HomeMy WebLinkAboutGP68672A_General Permit_20180313Ji
. MA / ElDREDGE & FILL
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7GE�NERAL PERMIT
Previous permit#
❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
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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 I SA NCAC l'? % le'e'Q
:VRules attached.
Applicant Name y< udli.r 4 IJ 1` d
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Project Location: County j "e o, ' 4dd,.a>; vr. /r
Address i.",i
Street Address/ State Road/ Lot #(s)
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Citylir'lat/hate ZIP
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4f_..4-4/ 'I
Phone # ('7`:j7) - '� '. ""`%Sf.Y E-Mail
Subdivision
Authorized Agent c90"Z
City 1&%, /i`rlt?o ZIP „e7eM.:�6c
❑ CW []Ew RPrA ❑ ES ❑ PTS
Phone # ),'�t River Basin pl.� cll dll/<
Affected
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
AEC(s):
'
Adj. Wtr. Body7 f C:: (fat /man /unkn)
❑PWS:
Closest Maj. Wtr. Body
ORW: yesi) / no PNA yes) / no
Type of Project/ Activity
g
6
(Scale: / "� SG'' )
(dock) length /
I Platforms 1c),
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_ —
_
—
1F_
ng Platform(s)
r
w pier(s)
,,,,
r_.._-
ilength
w
cif
.,.,.
number
r
It
lead/ Riprap length
,.__..
i�l
C
I
avg distance offshore
max distance offshore
i,channel
l
--.._.
r
cubic yards
ramp
louse/ Boadift
h Bulldozing
--
—
—�
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---
-{-
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_
.line Length'11. / ^ v';
not sure fye;, no
q
11
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torium: tFdi%%3 yes nC
Ds:ye no
er Attached: yes no
A building permit may be required by: tc bp',.;'lldH;/, of✓f/ C
( Note Local Planning Jurisdiction) `
Notes/ Special Conditions
❑ See note on back regarding River Basin rules.
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Agent. or Applicant Printed Name Permit Officer's Printed Name
1
Signature 'rs'Pleasereadct'mplmnce statement on back of permit" Signature
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Application Fee(s) Check# Issuing Date ��. Expmatior