74174_Kelly Davis_20191112

Alkii CaCAMA I fl DREDGE & FILL * '( `C E7/ No. 74174 A C D
GENERAL PERMIT Previous permit#
')' '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 I 5A NCAC (.>7/-/ ��0Ci .
� ules attached.
Applicant Name /� e 4,.• �,",,,i Project Location: County /// 7 e-
Address / '770 af- .-G V Street Address/State Road/Lot#(s)
ij
l City L.,-A',,fi ,, lee- State ✓"e/-
ZIP ?7gf:. o •: /-, ,-e /fel,
Phone#(.,›S.t) 9Y y -—7Crf5 E-Mail Subdivision ,/r , Si' ,
Authorized Agent ,,i.e./ i G./<iae City _ ar ,.-,,,., 4._ ZIP .27, i S
Affected RCW SEW El-PTA DES III PTS Phone # ( ) River Basin 7c //1 , ..,
AEC(s): ❑OEA ❑HHF ❑IN ❑UBA ❑N/A Adj.Wtr. Body "fie.
" ;o .., vv at jman /unkn)
❑ PWS: -
ORW: yes / no PNA yes / no Closest Maj.Wtr. Body jG /`i ✓�
Type of Project/Activity A /A 0 i ize ( o4,i - /)i
f- AAi ,.•e ,
c -,. /. La, t r=•-/f (Scale: 1 3 2 . )
Pier(dock)length 90 1 i '
Fixed Platform(s) I ff
Floating Platform(s)
i I +- g:,,, e ! - 1 te'Finger pier(s)
E ��
I . 1 I j -
Groin length
number
I i
Bulkhead/Riprap length j
avg distance offshore { I i i I
max distance offshore j i $r I.
ui► N .
Basin,channel I I I i
I I -
cubic yards _. �---- I +-
, r . - I
Boat ramp I
I
Boathouse/Boatlift i
O
i i T -
Beach Bulldozing i----_._
Other Q I
r —4-- ilThil : ----
t, - — I I
i ii
I i ?�
r �'' 1� .tt
Shoreline Length ../ • t diwa
SAY: not sure yes ,- J 1 l� 1 I
r
Moratorium: n/a yes no I i 1-v l v,V �r�r) �Xrl� f
_ rrf rC'd
Photos: yes no _ r , I 'Y
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Waiver Attached: yes no e; ! -w_
A building permit may be required by: /4,-je 1 See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions ,f t L,(J `x ' //
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Gr�rS1 �o r�t✓� �`� �„< / - ���J/;/
Agent or Applicant Prin Name ✓' Permit Officer's Printed Name /
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Signature **Please read compliance statement on back of permit**��,� Signature
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� � �l/,�0.,r /2 .moo, s i=��. /2 -2er'
Application Fee(s) Check# Issuing Date Expiration Date