Kathy Long Trust/Verdell Beier 78851C

4A N�- 78851 A B OC D
`can/IA
T Previous permit #
0 Reissue OPartial 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 ?f environmental concern pursuant to I SA NCAC__�,
— V e,(- e, Project Location: County JORules attached.
Applicant Name K4--�Ij V
Address t7t t7 Street Address/ State Road/ Lot #(s)
Cit"IState /�E ZIPLo
Phone # E-Mail AAIJSMId -i),Om Subdivision
Authorized Agent
City`— H&'-r owe, ZIP
Affected 0 Cw 'Kfw- ,NVU DES 0 PTS Phone# (—) — - River Basin
AEC(s): DOEA OHHF ❑DIH D USA ❑D H/A Adj. Wtr. bodyC)i.A cxe"k- (G'j— lun
0 PWS: AVCAA-,
Closest Maj. Wtr. Body— R) ye-f-
ORW-. yes PNA yes no"
r h<
Type of Project/ Activity b'C',q* �IITA 0 Ell �P 0' 1
IJ
(Scale:
Pier (dock) length
—7
Fixed Platform(s)
0, ri-
-4—
Floating Platform(s)
4
Finger pier(
Groin length
t J
number
Bulkhead/ I;Uprap length
avg distance offshore
max distance offshore
- Basin, channel —J
4
cubic yards
-4-4--- Boat ramp
o Boathou atlift
Beach Bulldozing 4
Other
4-4
J _k'
Shoreline Length t I
r-7-7 --- 7—
n/a
D
4
SAV- not sure Yes Moratorium: ),es no
Photos: yes Un.
t T-4
no
r ., w_ ' l _ t ' ._
Waiver Attached: yes no
A building permit may be required by. See note on back regarding River Basin rules.
(Note Local Planning jurisdiction) all
Not s/ Special Conditions
1�10-rk iAll b �X -5+�n
Mfrm2na.
.,�—or c PritnZed Permit011, d N e
Signature f- P6ase read compliance statement on back ofpermit Signat77,/
04-
4p'lication Fee(s) Check# I ssui gDat, w Efatioripate