40473_WRENN, CHRIS_20050421

0CAMA / ❑ DREDGE & FILL w' 4 ! 73
GENERAL PERMIT Previous permit #6
UNew Modification L]Complete Reissue ❑Partial Reissue Date permit ermit issued
P
As authorized by the State of North Carolina, Department of Environment and Natural Resources f .
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
0 Rules attached.
Applicant Name Project Location: County .P✓�5—'ele1� r' .
Address t .�,L.' l Fi, Street Address/ State Road/ Lot #(s)
City `. 1, 14 ,< r~a States ZIP _ ®`/
Phone # O P~.(�'7 7 Fax # ( ) Subdivision
Authorized Agent City ZIP
Affected ❑ CW ❑ EW © PTA Ef gS " ❑ PTS
AEC(s): l OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
1 _ PWS: FC:
ORW: yes / .no - PNA yes / no., Crit. Hab. yes / no
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/Boatiih /-Z x�?
Beach Bulldozing
Other
Shoreline Length
SAM not sure yes rno
Sandbags: not sure yes Moratorium: n/a yes Photos: yes
Waiver Attached: yes QQ./
A building permit may be required by:
Notes/ Special Conditions
Agent or Applicant Printed Name
Phone # ( ) River Basin f-ex
Adj. Wtr. Body (nat 'an /unkn)
Closest Maj. Wtr. Body �'✓�`
(Scale:
i* /? See note on back regarding River Basin rules.
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
Fevtnit Utticer's Signature
Issuing Date
Date
IfExppi)tion
ocal Planning Jurisdiction
Rover File Name

Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become
null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The
applicant certifies by signing this permit that 1) prior to undertaking any activities authorized by this permit, the applicant will
confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian
landowner(s) .
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certifythat this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project: