40955_SCUDDER, SAMUEL_20050207 (2)

"C MA / ❑ DREDGE & FILL 1V? 40955
GENERAL PERMIT Previous permit # V 0 30 �" c
LINew ' O+Modification Complete Reissue ❑Partial 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 NC -AC
r f �C' �Q uleattached.
Applicant Name �/� ` "�` I Project Location: County�a
Address � �"�
JJ Str
eet Address/`State Road/ Lot # s
City State CZIP l3 34t t�1 L ^
Phone # ((i } �'f 2 —""'Fax # (`) Subdivision
Nr f` .
Authorized Agent I — City"' i ZIP
Affected ElCW'0` ElES ❑ PTS Phone # (�) River pre"',1:'-
AEC s : ❑ El HHF IH ❑ UBA ❑ N/A j n a c
ElPWS: ❑FC: Adj. Wtr. Body l% at /man /unkn
3Body—
Type
ORW: yes / no PNA ye ///no Crit. Halb. yes / no Closest Maj. Wtr.
of Project/ Activity C� rlJ'l/�t fi 0 x -7 % /'1 c �c'` i� ( A( C p ✓�'�' ^rJ�. �C �c �' ' X <
C✓�`f� n .s/' � (.� f�r� d e" ✓k/- �n+74 ail � � � '�l'/3' � }� fc , 3 �t
. (Scale: �� A')
Pier (dock) length 6 X7� ` Ic�c--_/^f �ecteJl cvU rlA
Platform(s) X X l C" ✓rr
Finger pier(s) i
J6✓iac� ---
Groin length
number - -- ----
Bulkhead/ Riprap length
i
avg distance offshore
J
max distance offshore � 4;a
Basin, channel
cubic yards
Boat ramp b4:r
(`fJ
Boathouse/ Boatlift l3 X/
,v
eJ
Beach Bulldozing` c 1.3 "X
1 3 ' n r
Other 6r nut fl-
Shoreline Length j I �` Y �� tv^L
SAV: Y
not sure es no `Y./ Vl - -- - .. r /Z
Sandbags: not sure yes 0
Moratorium: n/a yes o j A
Photos: yes pr. P-
Waiver Attached: yes
A building permit maybe required by: �e rei� a ,ee note on back regarding River Basin rules.
Notes/ Special Conditions ��I``�z I% "0^-' G- •� fi1� �aco.� ! j �� �, a�l
�>'V-�,,-.� 3�II'' 6 � �t�`�'f- �, 1��.✓ ��;,� °/ 'G�C.dci � �..�-�-fi�'•,�✓f� f� lJ �'"-�`�e.
00 IY tiaa�l�f�f 1�/w. YZ< ufJ' u� -t-
Signatur easyreoe'or ceA4ltt enton a permit ;
�� 1���
Application Fee(s) Check #
Permit Offic ignature
) — -7 --o f�
Issuing Dater Expiration Date
141( a ;1- G' /e/4
Local Planning Jurisdiction
Rover File Name