Capman, David 80016C

LAMA 1/6DREDGE A FILL
wI
eENERAL PERMIT
w DModification ❑Complete Reissue ❑Partial Reissue
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
Applicant Name_ _ ,.t / ,J ( I j j Project L
�/F Addres _ _ _ /" _ yZ� � �E�. Street Ad
city '� r�•__�' �ftR!)=State_ ZIP' ..
W 90016 A B (C/ D
Previous permit #
Date previous permit Issued
NCAC A 7 a . I )f� _+ 6 7./�,
Rules attachelli
)cation: County CI('_.�(��
dress/ State Road/ Lot #(s) ! 16 1 A
Phone# V. )1ZL
7E-Mall
Subdivis'9n
_
Authorized Agent
�_
City
ZIP r�1 7 _
�_t��w-
Affected C Ctv ` -'
�..tA
_, + ' DES ❑ PTS
Phone # ()
_ River Basi
7 OEA =. HHF
AEC(s):
-IN ❑UBA 7H/A
is
Adj. Wtr. Body.. 60CI LL ' tl (n _Lm Junin)
C PWS:
ORW: yes l� /io, PNA
yes /`o)
Closest Maj. Win
Body
Type of Project/ Activity
Pier (dock) length !t
Fixed Pladorm(s) 1< _
Fk,eft Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ p� ength
avg distance offshore /
max distance offshore
Basin, channel ✓ I t.JC)G('(A-l!:
cubic yards
Boat ramp
Boathouse/ Boaclift s
Beach Bulldozing
Other
{
Shoreline Length j,r •✓ _
1.
SAV: notsure rn,
Moratorium: n/a yet yeso CPhotos:
Waiver Atached: yet !,no
( 1
A building permit may be required by: 1 i /l C'. '�l /)O
0
V
9
(Note Local Planning Jurisdiction) r ;.
statement
-7 ;)
Check #
(Scale:
t
❑ See note on back regarding River Basin rules.
r
1
I_/Perml[Olticer's Prin are 1 /
Signa re /
7'
I., ng Nte l4pirat on Date
e

LAMA DREDGE & FILL , % �� N9 80016 q B C' D
�. NERAL PERMIT Previous permit#
New ❑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 I SA NCAC . Q M , 42
Rules attach
Applicant Name )� mQ� // Project Location: County Air
Address ' 1 1 �p) f (i/A/)�, Street Address/ State Road/ Lot #(s) /`
bl-
Authorized Agent l
Affected ❑CW EW _kPTA ❑ES ❑PTS
AEC(s): ❑ oEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
ORW: yes YK09 PNA yes / no
Nf
Type of Project/ Activity
Pier (dock) length
Fixed Platform(s)
Floating Platform(s) �•
Finger pier(s) r'
Groin length
avg distance offshore
max distance offshore
Basin, channel +r
cubic yards r
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other tJ
Shoreline Length
SAV: not sure yes nc
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:
( Note Local Planning jurisdiction) ,
Notes/ Special)�onditions //IV/A-
Suture s" Please read compliance statement on back of perm*
,f�jj�I � I r✓_®
Adplication Fee(s) Check #
Subdivis' n
City / ZIP
Phone# O River Basi W/ ~
Adj. Wtr. Body n m n unkn
Closest Mal. Wtr. Body
�� CeP aC�,Hen'f'
(Scale: I q i )
❑ See note on back regarding River Basin rules.
Rn l {
PermitOfficer's Prin ame
z� r
Signa
4 ure
V�? I Rl/7%
Issyng D to I gxpirAlbn Date

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I trtdmtmd f W o pW, dock. moolklp PtQ, h 11-1i boetlto^ Mt, or W* mint be set bock.
nlillilNrn o9etalloo of 19 from my ono of dporiol► e>coeee w" mah- by me. (If you vAvh to woke
tlN Mtbock, you mwt fnNIM tlw appropriMo bMrik bMow.)
I do wish fo WWO the 19 eetbe* rooRlirena t-
�_ I do not wbh b WWW dl* 19 • A I -" M* kwW t.
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ft relbscK iw must b" rM approprW bunk below.)
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