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40308_SCUDDER, SAMUEL_20041026
1�1-dAn4A / — DREDGE & FILL dENEPAL PERMIT flew ❑Modification Complete Reissue `.Partial Reissue 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 S'• "/ s-: —4t.- N° Previous permit # 1 nnv /A Date previous permit issued A � Applicant Name y� Project Location: County 7�ifrules attached. n'_ Address Street Address/ State Road/ Lot #(s) City i State NC ZIP a� '0 �-1 ..L�fJ, �1 '- Phone # ` i� Fax # 9 .H� %n c l-u ` L- '; (�) () Subdivision � Authorized Agent Affected ❑ CWA AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ PWS: ❑ FC: ORW: yes / Qo PNA yes / no Crit. Hab. yes / no ❑ ES ❑ PTS ❑ UBA ❑ N/A 40308 City �y'' i n'r L ZIP��l// 1 b Phone # ( ) River Basin ✓y`'� Adj. Wtr. Body 3`'\`i`/ �`�, � man unkn Closest Maj. Wtr. Body Type of Project/ Activity U y Cs�' ��fi (7` 7 ! i A C��`J �/cc�IJ7o✓o�rr.r�l i-, �i �y� `�i �d'�% �'+^ �,y f'ja <t O �/1 ��� CC��+'�r'sO f�S v.u-�<<'/ ��''`N` Cn.:i � �'� •/1 f ! fbCs[�"(; .S `�'v J,r �eA. 'li� s.3'/�'+J J i (Scale: /V �•� ) Pier (dock) length Platform(s) r k o' N71 S"Xi a' . ; c ✓z r Finger pier(s) �f'X 3' �c yn J 0 Groin length number Bulkhead/ Riprap length avg distance offshore — max distance offshore Basin, channel -- - -- - — Ic cubic yards Boat ramp — Boathouse/ Boatlift Beach Bulldozing Other_- Shoreline Len h 1 V W �PZ SAV: not sure yes no- S�L!7°� Sandbags: not sure yes Moratorium: n/a yes Photos: yes n Waiver Attached: yes A building permit may be required by: �y� �� ' , See note on back regarding River Basin rules. Notes/ Special Conditions �`'r� Jf� �� r's'✓ n/'f�"t!,. (I'sr. a�Jai�'_f fm-J i'(./�fa'y An��% 1 YJ�y'`e_. a I% /lr�' Cd ,I' "-✓" �^ �„rif •• y({ �,f; �i� h �.T'(r,/:`'7V loo,f yi J C ''�J'"oc b(r iic J ,�z� ' % �tcc�f o✓e wry,. �h yYt„�: f,�.yf ir��z, U o' jC t/k, tIa'S--, J Agent or _r/bo. ao Application Fee(s) one emitO Kr'sSignature 7- �-- compliance statement on back of permit Issuing Date Expiration Date J©ay C.,,,� //V1 /0a61�� Check# Local Planning,lurisdiction Rover File Name