28288D - Henderson

CAMA and DREDGE AND FILL I,e
GP EE NR EMIT R A L ��c, ► , t 54 29:288-1)
as authorized by the State of North Carolina
Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC 74 /DU° , - =' ' .-2
c
Applicant Name ,,\\ Ptic��S,-%'�' �`� �Fbc 67 ' . (t f Phone Number ��� b - 3-7 �7
ril Address 9 D )t/ `/ c>-/
r
City cm/1-A C i'J`/ State ( `' Zip J 8`l LI S
Project Location (County, State Road, Water Body, etc.) s4►'*fi , A'J7A C-Ptt ( vIAA N- MA Dom'`
cA A/4 / , t,vl,Q-S C i-'/ , J ti Vot^i C c •
Type of Project Activity '' )# 1 �i^' t '2-0/4-1 1.--, A f=,ti�Pt �R
PROJECT DESCRIPTION SKETCH (SCALE: , , - )
;Pier(dock)Length —
Groin Length 111
number
Bulkhead Length 1AI—
max.distance offshore '
Basin,channel dimensions
►-i )( I.1 A -N A r"mil z i. +
cubic yards
Boat ramp dimensions i• a r •
i
FIV r- - 1‘X L--__. ._�� ._ _. . _ .... .a _
Other .' • sr 4. , 1rIr1 10 )
(— — al , .---e ----
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3
This permit is subject to compliance with this application, site drawing ✓ '/ j'' ,{�,._'
and attached general and specific conditions.Any violation of these terms _" ( a licant's signature
may subject the permittee to a fine, imprisonment or civil action; and l
may cause the permit to become null and void. ✓( il pp. (9(4 ----J
This permit must be on the project site and accessible to the permit of-
ficer when the project is inspected for compliance. The applicant certi- t)9- /,/- o/ 111 / -//- C)
fies by signing this permit that 1)this project is consistent with the local issuing date expiration date
land use plan and all local ordinances, and 2) a written statement has
been obtained from adjacent riparian landowners certifying that they - 101.11ggeti . 7 ie4 •/)Uu 7/f . /CY'
have no objections to the proposed work. attachments
In issuing this permit the State of North Carolina certifies that this project - .2 Ov, Uc e /c- I I -74
is consistent with the North Carolina Coastal Management Program. application fee

CODES FOR AEC DESIGNATIONS
"OH" - Ocean Hazard "PT" - Public Trust
"EW" - Estuarine Waters "CW"- Coastal Wetlands
"ES" - Estuarine Shoreline "FC" - Fragile Coastal Natural/Cultural
"PW" - Public Water Supply "OR" - Outstanding Resource Water
CODES FOR PROJECT
"P"- Private-usually an individual "F" - Federal
"C" - Commercial "L" - Local Government
"U"- Utility "H" - Housing Development
"S" - State "0" - Other
•
# CODES FOR PROJ DESCRIPTION
"11" - Bulkheads,Riprap "16" - Utility Lines •
"12" - Piers,Docks Boathouses "17" - Emergency Repairs
- "13" - Boat Ramps "18" Beach Bulldozing
"14" - Wooden Groins "19" - Temporary Structures
• - "15"- Maintenance of Basins, Channels,Ditches_ --.-:---_—-._....----
GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: 3;11 4-lpr,,peR SdN
ADDITIONAL NAMES: 4�P C lc S (-b'GIG S 11'10 Q't
AEC DESIG: Eyv ES r PT DEVELOP AREA:_ck.QL PROJ DESC:
, -J `J
(Will only take 6)
(Will only take 1)
WORK: 36 ill , , 'LI Ft' 3, 4 -
(Will only take 4)
_ Fp 3, 9 thc- 11 , 1
MAINT:
(Will only take 4)
IMP: G • I(.Y
(will only take 6)
Off) F; 1 riS
ACTION EXPIRATION
DREDGE&PILL REQUIRED: 9 I —d ( —I 1-0
CAMA MAJOR DEVEL REQUIRED: 01 —t) 1 ' 1 ( —p 1

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