HomeMy WebLinkAboutSeddon, John 77013CMaw
❑ CAMA 1 ❑ DREDGE & FILL ' t � O
N. 77013 A B o
®GENERAL PERMIT Previous permit# c
❑New ❑Modification ❑Complete R - ssuet—El Partial Reissue Date previou permit issued
As authorized by the State of North Carolina, Department of Environmental Quality If
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
r u es attach d.
Applicant Name Project Location: County
Address( Q Street Address/ State Road/ Lot #(s)
City lJ�-r'"� State ZIP'-'1II _-��r,"7 t�+'t• '�'---
Phone # (-��- E-Mail _ __ __ Subdivis n
Authorized Age t
Affected Niw I�(`�tTA
AEC(s): OEA ❑ HHF E IH
❑ PW
ORW: yes / PNA (Osl
Type of Project/ Activity
Pier (
Fixed
Floati
Finge
Grolr
Bullet
Basin
Boat
Boatl
Beag
Othe
Shor
SAV
Mon
Phot
Wa
A building permit may be required by:
( Note Local Planning jurisdiction)
Notes/ Special Conditions
City t /h ZIP
❑ ES ❑ PTS - Phone # 'ver Basin `
❑UBA ❑WA
Adj. Wtr. Body nat man unkn
no
Closest Mal. Wtr. Bo y
(Scale/
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is: yes no
❑ See note on back regarding River Basin rules.
Application Fee(s)
Check# Iss niu SCUT f - ' 'Expiration Date
®❑CAPAA/ ❑DREDGE & FILL r I %WI N9 77013 A B C JD
GENERAL PERMIT Previous permit#
❑New ❑Modification ❑Complete RdrsTu—e---D Partial Reissue Date previou permit issued
As authorized by the State of North Carolina, Department of Environmental Quality f
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC es attad,) d.
Applicant Name Project Location: County
Address Street Address/ StateRoad/ Lot #(s)
City VStaSteZlP^ ' ��l"7 1 - --
Phone # ('��- E-Mail Subdivis
Authorized Age /Pt
N' NJW r`*(TA
Affected ,-j OEA ❑ HHF ❑ IH
AEC(s):
C7 PW
ORW: yes / PNA
Type of Project/ Activity
Pier (i
Fixed
Fload
Fingei
Groin
Bulkh
Basin
Boats
Beath
Bea
Oth
Sher,
SAY
Men
Phot
City /h i ZIP �������
DES DPTS Phone# verBasin M' (—
❑ UBA ❑ WA Adj. Wtr. Body nat man unkn
Closest Maj. AIM Bo
no
(Scale'
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length
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iumber
ftrap length_max
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distance offshore
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mm
Waiv . .
A building permit may be required by:
( Note Local Planning jurisdiction)
Notes/ Special Conditions
•* Please read compliance
❑ See note on back regarding River Basin rules.
Application Fee(s)
Check# Issuing 'tL{"ae r •Expiratfon Date