40809_OCTAVI, DAN - ON TRADING CORP_20050329

� CAMA / F DREDGE & FILL
GENERAL PERMIT
`-New []Modification LComplete Reissue
As authorized by the State of North Carolina, Department 5P
and the Coastal Resources Commission in an area of envir nn
Applicant Name C-',t.` tic',. 0/ r• i
Address 4i� 77 r�
City--' ' Iy r ; ! ' /r is S State -�" (-zip
Phone # :fit'! Fax # (^}
f
Authorized Agent
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): a0EA ❑ HHF ❑ IH ❑ USA ❑ N/A
❑ PWS: ❑ FC:
[]Partial Re' SL
ironment and Na
al concern pursu
ORW: yes / ;hq PNA yes / lio Crit. Hab. yes
Type of Project/ Activity tc,t`r
Pier (dock) Idngth
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards_
Boatramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Previous permit #
Date previous permit issued
iral Resources
�oject
to I SA NCAC /'
CKRules attached.
Location: County C,J- Y'
treet Address/ State Road/ Lot #(s) I U
/J r I
Subdivision
City - i i) ZIP
Phone # ( ) f River Basin Y :
Asdi Wtr. Body t7 7� / �` `� �` �' (nit Oman /unkn)
Closest Maj. Wtr. Body
i
i
11
T.`
Shoreline Length v. f f /,. L y _ -• --
SAV: notsure yes ino., - -
Sandbags: not sure yes r'
Moratorium: pit/a% yes no
Photos: "yes no
Waiver Attached: yes no---i----- -- -- -
A building permit may be required by:
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature "Please read compliance statement on back of permit" V/�
Application Fee s
�) Check #
(Scale: )
i
R
i
❑ See note on back regarding River Basin rules. 1
Permit Officer's Signature
! Issuing Date Expiration Date
Local Planningjurisdiction Rover File Name