HomeMy WebLinkAboutOsprey Oaks MarinaCAMA / ❑ DREDGE & FILL I (C 1 4�
� GENERAL PERMIT
New ❑Modification ❑Complete Reissue ❑Partial
As auori thzed by the State of North Carolina, Department of Environmental
and the Coastal Resource_ s Commission in an area of environmental concern
Applicant Name
Phone # (;/"1; } , _y` `/(/ E-Mail
Authorized Agent �1 f.� l—�Lc -I
Affected ❑ cW ID EW Sy TA ❑ ES ❑ PTS
AEC(s): �OEA ❑HHF IH ❑UBA El N/A
❑ PWS:
ORW: yes / no PNA yes / no
Type of Project/ Activity _
Pier (dock) length_
Fixed Platform(s) _
Floating Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap le
avg distance o
max distance,
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatl
Beach
Other
Shoreline Length l
SAV: notsure yes 'no - — —
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
\, fA building permit may be required by:
( Note Local Planning jurisdiction) / `/ 1 /7
Notes/ Special Conditio7' ` YI ! t
�i
Agent or Applicant Printed Name
Signature »* Please read compliance statement on back of permit"
i
-No. 74987 A B C D
Previous permit #
Reissue Date previo s permit issued
Quality
pursuant to I SA NCAC
Rules attached.
(. Project Location: County, —
Street Address/ State Road/ Lot #(s)
Subdivision
City i t1 ZIP i J
Phone # (E 1 /) , ( fiver Basin (1
Adj. Wtr. Body. NYC,+'l� �t ( ((nat /man /unkn)
Closest Maj. Wtr. Body S ,7
(Scale: _ I )
L' See note on back regarding River Basin rules.
PermitOffcers Printed Name)/
/ 0
Application Fee(s) Check# Issuing Date ' Expiration
(Scale: _ I )
L' See note on back regarding River Basin rules.
PermitOffcers Printed Name)/
/ 0
Application Fee(s) Check# Issuing Date ' Expiration
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or on the front if space permits.
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