58929_CURRITUCK COUNTY_20111201

4 CAMA / ❑ DREDGE & FILL
RECEIVED > '.
GENERAL PERMIT Previous permit #
C New [ ]Mo� ation ❑Complete Reissue ❑Partial Reissue 7 j1, 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
Applicant Name v r,r', i uc jC (1 §>S2 YA �J
Address 7- _ cam, 1 S 3 Cav r i hum s c {Lc' 5,,,)k o t�
City „ ,r ,r , -N � Stated_ ZIP a -� 4 X,,
Phone # aOj S Fax # (_)
Exfa11.
Authorized Agent
Affected CW ElEW PTA 0 ES � PTS
AEC(s): O OEA O HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
ORW: yes / PNA yes /tno� Crit.Hab. yes / no
Rules attached.
Project Location: County C a r r: �' c k.
Street Address/ State Road/ Lot #(s) , q
Subdivision N/A
City --No'." po,•-:l ZIP_ U 6
Phone # (_) River Basin N %i o ,,,, j
Adj. Wtr. Body C& ,na 1 40 61 i,, „ 1 11 C V (nat JnJan :/unkn)
Closest Maj. Wtr. Body C u r r , Lit, k 'Sv nc�
Type d€Project/ Aetivity �;o i,.w Q)ci�rafm ��r >rul�ik%� ,,.r Lel /O h� P,cr i lu��o.v �uclkwc V
,e (dock) length J Q X (�
tfor �-
�ge►-pier(sraex3 • I+�xtia.'
Groin length a
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards_
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing �A.0
Other 4Ai c i i.va .J J
ov.r
Shoreline Length IOpc> i
SAV. not sure & no
Sandbags: not sure yes t2tD
Moratorium: (�nJD yes no
Photos: 6;? no
Waiver Attached: yes no
(Scale: I "= 40
A building permit may be required by: C—L' ✓' r , k —C. jL
❑ See note on back regarding River Basin rules.
Notes/ Special Conditions -1 N . \3 UD . LV
M I u
Agent or li , rinte ame
7"
Signature Please read co pliance statement on back of permit
Application Fee(s) Check #
a.- )^ aol I
9- 0-2ifiIi-
Issuing Date
Expiration Date
v ,r �-. �.✓ it �
�� � t3 � � %�
Local Planning Jurisdiction
Rover File Name