Jim Minett 72258D

PreA pre oU Pe "' lss"`��
`� � Da ed 1
'V? �� �\ \\ sa,�ch
`' issue �� QR�\ �1u''-
RC GE St:* ` - OPart:�a\Re i• CP`C
MA I : D ` PEM eissu
CA aeomPlete R ent�Environm�ernQPur�nt to iSPN COunt'1
ENE n Departm mental con Location: Road!
dot 4 (s'
�Modif,catio t Loc
4
Deena, vironm Project State i
le'a of north Gar an area of en P dress)
I �by the State mission�n Street Ad
pnd the GOasta1 Resources Com , � \i
a \‘ " r ZIP
APPlicant Na
e
r G ZIP Subdivision
Stated River Bah 1 an unkn
pddres CitY
City E.Mafl �� Phone# ��
Phone# ( / �frS Wtr•B°dY
�S Adl• Body
A . " uBA NIA 1„la� Wtr.
Authorized Agent Closest j-
❑CW /�HHF 0,0
'((l
Affected oEA A , 1 ,_ a (�V
AEC(s): 0 pWS: pNA no , , . , / _ (Scale: /-1
no f 1
ORW: Yes li v A.
o'ect/Activity , ../,� ��•�.-
TyPe of Pr 1 111011111111101111111 �III .�� -
r(dock)length ■�.■■.�,, ■,/r$ Taps
1 1;.
Pie ( �■�,,1��/:,�/•� � '.1, �III
I' 6nr� ■�
Platform(s) • �//Sr, .,� �� ��� ��
Fixed ■� r,. 1alrjr 64"11� .•r■�111�1119
Floating Platform(s) ,11 Bali ■.////... /1��.. ,
Finger pier(s) . �•■■■■■ �■///�• ■���
Groin length VwaaliaallaasRIHHIIIIIIII619IllkM___91111111
� ■■■■■/•■ .//N..num a pmP length 111111111110111
111011111111 ■� ,.
�ravg distance offshore ( INI.II ■.■�M■.■
max distance offshore .-. .
M1 i 1
Basin,channel ■�• ,�.�
Ng a
cubic yards
P! !ILJiii „ ���111��1.� �.r..
Boat ramp ME .. .11111
Boathouse/Boatlift e; ■1■ \1 i f ,,rmure1
pliniumilri
�._�,_____,__�_.nC__.._, 1 _,...., 1�
Beach Bulldoze f f ,■,I.,■"■gg�",il_..��+ �.■. ...��
Other X :MC,;a�i■,-MI„ O `►,M' ` r�`, ■�.�.■
- �iw■■.■■■ t :�■.■■■■■■�■ ri�� �����
Shoreline Length �' , ��■■■�■■1�%TI11��L1�1►�■■■■■■�� ' ,■•�-.:■
SAV: not sure yet
■■■■■■I��1VVLE��■■■■■�■�. �■■.■•�■.
■I■�■�■■1►:l�1■1��■■fir ��j ���
Moratorium: n/a yes no rTiliiiMilliiiiiiilildr****Sftral
Photos: yes no ■■■■■ .. ��
Waiver Attached: yes no ���� ■■
A budding permit may be required by: _� ❑See note on E ���.
(Note Local Planning Jurisdiction) + ,River Base rule ■�
Notes/Special Conditions S
C\
fr/jlPti er", i`� ',Al '.
dor Applir.2nt Pri d Name Per tOfficer's Printed ame
Signatu **Please read compliance statement on back of permit** Sign urn J
V4.0 vP cS Veit - a�v D
nFee(s) Check# Issue Dat 1 V
1