Hughes, Tom

®'CAMA / ❑ DREDGE & FILL �...w r.1 r.., No. 73470 A B C D
GENERAL PERMIT Previous permit #"-
C]Nevy '❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality /y /� % /
/
and the Coastal Resources Commission in are of environmental concern pursuant to 15A NCAC l
❑Rulgs attached.
Applicant Name `�-� `' Project Location: County �... t' ✓ r �''�'�
Address �) ( Street Address/ State Road/ Lot #(s)
City j C.. �' P State W ZIP ( �i� /� �� /t•.. 1 s
Phone # (7 L)_7
Authorized Agent
Affected P Cw
AEC(s): oOEA
yes
//tit 0 E-Mail
p,EW✓ 0P'I'A DES ❑PTS
❑HHF ❑IH ❑UBA ❑N/A
PNA ves// no
Type of Project/ Activity
Pier
Fixe
Float
Fing
Groff
Bulk
Basi
Boat
Boat
Beat
Oth
Sher
SAV:
Mon
Phot
Waiv
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Closest Maj. Wtr. Body
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A building permit may be required by:
( Note Local Planning jurisdiction)
Notes/ Special Conditions
i
Agent or Applicant Printed Name Permit Officer's
❑ See note on back regarding River Basin rules.
Name
Sign att re )**Please read compliance statement on back of permit** Signal
Applic tlon Fee(s) Check# Issuin

¢AMA / ❑ DREDGE & FILL F(UK C elr—r ft4)4 NO. 73470
IYERAL PERMIT VQ I Previous permit #
1q A B G D
New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality ��
and the Coastal Resources Commission in areof environmental concern pursuant to I SA AC
1 ❑ Ruly attache
Applicant Name �UM [ �` Project Location: County C Op-
Addresss �2 — Street Address/ Stat/e'Road/ Lot #(s)
City 1 G Ot/ ;At,. State .Mef ZIP —
Phone #L>� 7/O —pC7L0 E-Mail
Authorized Agent
Affected W �`rr�" �A ❑ES ❑P75
AEC(s): ❑ clEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
3RW� yes/no PNAPNA
Type of Project/ Activity _
Pier (dock) length_
Fixed Platform(s) _
Floating Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Nprap lei
avg distance o
max distance a
Basin, channel
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAV: not sure yes no �-
Moratorium: n/a yes no F
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:
( Note Local Planning Jurisdiction)
Notes/ Special Conditions
no
Agent or Applicant Printed Name
Signat— Please read compliance statement on back ofpermitPleasereadcompliancestatementonbackofpermit
Applic on Fee(s) Check#
City ZIP
Phone # ( ) River Gasir
Adj. Wtr. Body
Closest Mal. Wtr. Body
(Scale: )
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❑ See note on back regarding River Basin rules.
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