42416_BUCKLIN, GLENN_20050809

��AMA / !�t6REDGE & FILL M 42416
G,NERAL PERMIT Previous permit #
evv ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued All
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 I SA NCAC U
/ kles attached.
Applicant Name C � � !/ n Project Location: County fi,, t% O
Address -7 d S _,e, N f� 6 v-e-
City AaAl. ��`� -- StateFL ZIP7'?-?`,'1
Phone #) 3 Y� l Fax #)
Authorized Agent /�;
Affected ❑ CW PEW ff 0- A Ly'ts ❑ PTS
AEC(S): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑FC: _
ORW: yes / no % PNA yes / no
Type of Project/ Activity LhJJ I1-u [- l
Pier (dock) length_
Platform(s)
Finger pier(s)_ --
Groin length
number
Bulkhead®reoffsho
ength
avg re_G
max distance offshore Ll'
Basin, channel —
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other "
yes / no
Street Address/ State Road/ Lot #(s)
(,,, --�- 7
Subdivision -5- 6 -, v c
City ��� �Al C ZIP n�� --
Phone # ( )_ River Basin
Adj. Wtr. Body vcl (nat /man /unkn)
Closest Maj. Wtr. Body —
V U,
4.
Shoreline Length r;—f k-
SAM not sure yes no C/ IN
Sandbags: not sure yes no
Moratorium: n/a yes
Photos: yes no �.
Waiver Attached:
A building permit may be required by: tee on back regarding River fLn rules.
Notes/ Special Conditions �i 'T%tx �fr r•,r r; icy ��✓`r ;, f I'`"�� (N�+, ',. (' �� ram. / . f%r r fe /Ye:, c�r:/�� t
q»al j'l,ti f E'�'c.�L J.�.,�p �t�// �✓%� h �����//o /', P-�[ o.. �i•`� : , � r�,�/t'.i'� /. _ �,� •; ,�Y
'c c!� /. ; ✓:r G u t ii' =1 / t \;l .11`��n �C �s n _ �� l�r� s: ^ rH 1 2 Y A i j1 . r.7 W c1/y.-�
(Scale: A/otf 2 )
NOV P 1 2005
�vz-----Worehead City DCM
l/'� J.a<✓ram i!ra'-- .
V
nt Pri
Signaturef Lease r
on back of perm
7 Gljr J
Application Fee(s) Check #
Kermit Offic&'s Signature
r- I .�
' l - —p 3
Issuing Date
Expiration Date
Local PlanningJurisdiction
Rover File Name