Purcell, Teresa

�. AMA / ❑ DREDGE & FILL t'` ', ; / L� �' No. 75018 A B C D
NERAL PERMIT Previous permit#
® ew ❑Modification ❑Complete Reissue CPartfal fieissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality
m
and the Coastal Resources Commission in an area of enviro e [al concern pursuant to I SA NCAC
1 J Rules attached.
Applicant Nar+= l—� i! I Project Location: County t(_
Address
Phone
Authorized t ""'-----
Affected ` OW "EW \t�j/PTA ❑ES ❑PTS
AEC(s): 00EA El lllH DUBA ❑N/A
Ell PWS:
ORW: yes l) no PNA yes
Type of Project/ Activity
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length_
avg distance offshore
max distance offshore_
Basin, channel /
Boat ramp,
Boathouse/
Beach Bulldozing
Other
Shoreline Length
SAM not sure yes (nono
Moratorium: n/a yes Photos: yes no
Waiver Attached: yes.
A building permit may be required by: ]�_
( Note Local Planning Jurisdiction) -
Notes/ Special Conditions
Street Address/ State Road/ Lot #(s) )
/ Subdivision /
Citv zip
Phone #
Adj. Wtr. Body i !
I
,
Closest Mal. Wtr. Body.
Basin
_ (nat /man_ /unkn
(Scale:
_ ❑ See note on back regarding River Basin rules.
A ent or Applicant Printed Name
Signature ''r Please read compliance statement on back ofpermiyt`*
Application Feels) Check #
PermitOfOcer's Printed Name
Signature
Issuing Date
Date

Styron, Heather M.
From: TERESA PURCELL <[e-mail]>
Sent: Monday, June 24, 2019 11:27 AM
To: Styron, Heather M.
Subject: [External] dock permit
Heather,
could you please send me an application to repair the dock
at 113/117 Hazel Lane, Newport?
email address [e-mail]
Thanks
Teresa Purcell
252-223-2972

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