41902_CALLAHAN, DONALD_20050616 (2)

"'CAMA / ❑ DREDGE & FILL M .41902
-t G N ERAL PERMIT Previous permit # Al
['New- [-;Modification `-;Complete Reissue -Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources (1 )
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
rr //� / p� s attached.
Applicant Name —,Oa f U C� /44-A. Project Location: County /arm yc6
Address -;> V 1 b �/o ad' la-! �� Street Address/ State Road/ Lot #(s)
City fe State Mc ZIP - - .7 U ) b sloe" �Ft.e
ll
Phone # 0-�'j 2Y Fax # ( ) Subdivision `��I . h
Authorized Agent `— City �, !�- / , V C_. ZIP_ -7/
Affected U GW
AEC(s):
- OEA
L I PWS:
ORW: yes / no
❑ EW ❑ PTA 1i, ❑ PTS
❑ HHF ❑ IH ❑ UBA ❑ N/A
Cl FC:
PNA Oye` / no Crit. Hab. yes / no
Phone # ( ) River Basin ' "
Adj. Wtr. Body. S Ate` nat)/man lunla
Closest Maj. Wtr. Body --,A[ `
Type of Project/ Activity ll� Ut/�' tc� l / p r! p r f .ash �`'h•0 C� c/7z f L,," Ac4j
(Scale: A%one )
Pier (dock) length
Platform(s) _ —
Finger pier(s) —
Groin length
number
,
Bulkhead prap ength1O `y
avg dis ce offshore VIA
max distance offshore PIA ��II1�rr+4499
Basin, channel _
-- NOV 2 3 2005
cubic yards
Boat ramp -- Nloreh®ad City DCM
Boathouse/Boatlift_ r 1 64:.i City L�h,,t e
Beach Bulldozing
Other 'r
_
) 0O,
Shoreline Length
SAM not sure
yes
no
Sandbags: not sure
yes
(9
Moratorium: n/a
yes
Photos:
yes
Waiver Attached:
yes
no
A building permit may be required by:
Notes/ Special Conditions
0
r
See note on back regarding River Basin rules.
,,,4 PC/ -A f--7-/ CD All, dill P74 F-r t '4VA/-'j V , u4�rf 2-4,
> a. ,,+ � Gb c F-9 /-- C- I -,o
Agent or Applicant Printed Name Permit Of is Signature
SignatuF P ase read compliance statement on back of permit Issuing Date
%
fY tl
Expiration Date
1410061aA

, r, ... rr.. , —,I,— —kf —, —,d i I I
2007
INNERBANKS MARINE CONSTRUCTION, INC.
P.O. BOX 190 PH. 252-249-1429
ORIENTAL, NC 28571 66-30/531
472
05
DATE L
PAY
TO THE Nc ��E 0( $
ORDER OF I 00,00
00-
DOLLARS
0 IRRST CITIZENS 412 JbO I L,7
13/kr*4K First-citins Bank &Trust Companyq
0 Oriental, N.C. 28571 1
www.firstcitizens.com
FOR
115002007`0 1:0S3100300i:0047L20L282211m