Powell 72227 FLORENCE

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OCH LAMA / H DREDGE & FILL No 2227 A B C
GENERAL PERMIT Previous permit#
H New' —Modification ❑Complete Reissue H 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 L' .
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Applicant Name � 1' 1 �� ELL. Project Location: County
Address , .3 ' 4 '} 1A�r-1 S O ' '-1�I Street Address/State Road/Lot#(s)
City j �M() t) state ZIP 25 46ta 3 -4--- t24\--t 5-0A—
Phone# (TS) (PI bi51—Y514E-Mail Subdivision (J
Authorized Agent Ni ) > City ; 1 AA 1 5^E ZIP 225 445
Affected ❑CW i_i,EW PTA ❑ES 111PTS Phone # ( ) River Basin CF ---�
AEC(s): ❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body ✓ f-
( 1,(Nt i C I ' man /unkn)
0 PWS:
ORW: yey��no PNA f yes / no Closest Maj.Wtr. Body _ ��P 0 cJ��
Type of Project/Activity V i__?1‘ (_ -"j`-- / 1)I," : Je2
(Scale: j- r)
( VI �
Pier(dock)length > i 6
1 Ii j
/
Fixed Platform(s) / I/1. jf
Floating Platform(s 17V' 46-t " !, 1 JQ/ -7='
I .
Finger pier(s) __ _ — ---._ `------- -- — -
Groin length i I ,
number I
Bulkhead/Riprap length I 1
4
avg distance offshore I I { ' } j
max distance offshore ( — ! r { .
Basin,channel i • !lic
,
cubic yards
Boat ramp I
Boathouse/Boatlift
Beach Bulldozing j ., .
Other
.�— ---4f_t -ice OF AAPrit541�
Shoreline Length
SAV: not sure yes no 0
6 1 I 1 P . -
Moratorium: n/a yes 1 Photos: yes no ';1 J+--F /� 1 . /
Waiver Attached: yes --) J I f/
A building permit may be required by: I See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions
/ //in, ' w L_ _, A
IAgent ppf i t n ed N eq i'_icer's Printed Name
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Signature **Pleaise read co pliance statement on back of permit** Sign.;re
W /V& p r-i/ A- /ft) - `- , 1, I ,24 , /q
Application Fee(s) Check# Issuing Date Expiration Date

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