GP68669A_General Permit_20180322

A/ ❑ DREDGE & FILL A B C D
GENERAL PERMIT Previous permit #
WNeW ❑Modification. ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina,. Department of Environment and Natural Resources �..� �1 n N 6Cl G>
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
❑ Rules attached.
Applicant Name . gg C f.;sag Project Location: County w .
Address Street Address/ State Road/ Lot #(Sp4C
City f f,). CC.mY State h1u° ZIP,�1"!�' �E&jen gt! ��11 tc,r ✓ 4a�( Gffr�f (�„+ai I ,,, A
Phone # (7) `i�) ci`,i� 15fO E-Mailic Will'S r)c • ACV Subdivision
Authorized Agent (,I-LUBfL4( City ZIP d—i
❑ CW A�V , ❑ PTA VIEs ❑ PTs Phone # ( ) " " River Basin li IAI
Affected LJ OEA ❑ HHF A ❑ UBA ❑ N/A r
AEC(s): Adj. Wtr. Body f•/k"T'C0C A .-+Aq (nat /man /unkn)
❑ PWS: ri....,.�. Mn ; %A4i —1- /'ii•t.P�+>aT't,. G'C.y4 ,' ti
Agent or Applica t�Printed N mei
7ti. ",W4
Signature '*'e Ple read compliance statement on back of permit**..
fk tliYJ e Lid cs_
Application Fee(s) Check#
Permit Officer's Printed Name , 6
Signature
Issuing 4.ate I Expir &ion Date

!�'CAMA / EJDREDr3E & FILL
'A
A B C D
QENEfML PERMIT Previous perrit #
TINew YMo ification OComplete Reissue []Partial Reissue Date previous permit issued
As authorized by the State IM, Carolina, Department of Environment and Natural Resources and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC_
LJ Rules attached.
Applicant
1, J C r _.") ')
Address f,:)
City T", Statei134,
Phone # E-Mail
Authorized Agent ika 4 v"It t' iAjvl'�"
Affected [9,11EW CAW D PTA El ES El PITS
AEC(s): El OEA El HIHIF El lH E) UBA Ll N/A
D PWS:
ORW: yes !'rc;} PNA yes kld,
Project Location: County
Street Address/ State Road/ Lot #(s)
City IVAirFie"AA�'jl.ck' ZIP
Phone# River Basin ) lwa ,o a'�,
Adj. Wtr. Bod IV, 41 (nat Iman Junkin
Closest Maj. Wtr. Body A, I r. SfII I i.
Type Project/ Activity 9f
fo
IL�
r'
of
I"'d'i
'�t_�gvro-�
e"�"j
Q'-A"U",
All,
OA"t.A')Pfi
g
(Scale:
V'
A -A
Pier (dock) length
Fixed Platform(s)
Floa ting Platform(s)
T1
f
q
mi
r
'gym
—
Fing er per(s)
w
Groi n length
It.
—
—
—
—
—
—
—
—
—
—
number
4,
te
Bulk head/ Riprap length
avg distance offshore
max distance offshore ...
Basi n, channel
f
cubic yards
A
Boat ramp
�;n
Boat house/ Boatlift
Beat h Bulldozing
I)a
IL4
T-Io
tc:
T,
Vlh .r(A) 41�0
14
1
19
Shor eline Length
SAV: not sure yes 6. J
—
—
—
—
—
—
—
—
Mor atorium: n/a yes 6�0
—
—
—
—
—
—
—
—
—
-
Phot os: no
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Waiver Attached: yes f no ,
A building permit may be required
by:
%A�
note
on
back
regarding
River
Basin
rules.
re
i"/
!11v
V
Note Local Planning jurisdiction
Notes/ Special CondnJOVI f �
fi v_
At
V�
LAA�'YL A
PermitOfficer's Printed Name
Pail
`x�9
t yes'
Agent or Applic ' ani •Printed Name
Signature Please read compliance statement on backofpermit** Signature
A,
Fee(s) Check# Issuing Date Expiration Date
Application