Salter, Paul 78811C

CAMA / ❑DREDGE &FILL 9 78811 A B D
GENERAL PERMIT Previous permit#
ew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
�-®.Rules attached.
Applicant Name
�,Xlll�
Project Location: County���
Address
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Street Address/ State Road/ Lot #(s) _
City �0oIf'_�(�
State Mf�ZIP
Phone # ( )
E-M it
Subdivisionilp,i�_�
Authorized Agent
` '(J�
M/
r /1 e
City ZIP
❑ CW
..FE`W 'PTA
11�S_ ❑ PTS
Phone # ( ) River Basin
Affected ❑ OEA
❑ HHF ❑ IH
❑ UBA ❑ N/A
I
AEC(s): ❑ PWS: Adj. Mr. Body /man /unkn
ORW: ye / n PNA yes o Closest Maj. Wtr. Body
Type of Project/ Activity C
aom
Pier (dock) length ,7<
Fixed Platform(s) 111 x17
Floating Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
r
cubic yards l
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length a�t1C�
SAV: not sure yes Cno
Moratorium: n/a yes
Photos: yes
Waiver Attached: yes
A building permit may be required by: ( �i
( Note Local Planning Jurisdiction)
Notes/ Special Conditions Lei
ULA'I 0 c'Nl* s, _P r S 10 L
(Scale:
t, 11 Iy% ee note on back regarding River Basin rules.
�s G I: _� 1 �F ea / -t- C ch ✓1/l l 6�l P
ge �� �rt71am e
Sign re PI e ad com fiance state=4Jnt on back of permit"
e
Application Fee(s) Check #
Permit Officer's PrintAName
Signature
Issuin Date Vxpirati n Date