68393_Bulkhead_20171003

Fixes
Flom
Fing
Groi
Bulk
Basi
Boat
Boat
Bea(
Othi
Shor
SAV:
Mom
Ohot
Waive
Platform( t)
s
length
number
ONE
mom
M
avg distance offshore
Y
max- distance offshore
ON
mom
NNE
W
M
NNE
M
mom
i,channel
mom
0011
mom
[oil
cubic yards
No
14-0
E
No
ramp
No
0
0
ON
ONE
'louse/ Boatlift
mom
NO
ME
ME
-71
Was.
SAM
No
OIL,
M
No
ME
NO
man
MEME
EN
,torium n/a yes
f ,
A building permit may be required by: See note on back regarding River Basin rules `
( Note Local Planning Jurisdiction)
Notes/ Special Conditions
.� c:-
roar
Agent or Applicant Printed Name .
Signature Please read compliance statementi on back of permit
Application Fee(s) Check#
PermifOfficer' �rinted Name
Signature 7 „ 4
/ T t.ti`%:1
Issuing Date Expirati. Pn Date <;'.