3792_SMITH, MILLARD_20040819

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CAfi/IA / /DREDGE & FILL 1V? 3792
JUN 2 9 2005
=NERAL PERMIT Previous permit #
❑New -'Modification .Complete Reissue ❑Partial Reissue nn n�ate previous permit issued
As authorized by the State of North Carolina, Department of EnvirAWreNe1FQ-b11DC1 r jI�� f pz�
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 7 f7 [ , ( ,
❑ Ruleslattached.
Applicant Name m i u,A q g mw Project Location: County �S�C�) —
Address i �( n YMCA Street Address/ State Road/ Lot #(s) jtri�,(J /�'fs%L��Z L�__.
City J fte State ZIP7 —, k� Psu eL)
Phone # () Fax # (
Authorized Agent
VCW
VfW [ PTA SWS Ci PTS
Affected
❑ OEA
HHF ElIH ❑ USA ElN/A
AEC(s):
❑ PWS:
QFC:
ORW: 1' y / no
PNA yes / l / Crit. Hab. yes / no
Type of Project/ Activity
Pier (dock) length "6
Platform(s)
Finger pier(s)
Groin length
number
t
ulkhead/ iprap length
avg distance offshore
1
max distance offshore -_
Basin, hannel� c 504 - S1
Q'Y7t'x -3
cubic yards
Boat ramp
Boathous Boatl' /Z, X. / �.
Beach Bulldozing
Other
r
Shoreline Length
SAV: not sure
yes
Sandbags: not sure
yes
Moratorium: n/a
yes
a
Photos:
�y no
Waiver Attached:
, no - ---
A building permit may be required by:
Notes/ Special Conditions
i/
Agent or
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Subdivision
City '54Zo(4's5 1464— Z!P
Phone # (_ )— River Basin
Adj. Wtr. Body
Closest Maj. Wtr. Body
0
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4-
Scale: 1. J�
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3
EXIS�rrr1G nocK --
W
3'
64 it % /� PILY -7 See note on back regarding River Basin rules.
(Gs 7-0 46- &'m � �/Jt� 3�' �r!�►'� %�%lt�r1 /r-'11 sly. — k�'
Permit
gnatA ** Pleige read compliance statement on back of permit ' issuing LJ4LCI I ^r - V - -