70501 VOID_General Permit_20180801

• CAMA / _IDREDGE & FILL
V 7050 A B C D
GENERAL PERMIT Previous permit#
>'( ❑New —Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality + , n
and the Coastal Resour es Commissipn in an area of e v'ronmental concern pursuant to ISA NCAC n �ffJ6`
n 1 i, Rules attached.
Applicant Name £ 7 Project Location: County VFW ) `f
Address / �✓ • — Street Address/State Road/Lot#(s)
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City ■ At A Ii State NUZIP X‘in 0 0 Y
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Phone# ( ) Idill -Mai Subdivi ' n ,--
IP
Authorized Agent ' City 40k...4\61 ZIP
Affected ❑CW ❑EW ❑PTA ❑ES ❑PTS Phone# ( ) River Basin
AEC(s): ❑oEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body (nat /man /unkn)
❑ PWS:
ORW: yes / no PNA yes / no Closest Maj.Wtr. Body
Type of Project/Activity
(Scale: )
Pier(dock)length
I
Fixed Platform(s)
Floating Platform(s) I
Finger pier(s)
Groin length Amo..—
_-- "'.
number W
Bulkhead/Riprap length
avg distance offshore
H, I&
max distance offshore
Basin,channel
•
cubic yards . _, i
Boat ramp 1
Boathouse/Boatlift „1
Wilk* .iA)i 1, 1 004"
i )
Beach Bulldozing i i �j � 11" 0� Q;% /01N1
Other 1 1 V
. ifili ,
(Arryt.X7(npe:
f l ' I i
Shoreline Length L e
SAY: not sure yes no 1 )e_04.410 K ) - .
r 1
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no 1
A building permit may be required by: n See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions
�,a A)
Agen or Applic�nt Printe Na e Permit Officer's Printed Name
S ature ** ase re compliance statement on back of permit** Signature
Application Fee(s) Check# Issuing Date Expiration Date