HomeMy WebLinkAbout58788_DENMARK, JEFF_2012052311-CAMA / ❑ DREDGE & FILL
GENET J ,, MIT Previous permit #
{ New odificati6 ❑Complete Reissue El Partial Reissue Date previous permit issued
As authorized by the State o orth Carolina, Department of Environment and Natural Resources &
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
F&Rules attached.
Applicant Name"' Project Location: County CAo
Address 11 VP
City_ 1L StateNC, zip"?-7979
Phone # Fax # ( )
Authorized Agent
Affected ❑CW Q�W QPTA
AEC(s): El OEA ❑ HHF O IH
❑ PWS: ❑FC:
ORW: yes /-no PNA yes /
Type of Project/ Activity
Pier ((doyk) length (0 o4 r,'L/
Platforms} � t'
FInger
i.(-) G
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathou / Boatlift
r„lei
Beach Bulldozing
Other__
Shoreline Length 0
SAV: not sure
yes o
Sandbags: not sure
yes n
Moratorium: n/a
yes n
Photos:
a no
Waiver Attached:
yes no
❑ ES ❑ PTS
❑ UBA ❑ N/A
Crit.Hab. yes /0
Street Address/ State Road/ Lot #(s)
107 :5*'Q bA,
Subdivision
City} zip-j 7/
Phone # O River Basin
Adj. Wtr. Body # i ,+�+' t 4 $b/man /unkn)
Closest Maj. Wtr. Body
iL
(Scale: )
t -.
N
0
ONE
N1gON
i
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A building permit may be required by:��
Notes/ Special Conditions
Agent or Appli rinte '2
Signatures "ease r compliance statement on back of permit �
$j i, D 3
Application Fee(s) Check #
TT
❑ See note on back regarding River Basin rules.
PermitORicer's
9
Issuing Date
Local Planning)unsdiction Rover File Name