GP68668A_General Permit_20180313

VCAMA &FILL
REDGE
®GENE PERMIT
A B C D
Previous permit #
WoNew 11 di I' ation L1 Complete Reissue 71 Partial Reissue Date previous permit issued
As authorized by the Sta orth Carolina, Department of Environment and Natural Resources
and the Coastal Resources Commission in an area of environmental concern pursuant
to 1 SA NCAC 0-7
❑ Rules attached.
Applicant Name i t� C=>C>T —
Project Location: County 1A, J A�
Address S"a 11 f- ) 0 0
Street Address/ State Road/ Lot #(s)IjAr
CI ty 0,-4 State N r- ZIP C
P ' 'Z
el
Phone # lb�G E-Mail hL.)WIL?�r�7 11'."6f 'Aw'
Subdivision
Authorized Agent 6LAN) (KILI
city ZIP
Affected 0 CW El EW &4TA ' EIII WIPTS
on
Phone # River Basin fAr-ta-o AA
El OEA LIHHF LIIH EI USA 71 N/A
AIEC(s):
Adj. Wtr. Body 1J fr. (nat /man /unkn)
Ll PWS:
ORW: yes (51 PNA yes / no
Closest Maj. Wtr. Body AAArL­Is ('t , Q- I
Type of Project/ Activityp�OA("Ali .T
of f \VSrl rl-tj Nhi­) 76"L Y, 30'v, Y,
ks-t>54*'(TAA LIN, (Scale: /A
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Groin length
T4
11
number
Bulkhead/ .!pm�lengtlh %i
A
ayg distance offshore
max distance offshore
TT F-t
r
--
--
--
Basin, channel
L
I
I
—
—
—
—
—
—
—
—
—
—
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Othert#�bm A 76,1V
I-T
�Qo I
Shoreline Len"gth
---TTF F-TF1
SAM not sure yes no
Moratorium: n/a no
Photos: yejJ.. no
Waiver Attached: yes (Z
L
A building permit may be required by:
Wk; 0 1 N 6 T o OJ El See note on back regarding River Basin rules.
( Note Local Planning jurisdiction)
Notes/ Special Condition &zls!k:a"Ir'c"s
k" X C f VA f V" A, I
Irk-7-- l:7 t
Agent or Applicant Printed Name
Signature *hPlease read compliance statement on back of permit"
.6 In - - -� 1-11] 6'> 1
Application Feels) Check#
PermitOfficer's Printed Name
Signature
31,7 -7 hu)o
Issuing"I Expirdtion Date