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�CAMA /% DREDGE & FILL D 69287 A B
ENERAL. PERMIT Previous permit #
Neww _._Modification Complete Reissue Partial Reissue Date previous permit issued
authorized by the State of North Carolina, Department of Environment and Natural Resources
the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC}
r c/o t ,-o 5 v o Rules attached.
licant NameC_}1'f�(. Yl ,�,itit ' .�% �tf Project Location: County
K
ty
! _� _&
ress ? L� 6vV t G�1 �iri'ivt" S,,i ){ t U �� Street Address/ State Road/ Lot #(s)
b5ra"4 �t Statev%� - zip--
ie#q_5 E-Mail_PUj_64 &O1,071)"tall Subdivision i.. _ +'M2
iorized Agent - City 1M i
CW _Ew
:ted A � BA TS Phone # IA River Basin Lt VA
(s) PWS: Adj. Wtr. Body- -. - _L� lG - (nat /t
C
/ yes / o PNA yes / o Closest Maj. Wtr. Body. &)A � ,� _ Gt--eC V -- 'b
e of Project/ Activity t i v�11
1 G`4i e u (r v ly t (, _ d {•tf Gi ��'lcl (Scale:,'I� Z�
(dock) leng
th
ad Platform
sting Platform(s)ter pier(s)
do length
number // ry �_
Riprap length �tti t G-��-��t
�'dvg distance offshore G}
max distance offshore
f -00k,
n, channel _-- f/LG t tLLitd3 t �1ft�C";C�
_ ��Gk i ►�� r�U � t i �� �` btu, �
cubic yardsIc'
y�
ramp j tt VierrSTt!•
.house( Boatli ( �, �' •� _
:h Bulld zing
_Z C y. _X'sfr
t
eline Length U
notsure yes /
l+
ttorium: n/a yes t`�}ICl•1v�,!S �~ Lai- V / �:
os: yes r 1; V ti
er Attached: yes
ilding permit may be required by: �� /�%� d"' / `th�,!�( �� See note on back regarding River Basin rule
to Local Planning Jurisdiction) _A r t tI r I