Geore Garance and Moorings POA

CAMA / ❑ DREDGE & FILL 0 0 FI' A0
GENERAL PERMIT
(Iew ❑Modification ❑Complete Reissue ❑Partial Reissue
��GNo. 76304
Previous permit #
A B OCD
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 SA NCAC eo e ®�
Rules attached.
Applicant NameCM t S �' Project Location: County
AddressFlo Street Address/ State Road/ Lot #(s)
- P44 ;;-Ic—
City Stag ZIP ' 6k 1(::.
Phone # il) , E-Mail , AJaV) E�eCVAf Subdivision
Y,. 6
��+ f1 v�
Authorized Agent / �' (l. 1 ! ity ZIP
Elcw w TA , ElPTS Phone # ( ) River Basin A& , e.-
Affected AEC(s): ElOEA El ❑ IH ElUBA El N/A Adj. Wtr. Body OU��_w-e'6P4�na�` -� man unkn
El PWS:
ORW: yes / no PNA yes no Closest Maj. Wtr. Body
Type of Project/ Activity
Pier (dock) length r—
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore yam,
max distance offshore
Basin, channel P/
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length 10
SAV: not sure yes ' no
Moratorium: n/a yes no
Photos: ye no
Waiver Attached: yes no
A building permit may be required by:
( Note Local Planning Jurisdiction
Notes/ Special Conditions
Ag or Applicant P nted Name
Signature Please read compliance statement on back of permit
Vio)
App� cation Fee(s) Check #
�,� See note on back regarding River Basin rules.
Permit Officer's'lr�rinted Name
Sign :�o
F)
lel Y/9 0
Expir2ltion Date