Fisher 68046 FLORENCE

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GENERAL PERMIT Previous permit# 'r� V B C D
New Modification Complete Reissue Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources ') qv.‘,..)
`and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC Win(` (0 (.J .
�( • ❑ les attached. i
Applicant Name ' 1 f iuv Project Location: Countyr1/ V l n �lti` dL
Address \ , .`\ 'Y NY Street Address/State Road/ Lot#(s)
CityL� t i'N..^* ;v State ZIP ' V`�
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Phone # 1U) -Mail Subdivision q `` 1
Authorized Agent City e� V���Y� \ '� ZIP (l `y��yf 1
Affected CW ❑EW ❑PTA ❑ES ❑PTS Phone# (- ) River Basin ` "' 1C,
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
AEC(s): Adj.Wtr. Body (.._,_ �� `at an /unkn)
❑ PWS:
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ORW: yes / no I PNA yes / no
Type of Project/Activity Closest Maj.Wtr. Body
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tivitnn /J� � \jilj i L'. t��--�"��tr� C.,t`` r
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Pier(dock)length 'I w
Fixed Platforms
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Floating Platform(s)
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EfIengt
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avg distance offshore II
max distance offshore
Basin,channel
cubic yard• HIKiIHhHIHIII" 11 IIII I-Boat ramp ...1....... R U•
1111111111.11111111111.11111111111111111=11111 •■■■•�■■�■■�•■
Boathouse/ =oatlift
li111111111111111111611„JX1*uu...a. uuR..
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Beach : Ildozing 1111111
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Shoreline Length : j) LlliuItk!!IIUullUMIPiiiiiI!!
not sure n IUU�� •clig
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SAV: yes • MI PI 1 vv, i 1 ,, 1
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Moratorium: n a yes
Photos: yes O i
i-t II II
Waiver Attached: yes q 1 )''
A building permit may be required by: Nj` V 1(�)AN L See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) II n
Notes/ Co itions L V\(t •i',.- m v�J{ rs y.whivatiet,,,, ui," � it f 0� VV\ 0 ' . ttiN 0(C��� � ��, yr Q ,nI: inti Vr. �t c;\JJ GZ � 1 .. . i
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Agent or Applicant Priced ----Name t PermiYCfficer's Printte,.Name /
„./ 1 ,....
Sig ture Please read compliance statement on back o if'l"� Signa
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Application Fee(s) I Check# Issuin ate xpirati Date