41497_STANLEY, WALTER & ALLEN, DONALD_20050524

)tCAMA / ❑ DREDGE & FILL
GENERAL PERMIT
INew ❑Modification ❑Complete Reissue ❑Partial Reissue
As authorized by the State of North Carolina, Department of Environment pv&katt
and the Coastal Resources Commission in an area of environmental concern pursua
Previous permit #
Date previous permit issued
it Resources
to I SA NCAC t
Rules attached.
Applicant Name �Nr� Z n i� j I r r� r \f� t� t x S iAtji-t, J Proj�ct Location: County
Address ! Z5'-� J V) ") 57 Sy et Address/ State Road/ Lot #(s)
city , t E ' State N ZI P �-$ t -`- / I �) ' c 7J r1 7'�•
Phone # ( ) Fax # ( ) Subdivision O t 1> r 1 L C 4
Authorized Agent city �rLF Cit _ ZIP Z3 `l t /
Affected ❑ CW XEW )eTA LIES ❑ PTS Phone # ( ) River Basinco pl; �i a it -
El ❑ OEA ElHHF ❑ IH ElUBA El Adj. Wtr. Body �� ~~ r YD(nat ma unkn
❑ PWS: O FC:
ORW: yes / '^) PNA yes / Ak Crit. Hab. yes / no
Closest Maj. Wtr. Body
Type of Project/ Activity
Pier (dock) length
Platform(s) ; / )
Finger piers)____
Groin length
number
Bulkhead/ Riprap length_
avg distance offshore
max distance offshore
Basin. channel
cubic yards_____
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other_ _
Shoreline Length
SAV: notsure> yes no
Sandbags: not sure yes now
Moratorium: n/a yes nc
Photos: yes n¢)
Waiver Attached: <3es.,r no
A building permit may be required by:
Notes/ Special Conditions
Agent or Applicant Printed Name
f
Signature Please read compliance statement on back of permit
5 Z.r
Application Fee(s) Check #
_ r _
(Scale:
See note on back regarding River Basin rules.
. 'A i
Pernl it Officer's Signature
Issuing Date Expiration Date
Local PlanningJurisdiction Rover File Name