HomeMy WebLinkAbout53158D - BeverageLAMA / Li DREDGE & FILL
1ENERAL PERMIT Previous permit #
Jew ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
ized by the State of North Carolina, Department of Environment and Natural Resources ' O Q
oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
Rules attached.
Name \1 1 : tL:-,CSC
cz. C- G �'► State IJ L ZIP 2t--Y4 Ws
(�k(>Z�LAb3�Fax #( )
,d Agent L :r& i-j N 3�.- S I?
C' CW �EW -XPTA ES J PTS
OEA ' ❑ HHF IH UBA ❑ N/A
PWS: ❑ FC:
,es /' PNA yes Crit.Hab. yes / no
Project Location: County bG 2
Street Address/ State Road/ Lot #(s)
Subdivision
city Q Gs��l ZIP G1L4
Phone # ( ) River Basin/1kzwow
Adj. Wtr. Body P4-a1L_ ,.yam (natQrr
Closest Maj. Wtr. Body a50M L
Project/ Activity 11,4�D5rT P�L L X t,J AL-k-w 0, -1 S
1 5?ftLZ LT \ (I1 z
k) length ZQX 3
s)
gth
fiber
I Riprap length_
distance offshore-
: distance offshore
innel
is yards
P
Boats �� 7—o a,E
I X 1:N
Ildozing
Length t-'rz--*:�
not sure yes
not sure yes,
im: n/a yes
yes
6—L-1;
[[ached: yes
no
(Scale: ' -
g permit may be required by: SN {Z Cs-� �! See note on back regarding River Basin
special Conditionsi�,,L L IJ—TT Gr E,
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liame Of Individual Applying For Pmmit
Address Of Property:
LSE
(Lot or Street #, Street or" RdiCitY & CDanry)
I hwsk Wft dW I Ovm property adiaomut to the above-referon ' i:Ijpert v. The i:jujvj(
491Y* ft ft PWrAh has described to"&e on thr-, Aatacaej drawing the deveiopil
they U9 FqPOSiD9- A de'=iPdOn Or drawing, WiLL II=nSiOns, should be provide-d with
kAK.
ART"Mm"'T"'W. 11=
&&Waffles
-- M---4
a pier, dock:, mooring pilings breaL-wamr, boat house, lift or sanIdbms,''0''5' from myamof riparian ac=mgu
WiShtD whoa tyVU Waved by Mt. (If Y, ntthe aPPrqrim blank, below.)
I do wish to umive the 15, setback r� 4
1-40 We-e Tbr- 115' mdxt,,-,
T1ame Of bMvid%W Applying For Pe: mit ►�� ► \ i 6 P'
Addrmss Of Property: L c"-I e
lot or Street C Street or, Rca t, City & Co ryj -
I hasby hart* i= 14w-prvparty adjacent to the above4cba ,4 I r=.?perry. The inuivid
*b has diescstbed to'� a�ta.::xe.i
• iy .: per'seit _. ��:�n an the Uawing tine deveiopm
that act proposke. A won or fts- r , wiy dimensions, should be provide4 with t
INK.
V/ '
I hevr M 00ectws to this „,1 rrl.
. _ rr _ .� .� ♦ •lrr� -.Iff 11 �t!!• i 1, f • •H ► •lf 1 ,
'.1.� .fur n 1 .� �'. .� a-r u) .� ��� t •u • • •-.tif.• t • . •,
t =ftlmdtE�tL apit! dock, mooring pilings, bmakwa=. boat house lift or sandbags,
aet back a miai�mutn of IS' from mmts4.
adsh im ovaivc the :tstbacL-, You must iniziaS the &Mof 1� ac1aess =less waived by me. (I f y
TPr pim b1anL-. below.)
_._.V , I do wish to v.*ve the 15 setba& re quire, .
LIGHTHUUbt mN►nm�
P.O. BOX 2532
SURF CITY, NC 28445-0028
DATE
-r 3 - Q- 66-19/5
PAY
TO THE
ORDER OF
WCDV-X)1C
Bank of America
l '
ACH R/T 053000196
FOR
u'00 31. 0111 I:0 S 3000 L961: 0006
/d
OLLARS 8
' G
513 L L36711'