75825D - Oak

0 CAMA/ DREDGE & FILL I.sLu 6C No. 75825
ENERAL PERMIT ir'� Previous permit# A B C ( D )
)C New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina,Department of Environmental Quality 1 c )
and the Coastal Resources Commission in an area of environmental co cern pursuant to 15A NCAC aJ` .
\\,,��,, `` f7J( AAAO
❑Rules attached'.^'/Applicant Namet 'V PAb - a� l Project Location: County V' "JAddress 0+ I 1/4.,vY Stre t Address/ to Road/Lot#(s)
City. I State ZIP (X`z`l�� �J►�fJ 0 a a
Phone 9 .1 Q)M —l' )'r 6 II C Subdivision
Authorized Agent a - r�C ,v 'V ten City I AXA ZIP + L.Q
Affected ❑CW )&W JTA ElES ❑PTS Phone# ( ) 'ver Basi
AEC(s): ❑OEA ❑HHF ❑IH ❑UBA CI Adj.Wtr. Body �� .5 (na ap unkn)
❑ PWS:
ORW: yes / �(o'j PNA yes no Closest Maj.Wtr. Body �W w
Type of Project/Activity Y,,Q — OA / ►v l.v` P1 6 a_ d Q u , v- ion' a lQ `
aVt lit Yl W "Eck t GC Scale: qg21)
Pier(dock)length / ,
____i rix. p)..,
Fixed Platform(s) I f* _ _j.
Floating Platform(s)e'g ILO
Finger pier(s) 4
lis.x
6V---
Groin lengthNvil\'�
number
'Bulkhead/Riprap length I � j y
avg distance offsh re "1::" . .._,-.4„:„...,opei
max distance of ore i
0
Basin,channel I '
cubic yar
Boat ramp Al I � � �' (`) ��
Boathouse/ oatlift ; ! `�. V
Beach B Ildozing i 4
Other ' .4 �\� I —1
1
Shoreline Length I tJKJ iiii i I / / /_SAV: not sure yes m1< (` , ( I —_
Moratorium: n/a yes { Ylst\.ij,\........
Photos: yes i
Waiver Attached: yes a k , • p'
A building permit may be required by:kD .i l . See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction
Notes/Special Conditions l cc k ��l. (� I 1 N L V V
.v.
71, Applicant Printed Name Pe it Officer's Pnnted e
di
Signature * lease read compliance staf n�ent on back of permit** Signatur
..� 41 --,n rl -I t.-., i— i A ter,

allitanallaselaummuesamumi
Name of Property Omer ReignSe Posit -11AVA Of ( 14-‘
44,
Wane : ter teitU t am
Rene Number / li) ;; 0 6Q11
Email Addre .-tv fAi a, t r 9441/4 - 440.4 +,c S
car*tut I htw e«riataNt PrAolifis Vet- 5 t,t_
ittamodit
b act on ITV bah*four he pyres d imp*,for and obbinir4 ail C.AMA p
eb
noossarry for Idemong Impend drarlaprner* re 04011
at my Pram*Weld at S e .r4 13 4'' S um
I Alrwpnrprs awillY that I am amaciuso b grant and Xb h ird Rant parmisien
Melon
skos ostkv �rrbanter
pato+ sibr= b diMt
Aow,Now talsmissew
qpistu.e,
et Nam
Tie
OMB
This osoillbalbin is void Ihromatt .