Miller, Thomas

Oat
AMA / ❑DREDGE & FILL N° 76739 A B C D
ENERAL PERMIT Previous permit#
ew ❑Modif cation ❑Complete Reissue ❑Partial Reissue Date previ us permit issueed'_
d by the State of North Carolina, Department of Environmental Quality ry' )
and the Coastal Resources Commission in a area of nviron ental co ern pursuant to SA NCAC 1
00
Rules attach
Applicant Name Project Location: Coun
Address Street Addressl Ro)t #(s)
City State IP 0A-7�
Phone # (*;Ct01— /_ -( DU1I ( -Mail
Authorized Agent '------�
ccw
EW )(PTA
❑ES El
A ffected
LJOEA
HF ❑ IH
❑ UBA ❑ N/A
AEC(
ORW:
❑ PW
yes / o
PNA yes /
Type of Project/ Activity
Pier (dock)length
1
Fixed Platform(s)
Floating Platforms
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic
Boat ramp.
Boathouse/
Beach Bulldozing
Other ^(�/�L;_
Shoreline Length
SAV: not sure yes n
Moratorium: n/a yes no
Photos: yes n
Waiver Attached: yes
A building permit may be required b :TA
( Note Local Planning Jurisdiction
Notes/ Special Conditiip�
fIFf
41 , 1. r �1
City
Phone # A
Adj. Wtr. Body
Closest Maj. Wtr. Body
ZIP
Basin
(Scale:
I
I —
41 - � �i
—j { i 1. -
❑ See note on
Basin rules.
read compliance statement on
Feels) I t Check# t Issuing Date