Fortier, Mark 78841C

®^ ;XCAMA / ❑ DREDGE & FILL N9 78841 A B (19 D
GENERAL PRMIT Previous permit# C
[-]New ❑Modification Acomplete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality ' 1 nn
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 07 Cf r 1 doo
Rule attached.
�t Applicant Name MLLC e Project Location: County xi—�1r1
Address_ 1,57 �Al D I I y QCt N t Street Address/ State Road/ Lot #(s)
Phone # (I
Authorized Agent 1
Affected El CW �W _ )rYA
AEC(s): [] OEA ❑ HHF ❑ IH
❑ PWS:
ORW: yes /& PNA yes /
Type of Project/ Activity
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s) i
Groin length
number —
Bulkhead/ Piprap length
avg distance offshore
max distance offshore��
Basin, channel
i
cubic yards
Boat ramp
Boathous Boadi
l
Beach Bu m
Other Y V J
Shoreline Length
SAV: not sure yes no
Moratorium: n/a yes
Photos: y
Waiver Attached: no
A building permit may be required
( Note Local Planning jurisdiction)
Notes/ Special Conditions `
Li ES ❑PTS
❑ UBA ❑ N/A
tA2ent or plic Printed Name
Sinature ** Please read compliance statement on backofpermit**
E
Application Fee(s) Check #
Subdivision
City ZIP j y
Phone # (_) River Basin W 111—t Qi
Adj. Wtr. Body �� nat Fiplunkn
Closest Maj. Wtr. Body
(Scale: 014 )
❑ See note on back regarding River Basin rules.
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Blue Water
MARINE CONSTRUCTION
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RECEIVED
JAN 2 8 2021
DCM-MHD CITY

1 -AMA/ DREDGE • FILL W 7601 1i4,aA 8 � E�
GENERAL PERMIT Previous permit #
^New Modification Complete Reissue Partial Reissue Data pr"us permit.• ---
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 NCAG
Applicant Name lI�'lixl f Project Location: County
Address j L-(� �� I ( p' /V I Ve > Street Address/ State Road/ Lot 0) wl i
City 1 1 0 L ' � ri O-IJxae':Atata
Phone tY (1ItI)f �''� SJl �' E-Mail Subdivision
Authorized Agent 7 (=.AC'� �7(I (` (� City /// ZIP
,dew APTA Es PTS Phone # ivor Basin ( ) g
cw 11 "� AffectedOFA HHF IH UBA N'A /C`r nain{pn z
AEC(s)' Adj. Wtr. Body
PWS
ORw yes o? PNA yes / Closest Maj. Win Body - ,) � '" t�✓(l.f
r
Type of Project/ Activity
Pier idock) length
s
Hzod PFallor+Md
FWating Ptattortms) .�
F,oglrr pier($)
Gran length
fi,AJ aett WWap iength
x+g daumo offshore J
trig. cf tame offshore
0asv�- cha l
cubic yards
Boat ramp y J r.
Bead, &zadeNng
Other
Sho grin Longs
$AV. not turo yes
MoratoAuni n/a yes ro
photos: yes
wy,*r Attache(I' V nn
A building permit may be remulred by:
( Note Loral Planning jurisdiction)
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.;J/ <.-+ -: See note on back rogArding Rise- i'�.,.. .
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ntonbxkof permitfe SigIng1r,
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