72222 (2)

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411❑CAMA / ❑DREDGE & FILL ,N_ i �-- -- A B C Co
GENERAL PERMIT Previous permit#
LNew —Modification LComplete Reissue Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality f-77-4-
.-
and the Coastal Resources Commission in an area of environmental concern pursuant to I5A NCAC --, Zoo
a
�) i=3les attached.
Applicant Name b . Project Location: County
Address , �70 . fi e ( e ` . �` ; Street Address/State oad/Lot#(( 7c'e
)
City \ ! U State (ziP4 7--Erg 3 `-572 ✓
Phone# .z _Mail Subdivision I
Authorized Agent .1) Q ( /LC- City _4_44ZIP r 3
. / !
Affected L CW DEW ❑PTA S ❑PTS Phone# (--j-'--' ' River Basinki A .!
AEC s : -OEA ❑HHF ❑IH ?USA ❑N/A Adj.Wtr. Body ��J S nat /unkn)
� � - PWS: V� r
ORW: es no PNA yesr,/,
Closest Maj.Wtr. Body t 6 f 0+J
Y l
Type of P oject/ ctivity - / r.,�.' . _.A _ • A„ .a...�...4s. A_/
✓ J f ►M Gvtti"I (Scale: I t.Zo )
e
Pier(dock)le : h ,.
Fixed Platform(,c• ____r__
Floating Platform(s) /�
Finger piers) - -
Groin length i .n ,, 1 L cAm....0. .k
number j�` 'v
Bulkheadprap len-
'WA.
1 I CG�
avg distance offshore / ir. _...
max distance offshojr _ ! f /ry �1�,
asin,channel ���ir� i: _ I ' (/"
--I, K o w4ti►�■i�� (l'IWV. •� ' , writ 7.,
cubic•. ds 4 00 �,�.—��� �1/�����1��1�ipr 4 .� .�t/ r�1���1._
Boat ramp -./!' a&iii_ �..
Boathouse/Boatlift z
.,,,L;
Beach Bulldozing A - ' 4./1-, -ms's '1
Other /y ,, /v L (611:411"4,
1
_ . "-y1 �- I i
I ..',
. . .
, _
Shoreline Length
115'- ' .
SAY: not sure yes
Moratorium: n/a yes lop //
I
Photos: yes no V
Waiver Attached: yes ,4o" 1 Lieizif_
A building permit may be required by: 1 2 /(/`'C . I ' See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions
.)`7:-...? / ,-- ,/:6 (-14A-AraAl1/4.— . 1'4 -zyy i
' ti--
Agent or Appli'an Prin e e .11 Officer's Printed Name
Signature "-Please rea ompliance statement on back of permit** Si:/otf'
. ur
WMfr--ApplicationFee(s) Check# Issding Date Expiration Date