69207D - Parks

- IN,.-omplete Reissue ❑Partial Reissue Previous permit #
As authorized by the State of North Carolina, De a
and the Coastal Resources Commission o an area of environmental concern Date previous permit issues
Department of Environment and Natural Resources
applicant Name W J� pursuant to 15A NCAC
kddr s �-- rG Project Location: RLfes attach,
'ity �,� S County .��
Street Ad
lone # State_NCZIP
ithorized Agent t E-Mail
'ected ,�W
❑ CW
�TA ❑
C(s): ❑ ES
ElOEA ❑ HHF ❑ IH ❑ ES ❑ N/A
PWS:
W. yes / a
PNA es %I no
"e of Project/ Activity
!r (dock) length
ed Platform(s) ��
sting Platforms) 0
in
head/ Riprap", gth
avg distance offs re
max distance of(shor -I
,channel �--
:ubic yards
amp
�ut Boath r i
lull ing
Length "+ -200
not sure yes
Jm: n/a yes
yes
tached: yes
dress/ St*e Road/ Lot #(s)
Subdivision
City
Phone # ( ZIP
River Basin i
Adj. Wtr. Body teel _V
Closest Ma'.
1 Wtr. Body
0 .t
(Scale:
permit may be required by -
)cat Planning
Jurisdiction)
n __

YCAMA / LJ DREDGE & FILL
aENE"L P
New Dt'lodification Wfe-
V 67209
As authorized by the State Of North 0 plete Reissue L-1partial Reissue Previous permit #
and the Coastal Resources arolina, Date previous per
DePartment of EnytrOnn-wmr and NatPermit issues
Commission in an '"8 Of environmen C Cern Purs ura, Resources tat on uantro 15
Applicant Name co tt4-,JavANCAC Zoo
kddress_Project Location: Coun 9 1 0 Rut" atuch
_C
'ity
State AX ZIP Street Address/State Road/ Lot #(S)
hone # (&0; U-1
E-Mail
uthorized Agent �VVW Cow' St bdivislon
City
fected LW XEW KnA DES 0 PTS ZIP
I , I 'I 01A Cl 1414F 0 EH"C(s), 3 Pws: 0 LIDA 0 N/A Phone# Rim. a --
yes/
(no) PNA
Pe Of Project/ Activity
-—
er (dock) length --------
(ed Platform( % x %
-acing Plat,".)
get pier(s)— nL�
)in length
U'rrlber
:head/ Riprap length
IN distance offshore
Max distance offshore
channel %
ojbkYids
amp
xUW Boatkft-_J_2, t1
3WlkiorinX
W__
a Longth. Z 7
not sure yes
IM: Na yes
yes 4�
Cached: yes J r,
b[*1V
in
Ad]. Wtr. So
no
Closest Maj. Wtr. Body__To�,
I 'A
(Scale:
Permit may be required by,
'cal Planning )urisdi
'ecial Conditions jurisdiction See note On back rsVrding River
Z,/ 0 1 A4*whM_8P GkOir Ax.&r f) 1' Basin rule