42708_BRAUN, RICHARD_20050921

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AMA / ❑DREDGE 8c PILL �_ N
• GENERAL PERMIT Previous permit O�i�Kew ❑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 NCAC ��
�� Yes attached.
Applicant Name C & 0 CA',A.) Project Location: County � id E;C'
Address_ Z �ty �fjrr 1 i'!� i Street Address/ State Road/ Lot #(s) l
City G r\er U�J StateA�'C ZIP 7-`? i� �C 1 ;; e- T ,';.;f
Phone # (�5 )3S`� —��y1 Fax # () Subdivision
Authorized Agent City ZIP Tc,
Affected �MW N/ ETA --#S _ M Phone # ( ) /River Basin <A i k o, �Q
AEC(s): ❑ OEA ❑ HHF ❑ IH = UBA — N/A Adj. Wtc Body t--P j�n man unkn
❑ PWs: ❑ FC:
ORW: (yes) no PNA yes / nd Crit. Hah. yes / no
Closest Maj. Win Body.
Type of Project/ Activity P e � Z ; I C"/ C/C e & S'-�C c, t.
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
Shoreline Length
—— _
tl i i, +li 1
t� -
i I i
SAV: not sure yes no
Sandbags: not sure yes no —`
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by: 1
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature Please read compliance statement on bark of permit
'
❑ See note on back regarding River Basin rules.
�cer's�Signature /
/� i
Issuing Date Expiration Date
Application Fee(s)
Check # Local Planningjurisdiction
Rover File Name