66749_General Permit_20180126

CRE
GE &FILLQG:NRAL PERMIT Previous perit#B c D
Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of,Environnient and Natural Resources
and the Coastal Resources Commission in an area of environmental concern pursuant to ISA NCAC ? 1., 4 s• ti5
Rules attached.
Applicant Name , 4 ,r A V.,s WProject Location: County
Address
City L' : State�o :,, ZIP ,.i eI i i't
Phone # (d x,.) :, I.'' , I a. E-Mail
Authorized Agent
Affected ❑ CW IXEW PTA ❑ ES ❑ PTS
AEC(s): . ❑ GEA ❑ HHF ❑ IH ❑ UBA ❑ NIA
❑ PWS:
ORW: yes 1 nol PNA yes /I o .
Type of Project/ Activity
I ti
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Groin length
number
Bulkhead/ Riprap length_
avg distance offshore
max distance offshon
Basin, channel ,
cubic
Boat ramp
Boathouse/
Beach Bulldozing
t
Shoreline Length
SAV: not sure
yes
Moratorium: nla)
yes
no
Photos:
, y_es %
no
Waiver Attached,
yes
rn-a
Street Address/ State Road/ Lot #(s) lr; q 04
Subdivision o Yb.h i
City r , u, ri I I i a? �, '� _ ZI P ;, 4-
Phone # ( ) River Basin f?
Adj. Wtr. Body 6)
Closest Maj. Win Body
j s C. �'Oa &...6 !,,7.t, C..�
_ (Scale: I :r P„4 0 )
MEM
NMI
IN
MEMO
ON
in
El
°i
y
I
�
III
--mill
NO
__
A building permit may be required by: ., v v . V,, r See note on back regarding River Basin rules.
Note Local Planning Jurisdiction) t
Notes/ Special. Conditions i. •'� ��' �i � `: 1 -i . r .k° r v .G a ;r.y _ ,r. � , �,y ; , ,iT, 4 . 1 . `.-1 .'t ,, _ - T . .