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HomeMy WebLinkAboutGP67359A_General Permit_20180301d�CAMA / DREDGE & FILL l`, I'�� .. GENERAL PERMIT {A B C D Previous permit# ❑New [-]Modification QComplete Reissue ❑Partial Reissue Date previous permit issued t : I C/` As authorized by the State of North Carolina, Department of Environment and Natural Resources idI i. and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC ^ Applicant Name r to,V c,, %� , i I cy r f L`'] Rules attached Project Location: County 17J i Address j' i T�'rw % l / Street Address/ State Road/ Lot #(s) ol,s `r 7/ City K r // D-Elt State A)C zip �`%�/<SS / % a' t3' %:"}, ,1 -rx I Phone # (L5 2) r/ f,[ '/�' S^c/ E-Mail Subdivision r la'r I Authorized Agent City zip .%7 % 1-/ j' ❑CW MEW [SPTA MES ❑PTS Phone ( ) RIVer BaslnlTi /'r, /Alt�.� Affected O OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A I AEC(s): f @ /unkn) Adj. Wtr. Body /(' .'0,, 4 ' 7/'fv''IA,i 1 (nat A6E ORW: yes / 1p4� PNA yes / e o) Closest Maj. Wtr. Body Type of Project/ Activity r ",,c -j' % �) c;�a•' �;�, l�'� ��og pJ •^f Cft' I (Scale, l „ Pier( dock) length Fixe Float Fing Groi Bulk Basi Boat Boat Beac Oth Shor SAV Mor Phot Wain d n Platform(s) - / -- --- ----- - - -- � ing Platform(s) ti er pier(s) i n length number head/ I�iprap length. '< '1 __ _. i _._.... ............. __. __ _.-_._.._ !...._ _..._._, I .I. _.. avg distance offshore 21- max distance offshore ,IMP T , channel cubic yards L, rampr e•rlC, .�zo \'% �� ,r "f'�t,.— — .. 4t V 1 house/Boatlih J- h Bulldozing — — — "�"-•-�-•n i dine Lengthnot sure yes 666) ._.� �. _. __ —L _ _ —� itormm: to/a yes no '.[ >Atf� �._.-...._.., j. ._. as: Cy€_s> no r er Attached' a"+fn. A building permit maybe required by: ��, .(}c"V/ / ?r' do ( Note Local Planning jurisdiction I / Notes/ Special Conditions r, /Ll�' C )ClSair�e FiUlr)Cr,� r ,l�q Agent or Applicant Pri/nted Name PermitOffi Signature *s` Please read corinpliance statement on back of permit Signature Application Fee(s). Check# Issuing Da 10 See note on back regarding River Basin rules. I rYamy A building permit maybe required by: ��, .(}c"V/ / ?r' do ( Note Local Planning jurisdiction I / Notes/ Special Conditions r, /Ll�' C )ClSair�e FiUlr)Cr,� r ,l�q Agent or Applicant Pri/nted Name PermitOffi Signature *s` Please read corinpliance statement on back of permit Signature Application Fee(s). Check# Issuing Da 10 See note on back regarding River Basin rules. I rYamy