GP68750A_General Permit_20180307

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ry7CAWA—/ ❑DREDGE &FILL
iar B C D
NERAL PERMIT Previous 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 !6
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
® Rules attached.
Applicant Name_ (I f` f k.) C : 0 v P r � '�Y" Project Location: County C)n re -
Address P. j�}I X f P 7) Street Address/ State Road/ Lot #(s)
City ii"I<%A40e> State ij(.; ZIP zr�r'{'"� Jdlir ?ot t, is Lrtn�
c r... [ t <
Phone# (�)_�${� �,"L9 of E-Mail dd�+ K"rts� 7 i rcvNtiV}oor29Subdivision
Authorized Agent ,rr j'F'miC le,n� r,At.�inr {nti', city 01".aPt"If'Q ZIP 5y
❑ CW O.EW O PTA MES Q PTS
Affected AEC(s): ❑ OEA ❑ HHF ❑ IH ElUBA ElN/A
❑ PWS:
ORW: yes /t;oo",.b PNA yes C'nbj
Phone # ( ) River Basin
Adj. Wtr.
Closest Maj. Wtr. Body
at)man junkt
u r�'
Type of project/Activity {z("tY�`x'�t`tr,-(:`4�
f
y
2'5
7.
qr'c,IA`S
Ir+ = ti01
(Scale:
Pier (dock) length
Fixed Platform(s)
rl
Floating Platform(s) "
r,
Finger pier(s)
Groin length ;�7•, r
_
number
.5
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel "'
X
kit
fYs
-
_
cubic yards
r
Boat ramp
Boathouse/ Boatlift
n
r
Beach Bulldozing
..,
......
-..--
_..
_..-
._...._(`._..
.._
,.......
Other._;_.
l
r
..._...
.. ....
._.e
,.:
...
j.
...._
.�
....._..
.�....:.._..._
i 50 r
Shoreline Length
,
SAV: not sure yes ;noi
�_
(.
f
Moratorium „p/a) es no
Photos: r" yes} n--oyy
Waiver Attached: yes (no;y
A building permit may be required by:
11
�,rit.r'f:,.
❑ See note on back regarding River Basin rules.
( Note Local Planning jurisdiction)
-Notes/Special Conditions
-s'oii91
( nJ fi^/'ooA
NWL
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Agent or Applicant Printed
Name
Signature Please read compliance statement on back of permit'**
Application Fee(s) :
Check#
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l _.0 61 A., I C. i'I V-L� r,'jYF'y�
Permit Off}cer's Printed Name �ry
Signature
JAI11s, 42