HomeMy WebLinkAboutGP67359A_General Permit_20180301d�CAMA / DREDGE & FILL
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GENERAL PERMIT
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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
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i. and the Coastal Resources Commission in an area of environmental concern pursuant
to I SA NCAC
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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
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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-/
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❑CW MEW [SPTA MES ❑PTS
Phone ( ) RIVer BaslnlTi /'r, /Alt�.�
Affected O OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
I AEC(s):
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@ /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'
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(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
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dine Lengthnot sure yes 666) ._.� �. _. __ —L _ _ —�
itormm: to/a yes no '.[ >Atf� �._.-...._.., j. ._.
as: Cy€_s> no
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er Attached' a"+fn.
A building permit maybe required by: ��, .(}c"V/ / ?r' do
( Note Local Planning jurisdiction I /
Notes/ Special Conditions
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/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