51949D - Woody

:CAMA/ ❑DREDGE & FILL
GENERAL PERMIT Previous permit#
New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
orized by the State of North Carolina,Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC H • I-2..-•----
[Z1 Rules attached.
nt Name Al LQ„0 bj \d;•;o��-j Project Location: County ,-v SLT��)
s P Z IS• ,n.. �l i Street Address/State Road/Lot#(s)
t)1.h^+•.N S Y l.-L. P State t,i(.. ZIP Z_--)-4-b\ ._ - . \ \ l.,acy,a a 7S•,--)
#( ) Fax#( ) Subdivision LN&v..)t, �-��/
J LL JJ
ized Agent �r-, ... Lii•A,71_'; i - City ,`AGtSJJvj t,Lt' ZIP Aft
d w 'XEw TA ❑ES El Phone# ( ) River Basin v��S';
OEA P!HHF ❑IH ❑UBA ❑N/A
Adj.Wtr. Body L (1"--1A/tn.. n
❑ PWS: ❑FC: `
POCrit.Hab. yes / no Closest Maj.Wtr. Body► 6� �`i
yes g PNA yes /
Af Project/Activity - `I. y (Z,,, Q _ tv ..-)1 I o K i ko I--- Htia>
(Scale:
ock)length Li.) ,C }Z. Q
!�/pier(s)
length -�'�'-.
umber
L:
ad/Riprap length �
vg distance offshore
lax distance offshore
channel
ubic yards 1
impr I ,
ruse/Boatlift f 1
L {
I
Bulldozing _._.._-.
� -- �—
�iE‘Ifii :
ne Length ,
not sure yes
gs: il
not sure yes
f _
>rium: n/a yes no i
yes I I
•Attached: <y„ no i._.. ....-. Y L tb T t ,
ling permit may be required by:�i*A.L•`'.i..,�..> `O t-u +L . See note on back regarding River Basin

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Date/ /,ZZ�, 30/457
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1 Applying For Permit : —
1140,10 sDf iudi v id •4°7-- 04- // ,Cf9 G t,Mi_
Address of ops ty= �-�- f✓_ C. o?��y
C��2�_VL4 g i�nty)
(Isat� or Street �F
Street or Road, C t-Y
adjacent to the
I•
own property 1 di for this permit t has
above-
referencedI rabY certift thsThe individual app draw for thi dp rmit has
t
dep y` on the attached with dimensions,
ons
they
to o a eh A description or drawing,thou are p ided with this letter.
should be p ropve�si -
t/ I ha4e no objections to this
br8g]�wiLer, bad
undVhaiRAMPUM
erstand the• a pier, t dock, mooring pilings,a back a minimum distance of o-
I -s must waived by i[ie • (If W 1
house, lire ooa -c. -an access unless wa the appropriate you hie:
from my area of • ck, you gust initial
to waive the sg=
below. )
/ izee�nert
j do wish to waive the 15' :setback requirement .
•----— wish to waive the 15' setback reqtiir+emer .-

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