Rhodes, Chris 78863C

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CAMA / ❑ DREDGE & FILL N9 78863 A B D
ERALPERMIT Previous permit#
ew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous 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 15A NCAC 81es -tt
Applicant Name i �Vlll (O ��`1 `JeS Project Location: County t/
Address Q/%% bax 9190 Street Address/ State Road/ Lot #(s)Al
Phone # E-Mail _
Authorized Agent
Affected 0CW kM -*"A ❑ES ❑PTS
AEC(s): OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
ORW: ye no PNA yes no
Type of Project/ Activity p
c 1 c- — - I..
Pier (dock) length 1/
Fixed Platform(s)
Floating Platform(s)
Finger pler(s) l
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards -
Boat ramp 2
Boathou Boatli( �, _ �J -
Beach Bull pzing
Other IV 5
i
Shoreline Length
SAV: not sure yes no
Moratorium: n/a yes n_
Photos: yes
Waiver Attached: no
A building permit may be required by: A
( Note Local Planning jurisdiction)
Notes/ Special Conditions
I
F�gent p i nt Printed Name
Signa re **Ple se read compliance statement on back of ermit**
�, X8Z
Application Check#
City /V f _,17 _ _
Phone# (_)
Adj. Wtr. Body
Closest Maj. Wtr. Body —
ZIP
River B it
RO
1";2of )
�_. ❑ See note on back regarding River Basin rule'.
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Date