Ray Martin 68048D

1 'AMA/ ❑DREDGE & FILL cti,Aik7 \ \1')/ 1 `b -,)ftt=, �
EN ERAL PERMIT Previous permit#
r�% 1 New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized 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 I 5A NCAC ' 0‘/ •
❑Rules attached.
Applicant Name '\--kti\ \ikijk.k a Project Location: County f-Akk Ve— L
Address \\L ( '\\V I Street Address/State Road/Lot#(s)
City `� �r State (LZIP (/\O1'�� `• 4:1 ,-�.i�
Phone�) `-Ligut E-Mail Subdivision
Authorized Agent City ZIP ,f
Affected ❑cw AW WTA ❑ES ❑PTS Phone# ( ) River Basin v `�
AEC(s): ❑oEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body ‘1?//e' '(nat man /unkn)
❑ PWS: 0
ORW: yes /(no PNA yes / no Closest Maj.Wtr. Body
QQ j � 4.61).k--
Type of P oject/Activity V p � i "(.XlS�W �` UL1V k �j� }
G1Q .) , v kw/ le_Lk I'll w .C_1 (ScY:
Pier(dock)length _s I .
Fixed Platform(s) 11I iCt '
Ve4411
�,wl (
Floating Platform(s)
Finger pier(s)
Groin length
:1,c.:44..1 L . 44/ 11\I
number
Bulkhead/Riprap length I
avg distance offshore C (a
max distance offshore
Basin,channel
cubic yards i
Boat ramp , j
Boathouse/ 17_ X- '" ,
i j
Beach Bulldozing
I
Other I =-
.tee
...N..
Shoreline Length ' ;^F.f}/�/
SAV: not sure yes obt# i_ 4 lbw/ \Nit I
Moratorium: (2) y
Photos: yes4. __ ,
,
, , I
Waiver Attached: yes
A building permit may be required by: AlY\ '1` 0 (��a�L . U See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction
Note /Special Conditions )A)1A tit Ak VAIA A, VI IC E'Ir `11. g' tc y'c
,....viArrirck ,
/L., - �''v'(n fe , - - IAA- ilk. 41/ -6ri,A t or Applicant Printed Name - Perer's Printed Name
1 y/ �
Signature "Please reacYC m liance statement_ n b Si natur 4)/i -,
Application Fee(s) Check# Issuin ate xpiratio Date

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