33902_HENRY, RICHARD_20030325 (2)

i
L` `CAMA / El DREDGE & FILL
bENERAL PERMIT Previous permit #
'New Modification ❑Compfete 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 15A NCAC ri ��UL
Q�� L�Rules attached.
Applicant Name 1 Project Location: County t 't iZ 1
Address '-z-we:; U Street Address/ State Road/ Lot #(s)
City- I' State Zip a( 2�Sc
Phone # (ZD) �J� - �3 Fax # O Subdivision
kA
-_AWthorized Agent- '� J� City i �'t) ZIP S. _
Affected ❑ CW '—?4W--#P-r4_'_--_QeS-----QPTS _ Phone # ( ) River Basin g
❑ OEA ❑ HHF ❑ IH ❑ UBA - ❑ N/A - /� - �'
AEC(s):f�--�1�dj_Wfr.Body man unkn
ORW: yes / no PNA yesrno) Crit. Hab. yes / no Closest Maj. Wtr. Body ( -
Type of Project/Activity
Pier (dock) length Ly (Scale:
� I
Platform(s)71
}
Finger piers)--
r
Groin length
number-4- J
� -
Bulkhead/ Riprap length
- --
avg distance offshore �— l
max distance offshore
Basin, channel - - -- - -- - ------ -- — - -- i
- t
cubic yards _
Boat ramp - I `�
Boathouse/ Boatlift
Beach Bulldozing
- - -
Other
/ u -
Shoreline Length �1may19, ,1y]y✓ r (--- - -- `neli'
SAV: not sure
Sandbags: not sure yes no -
Moratorium: n/a yes fn'a
Photos: yes no.�lt1.4
Waiver Attached: yes no -- — - - -- —�(- - -- - — --- - ----- - -- ---- --
A building permit maybe required by: ("'AfZ- ` o See note on back regarding River Basin rules.
Notes/ Special Conditions
% e/Y
Age t or Applicant Print7dNa
Signature **` Please read compliance stateme t n back of permit **
O�
Application Fee(s) Check #
Permit0 {7
r's5i nafure "
fS 5 }3 a5 0
Issuing qate E iration Pate
N-4 . �L"'Q `b ('�1
Locc anning jurisdiction Rover File Na