53419_HART, DAVID & KIMBERLY_20090421

LAMA / ❑DREDGE &FILL 31 0
OEN RAL PERMIT Previous permit #
;New edification El Complete Reissue ❑Partial Reissue Date previous permit issued
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 )
Rules attached.
Applicant Name
Address P,19k
City nv�� t i(_ Stated ZIP -
Phone # O Fax # ( )
Authorized Agent t3C,
CW EW1 PTA ES [IPTS
AEC(s):
Affected . ElOEA ❑ HHF ElIH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
ORW: yes now PNA yes '�" Crit.Hab. yes �no
Project Location: County 2�0 (-C `+-
Street Address/ State Road/ Lot #(s)
Subdivision c.,^.�
City Fr, IN( rl ZIP
Phone # () River Basin r ;
Adj. Wtr. Body R t- - cu Il SPC
y C nat an /unkn)
Closest Maj. Wtr. Body Pam+ ( C} ")
Type of Project/ Activity file 2 j G A� u r YY, CAr A ;O c-i I I k�
(Scale: jJ T j )
Pier ock) length a0 i 4-------------.-----------
latform ) 16 X f e 4-6
Finger pier(s) 4i.2 I r 5 /04 -
Groin length M. -T'[—j
number --- -- — ; 1 —
Bulkhead/ Riprap length_
avg distance offshore
Basin, channel
Beach Bulldozing
of \l..a�.lkwoV
Shoreline Length �Jo' ,
a SAV:
a Waiver Attached:
X no
yes no
A building permit may be required by: t�'- (-e— ❑ See note on back regarding River Basin rules.
Notes/ Special Conditions —4 t i',- oo . vie, I Y , rf r C >r 1,
r
Agent or Ap ican rinted N
Signature * Please ead complian statement on back of permit"
400 #�'g1 -
Application Fee(s) Check #
4-, 1- Q!9 � - 19 e o
Issuing Date Expiration Date
1).,2 (-e- r042\ t1 A
Local Planning Jurisdiction Rover File Name