GP68671A_General Permit_20180305

CAMA / ❑ DREDGE • FILL
GENERAL PERMIT
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I-P1 6ious permit #
New ❑Modification ❑Complete Reissue
❑Partial Reissue
Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
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[4 Rules attached.
Applicant Name j<''e L iu LA lr.,(Jl f
Project Location`:
County (i2a I I-)t_AJ
Address 7Lt" J- 1 v@.`K /( I is tV Ayi:
Street Address/ State Road/ Lot #(s)
City d State L" ZIP
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Phone#(7c) ? r. —"Ins E-Mail
Subdivision
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Authorized Agent
City___(' ' M 11t
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Affected ❑CW f�C,]EW 'PTA El ❑PTS
Phone # ( )_5,
Jt1 E River Basin l i~, r;(,o t-=' AAJ I
AEC(s): ❑OEA ❑HHF ❑IH ❑UBA ❑N/A
Adj. Wtr.Body
r."';V'(u1t.Ie'rfx�r�lf nat/man/unkn)
❑ PWS
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ORW: yes /(R"o') PNA yes //fit%
Closest Maj. Wtr.
Body
Type of Project/ Activityf., { '! t 1 � Y (, ! /?� I X 1 L _R_i_ I"i F7 j) (id (z') t-{
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I)ul'uAl 1t_ ') E-,4i) .5 W' 6L 114: '.list" nt „ lft Ay T'rtttl1 (Scale.
Pier (dock) length M
Fixed Platform(s) 14.°XI
Floating Platform(s)
Finger pier(s)
Groin length
number -
- Bulkhead/ RSprap length
avg distance offshore_
max distance offshore
.Basin, channel
cubic yards
Boat ramp -
t
:Boathouse/ R!!atx 7- (7i
Beach
Other
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Shoreline Length n: I 'ti:N,,, °
SAV: not sure yes
Moratorium: tf`i/a) yes no
'Photos: iyes) no
Waiver Attached: yes no
Abuilding permit may be require
( Note Local Planning Jurisdictior
Notes/Special Conditions
regarding River Basin rules.
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Agent.or- Appljcant Printed Name PermitOfficer's Printed Name(
i
Signature ee Pleaseread compliancestate}nenton backofpermit" Signature
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Application Fee(s) `� - Check# .Issuing Date. .Expiration bate