40306_PIGFORD, TURNER_20041026

DEC-15-2004 14:22 FROM:EDDY MYERS REAL ESTA 2527281310 TO:2473330 P.3
I cAiV�3t(7iIDREDOE & FILL
7��
N? 40306
GENERAL PERMIT
�
-C,
Previous "''IIA
N'Qew I (Modification I (Complete Reissue I IPartial
permit #
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 I SA NCAC
' url�P� �r>RulFs
attached.
A
Applicant Name
PP _ .
Project Location: County
Address - - ---
Street Address( State Road/ Lot #(s) �-
.� ,1`%S?-0
City A /' ZIP
,f /
%
,State
Phone # aft) _ _ Fax # ( } r
Subdivision
—
Authorized Agent ��" l �'1 ��
__ ---�--
�,C,- , -4-
City 1 ZIP_.
Affected IOCw E3fW R-OYA I IES 1 1PTS
Phone # { ) River Basin
AEC s : 1-1 OEA ( I HHF I i IH 1 URA I f N/A
{)
,., 1 hV
Adj. Wtr. Body '" �`t!� Z/man /unkn)
��
1-1 PWS: I IFC:
ORW: yes / n® PNA yes / no Crit. Hab. yes / no
Closest Maj. Wtr. Body _" J%c` t�� �^" 4
Type of Project/ Activity
Pier (dock) lengtth���ry 1 `1
Platform(s), I�'jr_IA of
Finger pier(s)C� /
Groin length ---- --
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel `—
cubic yards
Boat ramp „ 7 ,
Boathouse/ oatlif
61!
rl-lc�c1%
Beach Bulldozing
Other_} e)rc
Shoreline Length
SAM not sure yes f,
Sandbags: not sure yes
Moratorium: n/a yes < — d
Photos: yes o
Waiver Attached: y no
A building permit may a required by:
Notes/ Special Conditions Cy - n/t' ` �)ix< <<,�/ A ,-e,- r\^,-,l
j,.. 'j � t «�� �„ 1 /Y�� /� ems, ,
(State:
_ ( ee note on back regarding River Basin ryles.
V14"Jil- f u'•: y,,,� ✓I�t,%� 6111 64'-b a^`^ :,If All.,,f- 2 /T',�r-r—
Agento Appllcant'Pr4ntedNam�e�-E-✓� �r - -- --
Sig ture 'Pease read compliance statem ton ck of permit **
Ap o. 00
Application Fee(s) Check #
Pe It�Or's gnature
bsuing Date Expiration Date
of (O OD- 61M
Local Planningjurisdiction Rover File Name