Woody, Myron 80005C

AAMA / i7 DREDGE & FILL (} �j� 005 A B G) D
ENERAL PERMIT Previouspermit# 72/ c
ew -Modification Complete Reissue '_IPartial Reissue Date previous permit issued) �
As authorized by the State of North Carolina, Department of Environmental Quality «� J) try
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC d l t7 r
les attached.
Applicant NamePLI
Vyxjl % _ _ Project Location: County7tt
Address—YQ _ Street Address/ State Road( Lot #(s) ��� LG
G' ii/yy�C ZIP
City State __..
Phone # ) E-Mad __ __ Subdivision V.
Authorized Agent 1 �p`� (Ofi City tiJOi , Y ©y' 7 ZIP
Cw TA ,..ttr:5 if7PTS Phone# (_) _,-.. River Basin
J�L -- 4
_OEA ❑HHF IH t1BA
AEC(s): N A Adj. Wtr. Body nn unkn)
PWS:
ORW. yes f °4 PNA 7 no Closest Maj.
Type of Project/ Activity
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t
Scale:
-__... _.. ( ._..._._ ._ 4__.__ }
Pier (dock) length .-,._.-.._.
._._-
...._
Fixed Platform(s).
- ,.....
Floating Platform(s) _.... "r _.
_..
Finger piers)
Groin length
number
Bulkhead! Ripap length ...
- _.._..-..
.......
- _._._ .. _-_.._.
_.
avg distance of shore.—
max distance offsho•e
Basin, channel
J
l.
i
,
i
C' v l 01,{ S
C , ten
Nblc yards_
1.
Boat ramp
rf
Borhousel Boatlih
-
f
Beach B • Idoziing
Other
Shoreline Length-
SAV. not sure yes �nq
Moratorium: rda yes
Photos: ye
Waiver Attached: ,ye no
A buildingpermit may be required b :
Pe Y Y
`"�'
�.l Af',�., . 1 f
"'i%1i
- _
See note on back regarding River Basin rules.
i
( Note Local Planning jurisdiction) s
Notes/ Special Conditions
F
�« t
ice statement on back of permit** Signatur---r
i
Check # Issu D, a Exo(ration Date

PAMA / ❑ DREDGE & FILL O N9 80005 A B ® D
GENERAL PERMIT Previouspermit# " C
❑New ❑Modification Xcomplete Reissue El 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 oC�
les attached.
Project Location: County
Street Address/ State Road/ Lot #(s) Ug'a
nM� kb/.
ORW: yes rf l PNA (Y / no
Type of Project/ Activity 42Yp�
Pier (dock) length
Fixed Platform(s)`
Floating Platform(s)
Finger pier(s)
Groin length /
number /
Bulkhead/ Ripmp length
avg distance offshoreJ�
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlif�i�� L
I
Beach B Idozing
Other 60
Shoreline Length - -_
SAV: not sure yes n
Moratorium: n/a yes r
Photos: y (j��"
Waiver Attached: ye no
A building permit may be required by:
( Note Local Planning jurisdiction
Notes/ Special Conditions
g f O%)
Qgweor Applicant Printed Nam#
Signature ** Please read compliance statement on backofpermit**
_#,m. -eo 375"
Application Fee(s) Check #
Subdivision
City Vol Qgl/,f/p ZIP
Phone # O River Basinn Gj
Adj. Wtr. Body j VK n man unkn)
Closest Maj. Wtr. Body w✓- t<:'Ves
Permit Officer's
(Scale: NIA
❑ See note on back regarding River Basin rules.
ion Date