30250_JONES, DONNIE_20020606 (2)

CAMA / O DREDGE & FILL 'n
GENERAL PERMIT Previous a it#:'//'�
, New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued ti?./I"
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 ! • / Oi>
IgRules attached.
Applicant Name ��a41 �9 j 0ej aS
Address 0/%U V!� r T tf r �cJ ►e+ �'"
City f . A /-, � F-Q State A) e-- ZIP p :�3_5i /
Phone # (��,J) 33,0-4:5-16 Fax # (,Sa) 3 58 '! 516
Authorized Agent
_
Affected ❑ CW ❑ EW PTA ❑ ES OPTS #'
AEC(s): ❑ OEA ElHHF ❑ IH ❑ UBA [I N/A
❑ PWS: ❑ FC:
ORW: yes / PNA yes /(no Crit. Hab. yes / no
Project Location: County ,'' �. ,-'�•
Street Address/ State Road/ Lot #(s)
LC7 89!r,
Subdivision DA w s cxn 6,4A )J 1
City ��1A 0.&J ZIP.
Phone # [phone] River Basin ] a0 (.,IoTN,J t
Adj. Wtr. B(Ady ,00 j 7 nat man unkn
Closest Maj 'Otr. Body cc rA
Type of Project/ Activity C:0 X3S7k VC7_ POUAL dt14 s! '. A 1-a X 0 � 'A44 TrCAM
/� r1_EVA7.00 � 14
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A 1) 944 , ,O(Scale: A, j 1'S )
Pier (dock) length
Platform(s)
Finger pier(s)
IL
Groin length
number
Bulkhead/ Riprap length-
avgdistance offshore
max distance offshore
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-
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I
-
3's-
L
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Basin, channel
cubic yards
-
,
-
I
-
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-
Boat ramp
Boathouse/ .Bvarift x cs it
7-1
Beach Bulldozing
OtherWit
Shoreline Length ! C7
SAM not sure yes gn
Sandbags. not sure yes
Moratorium: n/a yes
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Photos: ' ® Ge no
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Waiver Attached: yes1:5d+
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A building permit may be required
by:
CAM
Co
vio-rx"
❑
See
note
on back
regarding
River
Basin
rules.
Notes/ Special Conditions
Agent or Applicant Printed Name '
V
Signature Please read compli nce statement on back of permit
Zs30G
Application Fee(s) Check #
Permit O°fffIcer'sTignafure t
Issuing Date Expiration Date
Local Planning)urisdiction Rover File Name