55169_GRAY, MARCELINE & HORNE, JANICE_20100521

CAMA / .DREDGE & FILL,,.
GE1V L PERMIT �✓/ 1/ Previous permit #
°y
W—tTe—'New odification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources J
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
I _ Rules attached.
Applicant Name A:ZZ j ^r'�1 S <JR rr' H Project Location: County ??-
Address Fn fx>x 5 Street Address/ State Road/ Lot #(s)f, 4 �{ L
City ,q Yr '/� State � ZIP � -7q I-5
Phone # (o�_3RT ' 61 13 Fax # (_ )
Authorized Agent
Affected 0 CW XEW PTA 'j ES El
AEC(s): 0 OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
0 PWs: ❑ FC:
ORW: yes no� PNA yes�o Crit.Hab. ye< no
Subdivision
City( I ZIP .2- `7
Phone # �?)4Q!s -5 1-{3 River Basin _0// L 0Adj. Wtr. Body �/� /-yJ / (�7 �'? (% / ((nntl /man /unkn�
Closest Maj. Wtr. Body��
Type of Project/ Activity
YP J tY �- � �-
(Scale:
t �
-
_
)
Pier (dock) length
Platform(s) --+— -i
Finger pier(s) J L J +' m lG
Groin length T
number• T
I i i
_lkhe P P gt i- - - i
!$ulkheagd�Ri ra length -I -� ,
av distance o fshore
aU max distance offshore
Basin, channel - — - -
cubic yards IV
Boat ramp _j_�—
jji-
Boathouse/ Boatlift
Beach Bulldozing
Other _—__
-
j
I
I I
I
i
I
LV i
Shoreline Length
SAV: not sure yes no !
Sandbags: not sure yes no
Moratoriu mn/a "
: yes _.
Photos:
J;
Waiver Attached: yes
A building permit may be required by:, (',(; !,f �, jT�-
Notes/ Special Conditions -f�U
._�Fi �t l� 2..- 1 �.� ��:y` �.ri" � � t� x- �n A :�� �� � ? �'-(C�•�
I
i
❑ See note on back regarding
River Basin
rules.
i=� _
JA k2ia= Ik�P-Ue-
Agent or ApplicantFrinted Name
— - 41. , E
Signature Please read compliance statement komit-
-4 '1n ';�L52;
Application Fee(s) Check #
Permit Officers Signature
Issuing ate J Expiration Date
-41ef- ®�?I)..B,
Local Planningj.risdiction Rover File Name
J