33538_MCCLOSKEY, BEVERLY_20030130

F�CAMA/ ❑DREDGE & FILL T€,
GENERAL PERMIT e
❑New Modification ElComplete Reissue ❑Partial Reissue Previous permit #
As authorized by the State of North Carolina, Department of Environment and Natural Resources Date previous permit issued
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC % AA , 1 —2 W
Applicant Namee V �( t� I&Rulesattached.
C C �� 0 S��'--�i Project Location: County,
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city State ►JC1 ZIP
Phone # uG(, Fax #
Authorized Agent
Affected CW AEW )PTA ❑ ES ❑ PTS
HHF ❑ IH ❑ UBA ❑ WA
AEC(s): ❑ OEA ❑ _
❑ PWS: ❑FC:
ORW: yes / no PNA yes no CriL Hab. yes / no
Type of Project/ Activity
novci bOflt
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/Coadift
" �-
Beach Bulldozing
Other
iI
Shoreline Length 5 1
SAV . not sure
yes
, . no;:
Sandbags: not Sure
yes
Moratorium: n/a ,
yes
.Photos:
yes
gn.
;Waiver Attached
yes ;
1 4'
Street Address/ State Road/ Lot #(s)22 6
Subdivision
cry ZIP_ 2 6 Li (0: r
'Phone # ( ) River Basin -CAM- A r-
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Adj. Wtr. Body—CA� 10 ' nat an (un
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Closest Maj. Wtr. Body ,—�(
UJ r\ . H C� A :�!.
A building permit maybe required by: T W (—\
Notes/ Special Conditions J)t k k C ov\A'. -V t t-) r-\ c. r P
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(Scale:.: N t)
❑ See note on back regarding River Basin rules. I
K Ids
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or Applicant Printed Nalpe
.,
Permit Offi 's Signature
Signature *' PI read compliance stateme
n back of permit*,*
Issuing Date,,.,,
•�? `
Expiration Date
ApPlication
Check #
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Local Planrnn u action #,.
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�'�RoverFilefJame
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