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CAMA AND DREDGE AND FILL
GENERAL a (119 780 _0
PERMIT IN-
as authorized by the State of North Carolina
0 Department of Environment, Health,and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC '7H- / ) O J
l.�
Applicant Name e r)'( `k� r' '— Phone Number / °) s /y` / /0k 6
Address of 0 S 5 A—rC r/i/�! 1) r % VP
City 9u' -‹ 'I' a( _Ik State // C., Zip
Project Loca 'on (County, State Road, Wgg r Body,etc.) CI O S SR O r G if A f 0 n{ "r S v 4 S P 1- ee k,_L
on I / �1/ w nL 1 r- h5uIZk CeD L,K—t- .
T of Project Activity e.,,, -ir,,c,-I—OJI 'X /4 ' T--keg J. /a.' A'16' 3.44- 1.1-C-1- (vnce ver ed) +- /a'X/�
y to,i-i-,„ da..,k- ,4 Wq-}Yr WGrr1 C n c). o-c- -tXISi/i cj i(r'. Ali (` , '�r,iLlL, s 44)/ dr q'f'
be-()-f' i -F-1- /i+side /p,�..4 r-/-Rjarr4,� ( orri. 0,r •. sJ/_4�/y/ /�—t ex cry 1/ • 4rN,./ C.,ps p'�
En,/Ae(r) 01uthi/46 , Ali ( Dnc+i+iver) 6c ?1l. /�3 s 11 a0p//.
PROJECT DESCRIPTION SKETCH T (SCALE:A//4. 5*(4
/(,- )
Pier(dock) length , 'f n w N eV/ ,_.)Groin length /G' / Se 1, 1'
o • r�
ha
number • • f o°
Bulkhead length gel /b' /E,'
/ iNI
max.distance offshore ✓ 3 11 \ (_ioy1(n-)
Basin,channel dimensions
i V '/ / /f `{ix' s*/.?y PI( r -
V`/ { V ir
cubic yards ( V/ '( V
or
( ( if
Boat ramp dimensions J r y ( ,.V
Otherl"'h 4j 9 I)(AI 1 V
.,-I~ A; c-I' 1)90 fit ( J ( if ✓
`1,,,,i-,4 1o,x ' I d
N\ K Appi o x. ADD / `,1
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any /61. �---- _ --- ---
violation of these terms may subject the permittee to a fine,
imprisonment or civil action; and may cause the permit to be — applicant's signatur
come null and void.
This permit must be on the project site and accessible to the 960t- a•
o is signatur
permit officer when the project is indpected for compliance. �_ — _ l �_ //
The applicant certifies by signing this permit that 1) this pro- o� `�
ject is consistent with the local land use plan and all local issuing date expiration dat
ordinances, and 2) a written statement has been obtained from adjacent riparian landowners certifying that they have no 7/4 , 1A 33
J
attachments
objections to the proposed work.
GENERAL PERMIT - COMPUTER FORM
' FIELD REP: i)it rker----
- U
,,((�� �j ,/� APP FEE: •S - -
PERMIT NO: C) L� d ' b V - - COUNTY: i` 7 _.
AEC C) 'sir: •C w 60 P WATERBODY: 1�-
AP. PLIi_'.? T NAME: C-7 t�
e 4- 1� - ��i'! '
ADDITIONAL NAME(S) : • -.. ' . - - . . . . _ .
•MAILING ADDRESS: tb ire ii.: ' . .
� j a
CITY ).) •) ( • ,4, STATE,;'• '7 �•• `.ZIP. •_ /1 i/
PROJECT C LOCATION: q1 . �v "`D • � j C.• .
,f c;
. 'INCLUDING CITY Uit LOCALITY (WHEN DIFFERENT FROM MAILING ADDRESS)
DEV AREA: _ 0 I PROJECT DESC:
_ . — .: „ : �j�� LAT (X) : : •�: LONG (Y)
. CODE LENGTH - WIDTH DEPTH . •• CODE LE' TH�� WIDTH
, . TH DEPTH :
C?) .LENGTH WIDTH DEPTH CODE -.• LENGTH' WIDTH DEPTH
IMP: (V'V✓ •/ /l I- ) (,cry,' j b o ) . (phi. I- - t
CODE SQUARE FEET CODE SQUARE FEET CODE SQUARE FEET . -
•
ACTION
•
EXPIRATION '.
DREDGE- :AND FILL REQUIRED: ` ` " • - .�.7 -
LAMA MA 'OR DEVELOPMENT REQUIRED: - ..
**X*********************************.******************************•**********
- -• CODES_FOR= AEC DESIGIATIONS -•
-"OH" -. Ocean Hazard "CW"" - Coastal- Wetlands
:" " .- Estuarine Waters - "PC":- Fragile:Coastal Natural%Cultural;"ES": Estuarine_Shoreline :-._„PW". - Public .Water- Supply
"PT"-'••_Public'Trust _"OR"-- Outstanding_.Resource Watre
.
_ DEB FOR PROJECT_ _
"P" nr i•�e:rcialcuaf-ly an individual "F"- Federal :-
n n:
"C" !:comma • L Local Government
-"U" Utility - "H"_ Housing Development
„:" State" "0"
Other _
4 CODES FOR DESCRIPTION -
-„11". Bulkheads, Ripra• p _ _ .` "16". Utilit n n.:'� - Y L�27es.
12 _iers, Docks;.=Boathouses -"17,n_:_ Emergency: Repairs . '
.". 13". Boat Ramps •. --"18" Beach Bulldozing:-
"14". Wooden Groins. "19", Temporary_Structures -.
"15" Maintenance'of Basins, Channels, Ditches .. - . . .
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— /�® 2238 •
CM/c Cash Management Account'
C 5 SHORE B KNOTT 25-g0/440
905 SHORELINE DRIVE W i19
SUNSET BEACH, NC 28468-7272 /�/J
$ S �/�l/
PAY TO THE
ORDER O
x
rri Lynch
BANKONE, BAT o I M,.reus.NA
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M :I �; 040 LO L 3 L 189 5n' a
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