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HomeMy WebLinkAbout71548A_Greg Florence_20180705VCAMA / ❑ DREDGE & FILL N2 71548 B C D y GENERAL PERMIT Previous permit # Cox(o x A *New ❑Modification �omplete Reissue ❑Partial Reissue Date previous permit issued 3 / (c 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� E�RRules attached. Applicant Name r Q / o r c -1 ( Q_ Address / _3 / (, U r� o u r ✓r e W D (`, City /� / 1 0 e v, / h/. //.J State N '� ZIP Z. Project Location: County f e Street Address/ State Road/ Lot #(s) L a f / 7 Phone #a5j)'IS 7-/2-3RE-Mail q, flremca33So"c,/c,-SubdivisionC�/• ,�f F/,r/�,� Ser P Authorized Agent A/ o r -} k Q a r -/ e r n /M Gr , Q v City A'�, // U v r / %/ / / J ZIP z -2 % YX ❑CW �KlEW 'PTA DES ❑PTS Phone# (- ) - River Basin PPSr Affected ❑OEA AEC(s): ❑HHF ❑IH ❑USA ❑WA Adj. Wtr. Body c. a n - I IV_ "� (nat aan )unkn) ❑ PWS: ORW: yes / no PNA yes / no Closest Maj. Wtr. Body Type of Project/ Activity g /a c y o P% e r R e / o 4- /1 s -74a / 20' / 0 '9 a , 4- (Scale: Pier Fixe Float Fing Groi Bulk Basin Boat Boat Beac Oth Shor SAV: Mo Phot Waiv MEN MEMEMMEMEOWN M■:MEMO■.■■®:MEM::::■■®:■�■■■■■■■■ ■■:: I■G■OM : ■ ME EMEM■ wo # ■ EM■■■■■■■RE ■ ■■■■E■■■■■■E■ ...PIENIMEM ��©l MOM ME ■■■C�IiIM■■►.E■■■■■w�111���iJNM■ ■■■■■®■■■■M■■ MEN■■■■It■■E■■►■Oi■O■0117�;:i93_Eil�liEErl■■■riMWEIfI mom i■ i Bulldozing - ■■■■ ■■■��■■■■■�11�■■■■■EEM■■■■■w■■■■■■■ ■■EEO■Ei I.�:I�����I���lii�� ��i:O7■■■■■■■ line Length • M■■MEE■■■M■■■EE■■■■■■■w■■u■■■■■■■■■■■■■ notsure M■■E■■■■■E yes ' _.. r . Ae . . ■NEEMEMEME■■■ ■MMMMMEMwMMMMMMMMMM ■■E■■ A building permit may be required by: ( Note Local Planning jurisdiction) Notes/ Special Conditions Name Sign turd ** Please o Application Fee(s) ❑ See note on back regarding River Basin rules. %Vc,4 t o�_r .or— PermitOfficer's Printed Name c of permit" Sigel ture �I ZZS 7/5%l Check# Issuing Date Expiration Date & / ❑DREDGE & FILL a 1--� l� AA M/� Lt�!'.. (38684 A B C ID_. GNERI�IL P�RIYI�T° Previous permit# New ❑Modification ❑Complete Reissue ❑Partial Reissue Date prexlous permit issued�— As auth razed by the State of North Carolina, Department of Environment and Natural Resources and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC - -OtRules attached. Applicant Name P Rr >f ^ c Project Location: County � - -> . r Address /-3/( , /F b T o Ut I/ x .fir Street Address/ State Road/ Lot #(s) City _(/ pn . a,/ls State AJc ZIP 2- Phone#(�)`%87•/z-3Y E-Mail W-P"!e1«33Ss ,O.c",Subdivisio/n Authorized Agent ) s n r City ZIP Z 7 % i p D Cw calm i`PrA ❑ ES ❑ PTS Phone # ( ) River Basin Affected s ❑OEA. AEC: ❑HHF ❑IH ❑UBA ❑N/A Ad'. Wtr. Bod �- :� ( y <� / (nat / alb nkn) ❑ PWS no ORW: yes _w PNA yes / no � Closest Maj. Wtr. Body _ % /��R ^ r-r Type of Project/ Activity_ y A -Y" /( Pier (dock) length f- 7 x .3 Fixed Platform(s) Floating Platform(s) - Finger pier(s) Groin length number Bulkhead/ Riprap length - avg distance offshore max distance offshore - Basin, channel cubic yards Boat ramp Boathous�%Boatlift�J x �o Beach Bulldozing I Other !X �= /o •c.cc't" Shoreline Length$ SAV: not sure yes no Moratorium 6/ayes no Photos ��es) no Waiver Attached: yes ') no / 7->" -/-5— o,+/; r n es (Scale: ■■ ■:■■•■�■ ■ ■■■o■■m■,r■ ■■ on �■ ■■■■■ w■wi■im w■■ ■� �� ME 2ff !!■ EN No ■■wN■■■■■'�■�■■■■■■!1■a 0 IN ■ ■ww�ii�iii�iu�iw■■■ � ■:�ium iw�■aw■�irinii��I ■■■N�� ■■■■�,m �,®.■■.�..Elm y ■ w�®ii■°�w�iiii�E ■■■■■■■■■ww■�� a■■■■■■ ■��. iuw� ■■ '■EiIw ■Nw■■■■ wrl■ NONE ■ i■t. ■i�` r wwww■■w■■ww■w■■ ■ wEMww■w� .p■■■®.49� ■iMOMME ■■ A building permit may be required by. " i F" l--'2� o " -, ❑ See note on back regarding River Basin rules. ( Note Local Planning Jurisdiction) 1 Notes/ Special Conditions Q n / 1./ �_ S /- /0 J � U.�,�� r i t <� �( �/ ^"� s /p -e r .,, % �7 - Agent Applic$ "Print d Name - Signatures'*Pease read ante statement on back of permit" Application Feels) Check # PermitOfficer's Printed Name Signat rem _ •EO-.__ .._—_...------ i J, 7S q Issuing Date Expiration Date