Crittenden 72348 FLORENCE

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ADA L .CAMA / Li DREDGE 723 DREDGE & FILL A C 0
GENERAL PERMIT Previous per it#CLQ-0- 3
�'--' ew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous per ued 11/21('
As authorized by the State of North Carolina,Department of Environmental Quality (10
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC 0 M' j •I 7.00 . 03— l 1 I
1 H •2 J" Rules attached. t
Applicant Name L Ov c Vc4 t!e.,„ Project Location: County Np tnl anov-e f
Address 8 /[(ci (t LA. Street Address/State Road/Lot#(s) &1-120 B.A./toll
State C ZIP 2`� (x
City I�J�gym,W �� � `{� ( J. . �—
Phone#( ) J �— E-Mail �— Subdivision
City �i t ViM n ZIP 7N4Authorized Agent N I� ----- River Basin �gear'Tj CW 'F EW Cj(PTA $ES 'f4PTS Phone# ( —)
Affected ❑OEA ❑HHF ❑IH 0 UBA ❑N/Ar S
AEC(s): Adj.Wtr. Body AA t 44AL ( at)/man /unkn)
❑ PWS:
Closest Maj.Wtr. Body ki IV W
ORW: yes no PNA yes /&) !1/ • r /� J/)
Type of Project/Activity rap
_ &t . VtI v 1 2 5IA p) " OM rAl /
a /«'v(-of 1 VI 44(A1V M CA*Lt- P O r-tH,L2 - (Scale: i, )
, , -
I Pier(dock)lengt xb I ,
Fixed Platform(s) /5"'y I to'AAA•: - . ., ' 1 i ,.tk
Floating Platform(s) 2.0'X
Finger pier(s)-- A)lik
■ . 1. � \ \_
Groin length 0 , ���H�_�,� ;� _
number k
!"
=u heath Riprap length /0� •
���� �—� ��,mmi'■
avg distance offshore 0 i _____III•1RIJ piwIRSI�•a■N■■n�m
max distance offshore 0' �6�2 __1 � _. ��_•■•R,il■ra,.
Basin,channel UTA 1 ,��_���_ l�' nIIIIMI __ `
cubic yards *---m A
11.111111111111111WWWW`I I ,i' ,^ owU (y
Boat ramp NIA St1IM \ \ ��:-�
Boathous: Boatlift ,_ � 1 , ��
Beach Bulldozing / �K�_ • ��
Other 4'1(1— 211-11) () c+ _E1IV11_�__�— x�' A
Qw- 132 Made') , .���� ��_____�.!;'11� f ���� �–
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a��na__u�I__
Shoreline Length '�"/" 1� ,
SAV: su yes no C I ' 1���, Wsaim__
Moratorium: n/a yes no " VI' �0 _116M C�lt�_ ` `� v
_ 1
Photos: yes al, ,r.. ------- --•--ll� - ------_��iiiillill M) Q, `1
I
Waiver Attached: yes400 ' r,',,' +, —
A building permit may be required by: Nt 14(� vt v W wft ❑See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) 7i1'{(Notes/Special Conditions �, �/ .(�DD 0,111A0 '(t f f No el vt, 1
a,SVA4 i,�..Q fiof ' d.S d wfkv✓(1-d. No .C(j 461 N LVL h1v j c' ViQ ,�aLO✓Vi
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ce afs ot.v iL by xiie u.4.,biani of amirviA»1 --e .
4 15 U r ode rooks6v Yl �e� � != it O r s Print ame
Agent r Applicant P' ted Name
0
Signature "Please re
leaseread compliance
ompliance statement on back of permit" ign�ur /VWcUV pvv�H. �,Ro liIf ) r /�/'q
Application Fee(s) Check# Issui Date Expiration Date

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