HomeMy WebLinkAbout68606_General Permit_20180126Q(iCAMA / ❑ DREDGE & FILL n, e
GENERAL PERMIT Previous permit#
P3New [-]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 15A NCAC 1-4.., { j. 15
Rules attached.
Applicant Name 12,61 ✓A u"' Project Location: County
Address i','> t?„_, ; I L, f; Street Address/ State Road/ Lot #(s) Jr;:<
Cityk f b , ,- , Y State r):. ZIP �A '110 fj ) ai 0(A
Phone # E-Mail
Authorized Agent
Affected ❑ CW NEW A PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
ORW: yes /�h"') PNA yes
Type of Project/ Activity A'A
')
Pier (dock) length \
Fixed Platform(s)
Floating Platform(s)
Fingerpier(s).
Groin length
number
Bulkhead/ Ripraplength
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Shoreline Length
I (q
SAV: not sure
yes
Pno�'
Moratorium �"'n/a)
yes
no
Photos:,yesr
no
Waiver Attached
yes
r
Subdivision
City Po rr I tkul ZI P '1 `�''iG-
Phone # O River Basin I
Adj. Wtr. Body Ai Ice,+ >r,. / i e FS,:=.. i,l Y&t",man /unkn)
Closest Maj. Wtr. Body A lia'Iw � 1 r
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A building permit may be required by: .. V v r. "1 fSee note on back regarding River Basin rules.
( Note Local Planning jurisdiction)
Notes/ Special Conditions {' ,1 c^ 1 {� r r ":u , �. ' f r^ r' - -• l i� v • �) , i o rf) -1- ^, t s '£
a
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Agent or Applicant in&d Name PermitOfficer's PnntedN£ame 1
Signature *"Please read compliance statement onback of permit" Sigfiai:ure
nt;Ntlf::>.("'i.5
Application Fee(s) "Check#:'.. .Issuing Date Expiration Date