19771D - Pearson

CAMA AND DREDGE AND FILL
GENERAL PERMIT 419771 - b
as authorized by the State of North Carolina
0Department of Environment, Health,and Natural Resources and the Coaistal R�6oy.�ces Commission
in an area of environmental concern pursuant to 15A NCAC /t • / J
Applicant Name A/y r/ e U r 5D^ Phone Number
`
Address 009 Les (r r -e t
City 0 CPK S/e ,&f•%- State 11 A/C Zi
Project Location (County, State Road, Water Body, etc.) )4 R;,S 4 v' " O h` ( i4 /IN
Type of��PP oject Ai(tivity 'R( 14t( -eX►Sif A3 6�/f<-td (y�r-) /n S 4 eyt� q II Ail (/14 WAI fc, A /S
re -F•r bva'V r- (41-0 3 �- tiil AO/IC a t, o.1 -2a i"t r--i) f/Cie d- g4mc q f, /I M r / Cf
ex,si-/h �� i{i, cf oA iA.1'i. (r A / ' e _ 41/ c9 A ell J f a)-1— (7i / / 60
sit /N4pp /
PROJECT DESCRIPTION SKETCH (SCALE:/ // /047_)
Pier(dock)length \-'-'2„, j j . I I/'/ j�U�f 2.____---- --
If
Groin length {� V
4
number /��
Bulkhead�ngth I,1,/L v l�hC4r' N (.7 ew ,-,l\Alin ^----- ,
max.distance offshore
Basin,channel dimensions W )16
cubic yards CkiSTin• Lect-4(
Boat ramp dimensions �D '�i�(J�1 t
Other
/110 50n '
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any `i�f //s�1
violation of these terms may subject the permittee to a fine, �
plicant's signature
imprisonment or civil action; and may cause the permit to be-
come null and void.
'ek\--- 0 .
This permit must be on the project site and accessible to the permit officer's signature
permit officer when the project is inspected for compliance. �_ ��
The applicant certifies by signing this permit that 1) this pro -3--
21 - qq
ject is consistent with the local land use plan and all local issuing date expiration date
ordinances, and 2) a written statement has been obtained from / / J/ )
adjacent riparian landowners certifying that they have no r 1H0
objections to the proposed work. attachments
T n

GENERAL PERMIT - COMPUTER FORM -
FIELD REP,: R r.�U¢.�
APP FEE: 5-0 .• -
PERMIT NO: O /4 '-7 I COUNTY: ri-dAs
iv I
AEC D 'S:IG: WATER BODY: IA) kt.
APPLI:=?:.NT NAM: /3 /K n • -€�r l D i►- :
. : .
ADDITIONAL NA1�IE(S) : -. - : - -
MAILING ADDRESS: I p"V , •
�� cr .:: `� -- � ,
`: .PHONE:
CITY: (9 C,e,u k-•: (� : :/S -pw.;4. ," STATE: V� ZIP: oZ: -
PROJECT LOCATION: -
.--It3CLUDYNG CITY Jig I�::IwITY _ - . . - . - - :_.
(WHEN DIFFERENT FROM MAILING ADDRESS)
DEV AREA: _ °b-I PROJECT DESC:r- 6 LAT . .
_� . �X) • •• LONG. (Y) ..
WORK: _ •• '162 — -) I_ •— -
.,
CODE LENGTH WIDTH DEPTH CODE LENGTH _.':.. WIDTH DEPTH ,
ENT: ( --•` -) ( _
. ODE L,E IGTH WIDTH • DEPTH CODE - LENGTH --. WIDTH DEPTH •)
IMP: (CODE S
SQUARE FEET • CODE SQUARE FEET CODE SQUARE FEET
• - ACTION - EXPIRATION• ..
DREDGE AND FILL REQUIRED: ` •..
COMA MA✓RJR DEVELOPMENT REQUIRED: - =. :.. .
************************** ******************* ****************** **********i
CODES- FOR AEC DESIGNATIONS.: _ -
"OH" --_Ocean Hazard "CWU -'_Coastal Wetlands
•
"EW" :Estuarine Waters = _ - "FC"-- -• Fragile:.Coastal. Natural/Cultural"ES" Estuarine Shoreline .. "Pik":=_ _ Public Watery Supply
"PT" - Public:Trust :"OR" - Outstanding Resource Water �; ._
._- : -- CODES F OR PROECT -
: - J
"p" avcte, usually an individual "1"- Federal
.'!"ICH-. Cemrnarciai- "L"- Local Government-
II 'Utility "H" Housing
"S";State-.._ - Development
. _ - - "' - - "On Other -
- CODES-FOR DESCRIPTION -
-"11" Bulkheads; Riprap - f "16"_IItility_Lines
"12"-_•Piers, Docks, Boathouses -
_'�13" Boat Ramps _ - - - _ `"17��.: �iergency Repairs. � .
• "18" Beach Bulldozing
"14". Wooden Groins; - - :"19" P. Tem ora
"15" Maintenince of Basins, Channels, Ditches = = rl' Structures

1-10Q Lesser S�

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;• [J_________GjGRICE CONSTRUCTION �.��--
1 PH. 910-579-9095 •
6618 BEACH DR. SW R
OCEAN ISLE BECH,
•
F
NC 26469-4710
8 5 5 2
,1, PAY
.y1' TO THE
ORDER OF�_
�
! / ) DATE
•. �-�` /1J 66-112/531
ersoI
4 H�1/Y OCEANISLE OTH NCA US OMPANY t�
FOR BEACH,NAY ROAD _ D DOLLARS
28469
[j; I
=� �_, 1s00008 5 5 2u■ 1: •
�� 0533pj121i. � �
• 5c' 18159453n�