HomeMy WebLinkAboutBalance, Robert❑LAMA / ❑DREDGE &FILL
GENERAL PERMITOO
74935
��hi+ 7J7 A B c ; D
evlous #
❑New '❑Modification [-,]Complete Reissue ' ❑Partial
permit
Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality / /' d l ('
the Coastal Resources Commission in an area of environmental concern
to I SA NCAC
and
(:i ', >< �c
pursuant
/ ElRules attached.
-14 e',
Applicant Name '1 (
Project Location: County C.
Address
Street Address/ State Road/ Lot #(s)
City State A/, -ZIP
Phone # ( ) E-Mail
Subdivision
Authorized Agent ' '
City - ZIP
Affected El Cw DEW CPTA DES ❑PTS
Phone# O _ River Basin
AEC(s): DOEA ❑HHF IH ❑UBA El N/A
Adj. Wtr. Body (nat /man /unkn)
❑ PWS:
ORW: yes / no PNA yes / no
Closest Maj. Wtr. Body
Type of Project/ Activity �? X /' /-L % % / Lam' J 1`c' ` '
Pier
Fize
Float
Finge
Groi
Bulk
Basin
Boat
Boat
Beac
Othe
Shor
SAV
Mon
Phot
Wain
X(:U -(")A
(Scale: ; , I / )
MEENNN
msE
ImMS
WEo
:■■■■■■M■■■■:E■■■■a■S■■■EE■
ME■a■■■■
■■■■E■
0
0
■■■■■■■
MEN
■MEMO
■■■■■■■■■■■■E■'M■:■■■E■u■E■E■
■
■■■■■■
M■■■■■■■■■■
WOMEN■EM■■
Mu
Eo:O
MENEENN:MEN:®EEI
MEN::
S■■ESE■■
ME■■■■■O■■■■M■Mmom
M■■■MEMO
■E■■■■EM■E■OE
MEN
MEN
■■E■■M■■■
■E■■■■■E■■■■■�■■■■SE■■5!�i"(;jty!■
ONE
S:o■MESEEN
l.1MEN
:NEEMENaaaaaMEMO
a�
0.
i.'■iI.'.:'■
EME■EEEEEME■
MEN
■■EEO■EE��EE■�
IS
No
■■■■■:
SEE
O
Sa■■EME■■
■■■
■■■■
�_■■■■■ME■■�
Ell
MEN
■■M
■■
a■■■■�
■■■■�
(/■■
�EIl■
■■MEEO
■
■■■
■�
0
ME
M
ONE
ONE
OEM
IS
■
■
■
►IC,S
ME■:
■I:■�M■:■:
IS
IS ■E■�■
r
■
ME■0■M
■
E■::
■■
M■■S■■■E■
:■■■■N■
a..
LengthAne
..
:EM:::aIES
M
momo:
SE
:■::�M■:M■a■■■■■E
1:
�:M�aEE9m:::a
:
.
■■
...i.�.....
i`.......i■w■■M■■�..
W yes no■■OEM
■■■SME■■1
■...
I
::;�:�Eiy■■1
S��:EEIC�
SEEM■::
A building permit may be required by:
( Note Local Planning Jurisdiction) J
Notes/ Special Conditions ( ! r/
Wi
l,.
,agent or Applicant Printed Name
Signature Please read compliance statement on back of permit"
Application Fee(s) Check #
❑ See note on back regarding River Basin rules.
i
i
1
'ermitOfflcer" Printed Name
Signature
Issuing ate ! Expj ationi ate