58405_BIGGS, CAROLYN_20111007

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XCAMA / El DREDGE & FILL Hw e � L-3 n e I Y�ne 1� ��.77
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GENERAL PERMIT nCT 2 4 ?011 Previous permit # 0i 5 4 (v 1 - _
XNew OModification ❑Complete Reissue ❑Partial Reissue Date previous permit issued y 1,21
As authorized by the State of North Carolina, Department of Environment and Natura), ��,%q�ges__"
and the Coastal Resources Commission in an area of environmental concern pursuant to $`A NCAC �'� rJ
/' ` NRules attached.
Applicant Name l 2 i Project Location: County W aShy n a+t' 1
Address 2.1 1 3 i q Q 5 rk Street Address/ State Road/ Lot #(s) �j
City �'L7+/�1i/1 State_ ZIP i tv R 5t 113 � '5
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Phone # (35; qAa - 8a;Tax # C --t- Subdivision
Authorized Agent City ZIP 2y
Affected ❑ CW SEW :.PTA 9 ES L PTS Phone # ( -}- River Basin r)
AEC(s): ❑ oEA ❑ HHF ❑ IH O UBA ❑ N/A Adj. Wtr. Body ! � 11 nat man unkn
❑ PWS: ❑FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body A � I Darn � r l e — w h Cl
Type of Project/ Activity tiL
Pier (dock) length Ix�,
Platforms) (G
Finger pier(s)
Groin length --
number_
Bulkhead/ Riprap length —
avg distance offshore_'
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatliftt
Beach Bulldozing
Other Y)
Shoreline Length
SAV: not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yesno
Waiver Attached: es
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A building permit may e required by:
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❑ See note on backregardingRiver Basin rules.
Notes/Special Conditions
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Agent or nt Pr ted NameJ?
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Permit0 Icer's Sign lure
S' ature Please rea compliance statement o back of permit *�
Issuing Date
Expiration Date
waiyed
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Application Fee(s)
Check #
Local Pfannin& u 'sdiction
I
Rover File Name