Grantham and Ball 72366D

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E CAMA / DREDGE & FILLIch
N� 72�66 A B C �D
GENERAL PERMIT Previous permit#
E New Modification Complete Reissue —Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality /� c
and the Coastal Resources Commission in an area of environmental concern pursuant to I5A NCAC (�� -t O0 •
�!�Gr a ��' / Gt r��l� Project Location: County�/� es attached.
Applicant Name �'i r i A/
Address li-/9 C"Cti -(L/� Street Address/State Road/Lot#(s)
City ,141 1 j' ( State ZIP 7 '�,—i �2Jth ZI"/L% 7 / '
Phone# ( ) -Mail Subdivision
Authorized Agent P /fr City `"ilA t4�17,,_ ZIP �.(
❑CW 4,1EW ' )'PTA ❑ES ElPTS Phone# ( ) ( River Basin //
Affected ❑OEA ❑HHF Ul IH ❑UBA ❑N/A
AEC(s): Adj.Wtr. Body A/ (natal"unkn)
❑ PWS:
Closest Maj.Wtr. Body I/44 S,U/Q'
ORW: es no• PNA yes / no
Type of Project/Activity / /6-`L-6-- /i,V t JA.C4t;,t,; C-/ (/
/
m' (Scale: / - )3c )
Pier(dock)length V�'C( _P �/w Fixed Platform(s) I �J I I I7,4
Floating Platform(, i
AFinger pier(s) ') i(-it' � --- --I-- ----- ----- /
Groin length is _y I
number I
Bulkhead\Riprap length j
;avg distance offshore
max distance offshore lip I . •
y
Basin,channel __ 1 —f
/ i
# _ , - P ___LIPmei
cubic yards I
Boat ramp 1
I
Boathouse/Boatlift_ ..
•
Beach Bulldozing e4 E / ,
/ ' . )Gf tr 51,
Other I (1
� t /.& ti e,
-1` /
Shoreline Length
' c/..6
',A...,,,, t /nalq VII// M‘I-Cyr4r? ,
SAV: not sure yes 6 f
Moratorium: n/a yes I i d t
Photos: yes , i
Waiver Attached: yes no I " " A
-777
A building permit may be required by: /lp.) 1 1 See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) •
Notes/Special Conditions `��_
7—A 1,f,4. _ A /9t16, )(1-7 i
ent or Applicant Printed Name i{ Permit Officer's Printed Name
/ --
ignAcure **;Please ead compliance statement on back of permit** Signature
.< /,1 d / //•74 'it ' 7n '/7-
Application Check# Issuing Date Expiration Date

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