42327D - Fox

NI AMA/ DREDGE & FILL Previous permit#
GENERAL PERMIT Date previous permit issued_
___3__IS_'_1-(`,...4--' 1
mom'[ Complete Reissue Partial Reissue
New = Modification P U
Department of Environment and Natural Resources s attached.
ized by the State of North Carolina, f C
:oastal Resources Commission in an area of environmental concern pursuant to I5A N a n County
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it Name PI �C / Street Address/State Road/Lot#(s)_ -0
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River Basin_ 8
ized Agent l OPTS Phone# ) �
�.p�TA ❑ES A., ( d r-d "(i✓''� W (nat,
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KI -OEA ❑HHF CIH -
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_FC: Closest Maj.Wtr. Body
Crit.Nab. yes / no
yes /� PNA yes /�o t r f� -f Tv
Project/Activity
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•(dock)length ' -"Th/ A
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:form(s)_
ger pier(s)--�
oin length ———-- 1^
number — � , ((
&head/Riprap length �.�
avg distance offshore /yJU3
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max distance offshore --
asm,channel__-----
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cubic yards —
Soat ramp ——-
11
3oathouse/Boatlift -- I
Beach Bulldozing=—_---
Other
Shoreline Length / \' '✓ '� � �^ ,
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SAV: not sure yes ' � C� `—
Sandbags: not sure yes
Y1�- J/
Moratorium: n/a yes �'-� '
Photos: yes /
Waiver Attached: yes & � C See note on back regarding Riv
ha required by: (� F ~ ��/ —

1ES, LTD COASTAL FEDERAL BANK 10702
;IVE SUNSET BEACH,NC 28468
C 28469 67-7235/2532 7/2 /5-
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11).3a7-76 AUTHORIZED IGNATURE
10211' II: 25327235SI: la2 5 700 1 2 9 711' •