Jordan 72223 FLORENCE

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LAMA/ Pi DREDGE & FILL 'N /2223 A B C D
G NERAL PERMIT Previous permit#
©New —Modification ❑Complete Reissue Partial Reissue Date previous permit issued
As authorized by the State of North Carolina,Department of Environmental Quality
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 07 .
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Rules a hed.
Applicant Name a � 4-' Project Location: County
Address ( O (Lt if!Nf'�/1/D(> /7
AL •• Street Address/State Road/Lot,#(s)
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City 1 c�' State N�ZIP Z7 6/ Lf Q g //�.GC`` -'U 0" ig({/ek
Phone#`Q6,) Z.6 '-o°/Mail Subdivisi n
Authorized Agent 17
A— City 5-‘4-4--4". i3- ZIP " �`
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❑CW yW ,TA ES ❑PTS Phone #67-----)- --- — Riv r Basin
AEC(s):Affected
❑OEA
CI ❑IH 0 UBA ❑N/A Adj.Wtr. Body an / nkn)
❑ PWS:
ORW: yes / no PNA yes ) Closest Maj.Wtr. Body , -� 6 v.---'Ok
Type of Project/Activity (ti f LR!LG?' 2 -iA. 't- Vic_d' 1.*1( Al c., ,
0 , A C i (l 11i (Jn (Scale: f 3 ' )
Pier(dock)length l L 1
Fixed Platform(s) r
��"-f '
Floating Platform(s) 0x
I.
Finger pier(s) �y
Groin length `�Y1•. (( +-1 �, /i.(ff/ y I z
number r) 41/ Y ,(1 . • {)
Bulkhead/Riprap length �7 f
f i f r',,,,, 4
avg distance offshore
max distance offshore
Basin,channel .0.44a ii 0 ''
`-tip arrir
cubic yards • A
i
Boat ramp 1r -'�/
Boathouse/Boatli 7 1 f-tifr
Al
Beach Bulldozing - - -
Other TO./aa""
_60
Shoreline Length
SAV: not sure yes ef5I
Moratorium: n/a yes
fes} r..
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Cer'.
Photos: yes i
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Waiver Attached: yes term •i '
A building permit may be required by: 7- P See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions
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Si ture P-as -adcompliancestatementonbackofpermit" Si:'. r.
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Application Fee(s) eck# Issuing Date Expiration Date

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