf
Signature — P ase read compliance statement on back of permit �a
Issuing Date Expiration Date
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