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HomeMy WebLinkAboutFrank Francin 72364D (2) 1j410, £AMA/ ❑DREDGE & FILL No7 A,:F<B C .� 1 GENERAL PERMIT Previous permit# Y� .11 ew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued-- , As<uthorized by the State of North Carolina,Department of Environmental Quality 0y , 7s 7 and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ie 4- El Rules attached. Applicant Name ,per f'" Project Location: CountyLIAA-r�� Address O�tl�" it f ��JJ /, Street Addr ss/State Roadd/?Lot#(s) CityP.i10C541L / State!VC' ZIPZ Oe l s c/5 L ` Phone# j 37 ''"f� �-E-Mail Subdivision Authorized Agent /" City if, 7P'P a' ZIP 2. ( ° 0 CW �'W 1l``iTA /'�d�'I ES ❑PTS Phone# ( —1 /(�River Basins ( ( -4-- Affected ❑0EA (❑HHF 0 IH ' 0 UBA ❑N/A AEC(s): Adj.Wtr. Body fic/Py 5/9‘44 '-c- --0- man /unkn) ❑PWS: ' >41 ORW: es no 'A / no Closest Maj.Wtr. Body '� Type of Project/Activity Ar / - ci k` "'""' /,4'L ", (Scale: it / ) / 0 Pier(dock) ngth , I ! i i Fixed Platform Floating Platform(s 0/A '-"4 Finger pier(s) Groin length number r i 14/I'' 114t1 1 #* Bulkhea pray length �� VI l67411 i I i 1 avg distance offshore =_ max distance offshore II i ! �7 1 Basin,ch el j .Iii / -1--• 5 . � � II cubic ds -__,—_�- f '� ; I 10 ! Boat ramp j Boathouse/Boatlift �, i I el> `' • 1 ! j F t j , fir- n 4!IIlI 1 Beach Bulldozing Other j I ( ' 'l I j I Shoreline Length 7�1�S fit, I ' SAV: not sure yes !/�'0IIIIIIIII-I Moratorium: ilia yes ! ' j • Photos: yes 0 I Waiver Attached: yes ile , I t A building permit may be required by: /" , /(9/'s /5 6 • ❑See note on back regarding River Basin rules. (Note Local Planning Jurisdiction) Notes/Special Conditions r r°a�n .3w 87 pli--/k_ enE or A Ii Nam / erm' cer' rimed Name 4 ��� 2SCature **Please read compliance statement on back of permit** Signa re v Application Fee(s) Check it I uing Date Expiration Date tar- -31:1 , SENDER: COMPLETE THIS SECTION M COMPLETE THIS SECTION ON DELIVERY ■,Complete items 1,2,and 3. i atu • Print your name and address on the reverse X4 r X 0 Agent so that we can return the card to you. ✓LJ 0 Addressee • Attach this card to the back of the mailpiece, B. Received by printed Name) C. Date of Delivery or on the front if space permits. � ,//,<1 1. Article Addressed to: D. Is Is delivery address different from item 1? 0 Yes alit/ P(g,)C,,) If YES,enter delivery address below: ❑ No 1 6 Os('P / Dk1VE Akg NC- i aLi Express® IIIIIIIII I'll Iilli INIIIII II IIIIIIIII Iilll Ill El❑dult3. SevSign ice at Restricted Delivery ❑0 Registered Mail". Regis redType 0 Priority 'l Mail Restricted ❑Certified Mail® Delivery 9590 9403 0208 5146 1518 66 ❑Certified Mail Restricted Delivery 0 Return Receipt for ❑Collect on Delivery Merchandise 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery 0 Signature ConfirmationTM I ❑Signature Confirmation _ 7 018 0040 0000 8680 0132 I Restricted Delivery Restricted Delivery PS Form 3811,April 2015 PSN 7530-02-000-9053 W V Domestic Return Receipt