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HomeMy WebLinkAboutGP68639A_General Permit_20180322CAMA / ❑ DREDGE & FILL B C D iIERAL PERMIT Previous permit# 4 ❑New ❑Modification ❑Complete Reissue Mpartial Reissue Date previous permit issued 4 /Ik j .1orl As authorized by the State of North Carolina, Department of Environment and Natural Resourcesi and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC (']Rules attached Applicant Name_ la ;,t m l-, (7 t Si t.(,„v 0 Project Location: County 0,r,•,i,,,, Address �? d f, Street Address/ State Road/ Lot #(s)-A rxvr,v peril lr,t City V ' .I .fvcr.e !. Stated ZIP N .Phone #(��� ),�ztz_c�-to�: E-MailItna�ft{i-,v>Pnx.rt{ Subdivision Cc, cot), r.t Authorized Agent City C u r d t t ZIP}' ElCW NEW IXPTA ❑ES ❑PTS Phone# O River Basin i'e,",A,ac Affected ElOEA AEC s : ElHHF ❑ IH ❑ USA ❑ N/A ,y Ad'I . Wtr. Bod c,,,<.I ' r , ; i� �.,,{ I-; 11r,., �+ fi.. �, (nat /rfi`an / ) unkn ORW: yes / '1q,) PNA yesrrria.' ../ Closest Maj. Wtr. Body ` Typo of_Peoipct/ Activity,— &ea l 4S o w,, f ._ (Scale: Pier (dock) length — Fixed Platform(s) - - - - FloatingPlatform(s .Finger pier(s) Groin length number Bulkhead/ Riprap length i yyy avg distance offshore r _ max distance offshore Basin, channel cubicyards / j Boat ramp ¢ortiousc/t Boatl;iL���f1 tf 61. �. IIfW `. �~� „•t;, - -- { Beach Bulldozing Is Other ; r y f Shoreline Length p�t7 N I U P SAV: notsure yes no F.+" _ Moratorium: n/a yes noo Photos: yes no Waiver Attached: -.yes. no A building permit: may be required by: t , .,t �d. . ❑ See note on back regarding River Basin rules:. (. Note Local Planning Jurisdiction) Notes/special Conditions. ( 80s, i `✓,r. iU„1, �iii „c ,, -7ntG ax,A..e,i I eneu 4+„ ., ,J n{,- f, tit ,+.c; -; t°irlq,tvtdwr� lT.wn4le L%�11f �a IIII i]r4. Y)44 i�1.� 4'� teA � i� J Agent or Applicant Printed,Namo' ease'read compliance statement on backofpermit" .Signature 's`Pl� Application Fee(s) Check#. F M1 Permit Officers Printed Name "-- Signat ure Issuing Date ';Expiration Date