42703_ESKEY, LEE_20050811 (2)

LAMA / ❑ DREDGE & FILL 11I ? 42703
GENERAL PERMIT Previous permit #
New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources /r/ 12 Oa
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC !
attached.
Applicant Name GYM Z`''ff C Project Location: County ©I'jflyV
Address 3 Co Street Address/ State Road/ Lot #�((ss)
City Lt� C✓'� State -_ZIP �5 g -L b % CA
Phone # aA) 3.P`7 —!?1- `--Fax # (,) Subdivision l l C C'Or u
Authorized Agent
Affected etCW TOW e--'FT'A ❑ ES ❑ PTS
AEC(s): OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no
City ZIP117/'�
Phone # ( ) River Basin
LX ! ' (J
Adj. Wtr. Body �'l ' si
C n man unkn
Closest Maj. Wtr. Body d 0114-""
Type of Project/ Activity 6Y , 01 o L. % a U ' x / Z f G-� -�tl ►"rN ! 13 xr3 �OA r T
(Scale:
Pier (dock) length
Platform(s)-
Finger pier(s)
Groin length �•
number
Bulkhead/ Riprap length 1 - -
avg distance offshore
max distance offshore
Basin, channel - --- — - y
cubic yards C
Boat ramp d
Boathou /Boadi
Beach Bulldozing�..1..
Other
f
Shoreline Length
SAV: not sure yes no
Sandbags: not sure yes no
I
Moratorium: n/a yes no ; - - MQ hed�•Jv
�/ MPhotos: yes no 7
Waiver Attached: yes no _
A building permit may be required by: fl G t-, ❑ See note on back regarding River Basin rules.
Notes/ Special Conditions %� 't
e. Zee. �
Agent or Applicant
Primed Name /
Signature Please read compliance sta ent on back of permit
f'111-1_. --_
Permit Officer's Signature
Issuing Dale Ex iratio Date
�08Tt6IrA

N RICHARD L. ESK
BONNIE M. ESKEY'
Y: iF 326 HICKORY KNL ' ei
HUBERT, NC 285394391
07ci to the
6404
/ / / — G /p 66-19/53C Date -� J 5323
Bankof America
Bank of America Advantage"
ACH R/T 053000196
':0530001961: 00053332674011, 6i,01, ,J
.''' ' •.• - WORLD TRAVELLER-