Taylor, Walter 76736C

®❑CAMA / [-]DREDGE & FILL N9 76736 A B
�. GENERAL PERMIT Previous permit#
❑New [-]Modification❑Complete Reissue ❑Partial Reissue Date prev'ous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
Rules attached.
Applicant ame CW A Project Location: County
Add4—
Phone Street Address/ State Ro / Lot #(s)
City State ZIP T1 ��/n 14 f
ailSubdivisi"a----
n
Authorized Agent � City lz7j Y/f
Affected ElCW W (SyPTA ❑ES ❑PTS Phone# )
AEC(s): [1OEA ❑ HHF �11 ❑ UBA ❑ N/A Adj. Wtr. Body
❑ PW .
ORW: yes / PNA yes / f Closest Maj. Wtr. Body_
Type of Project/ Activity
Pier (dock) length_
Fixed Platform(s) _
Floating Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Nprap lei
avg distance o
max distance
Boat ramp
Boathouse/
Beach
Other
Shoreline Length
SAV: not sure yes no
Moratorium: n/a yes no
Photos: yes n
Waiver Attached: yi no
A building permit may be required by:.
( Note Local Planning jurisdiction)
Notes/ Special Conditions
ZIP
Basin
(Scale:1/1 ..(40/ )
on back r rding River Basin rules.
/ /
compliance statement on
Application Feels)