20692D - Kirby

CAMA AND DREDGE AND FILL l� 120F92-
GENERAL
PERMIT
0 as authorized by the State of North Carolina
Department of Environment, Health,and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC )f/ '//vU
Applicant Name 7/YV / XI RJy % 6a lib �'t.'" Phone Number 33(e, - --. .)"/3 c�7
Address /5/0 /-6/ o0/t 57• t
City 64'Fe4I6dt c. State 4/r Zip .27 V0 3
Project Location (County, State Road, Water Body,etc.) /U‘ G.9 4G///P S71• j/c%- ._PAz/5/ 4/C I
4)T �Ar4 7 4 'MA (YP
- 41. 64,t•4/- , di'ktifti (o ,,
-%(Jc , A: .y /
Type of Project Activity VerD
- f55Lt rJ 6t7 t.4f,sA/t-c a rG=4.?i,/Y• (o f9l 'RJUN"WC Cad1 , 1;C`/fir &or . 0yJ/�•1
PROJECT DESCRIPTION SKETCH (SCALE: //i x) e )
Pier(dock) length 4 _G4inii S/A'Ec
Groin length MAb �"",`� ` V ,
�.�� - L '� ,3,is
number / �i
Bulkhead length
4
max.distance offshore id
i
Basin,channel dimensions -7v
4
cubic yards Y I A IXth 1') 7 ` E
�� q ,i 3v� -i dik?) t AA) 0) 0'`=
Boat ramp dimensions
s i .rAtt--) 6)//iy It in•,91-21'
41
PP
Other • CO; f
t Ott(r?uRA) I
I
PAL
1
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine, �'
imprisonment or civil action; and may cause the permit to be applicant's signature
come null and void. 2 C
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- - a s- 9s;)-' /- J 5 -5 `/
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
adjacent riparian landowners certifying that they have no 7N• PO°
objections to the proposed work. attachments
1.. :........,. .1..:. ....... ..,,. c..,.,. ,.o ni,...ti i-.,.,..i:.., ,•ert:fcar tk,t 14 - OU _ . . _ .

(LNERAL PERMIT COMPUTER FORM
APPLICANT NAME: •/'\
ADDITIONAL NAMES: .FL)
AEC DESIG:
S Q 0- DEVELOP AREA:_Cl/ - PROD DESC:�1
Fill only take 6)
(Will only take 1)
WORK: - OC 5D •_
('OVlll only take 4)
MAINT:
(Wiu only take 4)
IMP: t 6 6
(will only take 6)
•
ACTION EXPIRATION
DREDGE&FILL REQUIRED:
CAMA MAJOR DEVEL,REQUIRED: l b- 9 1r
.