McNiff, George

OCAMA/ ❑DREDGE & FILL ) `' NO. 74941 ®GENERAL PERMIT Previous permit# q B C 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 an area of environmental concern pursuant to 15A NCAC
?Rules attached.
Applicant NameProject Location: County
Address ?� F-1� � nrtt:4' Street Address/ State Road/ Lot #(s) 6Z r f'"?
City %ylc'CC in tt3I1 State /J( ZIP
Phone # (1�'t) `E-Mail "-- Subdivision
Authorized Agent
Affected El CW .1 EW -DIPTA ❑ ES ❑ PTS
AEC(s): LJOEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
ORW: yes /;no PNA yes I; no
Type of Project/ Activity i. kt, %i �' i/(J
Pier (dock) length ( r2 X / 1
r
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Groin length
number /
Bulkhead/ ftiprap length
avg distance offshore /
max distance offshore
Basin, channel
Boat ramp -
Boathouse/
Beach
Other
r
Shoreline Length �
SAM not sure ` yes P°
Moratorium: n/a yes no
Photos: yes n ,
Waiver Attached: yes q
A building permit may be required by:
( Note Local Planning jurisdiction> )
Notes/ Special Conditions j
Agent or gpplican,Pri ted Name t
Sture* Please read compliance state; ent on back of permit
V
Appl cation Fee(s) Check#
CityZIP
j
Phone # O River Basin
Adj. Wtr. Body '� _.. - __ nat man un>kn
Closest Maj. Wtr. Body --
(Scale: )
N See note on back regarding River Basin rules.
PermitOfficer's Printed Name
Signature / r%
Issuing Date Expiration Date