63566_Timothy Mathews_20190107

w / ID DREDGE &FILLt ---- C _„�I�/ No.. ,,72959A r
d,' GENyERAL'. ,PERM IT - - - -Previous Permit#" •'n-,i 1.s-�.�" ._'
''>'�o ,,ew"'••❑Modification . ID Complete Reissue'- III Partial Reissue - Date previous permit issued ' t j -1''A,,::-
•"A's authorized?by_",.-„the State of North Carolina',Department of Environmental Quality - . •-
and`the Coastal'•Resources Commission in an area-of environmental concern pursuant to I,SA NCAC ' L7�'1_� --'1,�:v` ''' -- • - "
Fh. •, [,Rules attached:
Applicant Name T 1 r-nc 7r `-j: )' A- �',p-- -7 Project Location;.County ,;n� a1
i. Address 1 t /-__, 6 w o • - 1,--�"'--- ' Street Address/-State Road/-Lot#(s) or r' ,SIZ- i"- eJ.�� -
City(1�=t-1.1 u t i. L� ,State -�. ZIP. 7�1 S`�S e 3 2�--�-; '-J- ,1 f_' )2 ".t—o,,1 z "�' .
Phone#(' ) E-Mail'' • . " 'Subdivision -1-,i G R% =L( /-1- .c.iki -T.--':- Le' .
Authorized AgentF-j i?-, LI,A.(L'L.,-;is . . - , • City J\(.-rf.-c -,41 ; , - ZIP �-7)9i . c-.
•Affected ❑CW "' I EW C -PTA , ❑ES D PTS Phone# ( ) - River (74.Basir .-1 %- LE 0'- -'
- ❑OEA ❑HHF ❑IH " ❑UBA ❑N/A
,AEC(s):' Adj.Wtr. Body:3 -1-1-1 C�T-F?'1!_, a/man"/unkn)
❑ PWS: ----I -.7 ' —
'" ORW: yes / n., PNA yes / no Closest Maj.Wtr. Body " 'ht,\L.1' 'U
Type of Project/Activity 1"� u Go' i2 I-E-7i , (o ' r o\ t ---\--- �--�-f>> '�..-- " - l't ,
�i P,- ,--r cD)_-^ S• • (Scale:, `' ?ram "- ) .t Pier(dock)length)'?) )< (o ' I 1 I. •
I
Fixed Platform(s) l to x ( (. 1 j ' ' I , • t
Floating Platform(s) r_F;-,6,---) f
Finger pier(s) �'•, 7( I t 1 i .
Groin length Lc-i ';-t—I•,—1 l�14/.e.>v'EX't-,i7 I, �_. 1 I
number '-'-=7pr�.•' r�:i- ;, a o F a .
Bulkhead/Riprap length 1
t
avg distance offshore
max distance offshore
Basin,channel �'� 4 I -
/ J,%i='P t t",am. >` LeP
- � C 1J . T� 1.)
cubic yards V" N
- Boat ramp / .
-• - Boathouse/Boatlift / ' , 1
Beach Bulldozing /'� — -
Other �i c x1^^ 5 . . IfT I ' I. •
-
I I
Shoreline Length ���
r
SAV: not sure yes no ��) _ T �11� _ P
Moratorium: n/a yes Lno �. '� S �z li 1Ca �)
Photos: yes no' r)-''' '� )F "� � � 7"��--- '.
Waiver Attached: yes no D --f'F., _l) c l• 1 vl�119
` A building permit may be required by:-}=�-z.p.-t.i-- -•- --r / . . ' ee note on back regarding River Basin rules. '
, (Note Local Planning Jurisdiction) _---)
Notes/Special Conditions t ,y; l� /l- t P-, ,---'r IN-, ,•'-)--() LA-,...-1-) •. -- t�'i — `, e �YL •,
t ) --= .a.A c �^--Q6-, 7"rc-- /� \ .�rc- -7•r- --s-2J'-'1 t -� :`7 --k-1 -t-Q 2'(':4 \--1
:.. - : Ad b Cpv II 1., ---------77, 1/
' Agent or Applicant Prin€d Name icer's Printed ame ,_
, 6I'L(',1
Signature **Please read compliance statement on back of permit Signat re '
•
/c 1,J A k V t• P ) '7 _=-7,-mil'u s>.6 i ---2 .1 9 ��> -'r, P_ 'Z l
" Application Fee(s) Check# Issuing Date - Expiration Date