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Home My WebLink About41393_HARRIS, JOSEPH_20050526f�CAMA / ❑ D'IEDGE & FILL GENERAL PERMIT � � ' Previous permit —New Modification JComplete Reiss al Reissue Date previous permit issued As authorized by the State of North Carolina, Departmen of Environment a Natural Resources and the Coastal Resources Commission in an area of envi onmental concern p suant to I SA NCAC f. Rules attached. Applicant Name T"�" ' �'� ` Project Location: County Address Street Address/ State Road/ Lot #(s) City State' Phone # O - Fax # ( ) Subdivision Authorized Agent City ZIP C CW BIEW [!I -PTA ❑ ES ❑ PTS Phone # Affected ' () River Basin AEC S : ❑ OEA ❑ HHF ElIH ❑ UBA ❑ N/A f � ; Y Ad'. Wtr. Bod ,r ' j ❑ PWS: ❑FC: I y nat,/man /unkn) ORW: yes / not PNA ye f / no Crit. Hab. yes / no Closest Maj. Wtr. Body Type of Project/ Activity -- 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/ Boatlift Beach Bulldozing Other - L i ' i 1 Shoreline Length SAM not sure e- no -- Sandbags: not sure yes 69 i Moratorium: n/a yes -a" --- Photos: yes no,, Waiver Attached: yes (—no' A building permit may be required by: ffTSee note on back regarding River Basin rules. Notes/ Special Conditions Agent or Applicant Printed Name Permit Office sSignature Signature Please read compliance statement on back ofperm�*t ** Issuing.Date Application Fee(s) rtie, & A Local Plnnnina luriarlirri— % Expiration. Pate ti o_.._-rn_ ..___