Kathy Long Trust 78831C

xu CAMA / 'L-; DR150GE & PILL
"S . ' G,� �` s A B 1 C '
GENERAL PERMIT
Previous permit#
XNew r'Modification Complete Reissue L 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 f environmental concern pursuant to I SA NCAC
R dos
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Applicant Name`P i .r�l, CI i..
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i attachee
Project Location County,.
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p ...
AddressUO fi ^ �l
S,' 1 c IC..
Street Address/ State Road/ Lot #(s)
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Cityc:aaf i, 'L i� Stat Al v ZIP
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/ y�71,� J ry� t
Phone#-Gy' 14J+. I-i`�.6-Mall ��'f.tx�`�elfl y` , .cis .G:4
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Subdroision 1 �'iv r
Authorized Agent ..... -".. ..,_
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CI t�} C' I ?,C� .. .ZIP
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Affected ,iew W
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Phone # ( ) • River Basin
---------,'�- -4- /-, __. ..�.,.....
-PHA
AEC(s): GOEA ,.. HHF �- NfA
Adj, Wtr. Body
PWS:
�,"� ,
Closest Mai_ Wtr. Body
oRWc yes f no ,- PNA yes t no
_
Type of Project/ Activity
Pier (dcdq length ... __.
Fixed Macho, mfs)
Rotating °ladorm(s) _. � i`
Finger Pler(sl
Gronlength
number
Bulkhead/ Ripmp length_ f
zvg c lecinco offshore
max distan. offshore
cube yards
Sou ramp
ad9oathouse/`Boatl f,
Beach Bu, dozing
Other
, {
Shoreline Length 1>+� > ,.
SAV; no, sure yes r"no
Mon:oriurr" we yes !> no
Phows: yes ao
A
(Scale:
1
'Nor ursc e yes no
A building permit may be reryu red by + >\ C?, ` r i ks t ;, i � See note on back regarding River Basin rules.
( Note Local Planning jurisdiction),
Notes/ Special Conditions _ x d`ktA t 7 i f rr, 4 P
.tit .ii.i,-. �' .,n .��. .�. rf�n �I'}1 Gl s✓t.{,...n't ^'}":.x:,`j"1 r n'`'.. �,
L(I�j ifh"pt c)
o; p6car Prowe
ted crmtt rns 'rp, r f n e
4'Senrrc sreadcompianc estatoment b ckofpermit'* Slgn ewe +
Applaatio r e>> Check* sst n Jao> r __.
Expiration C>, t

CAMA / ❑ DREDGE & FILL NO 78851 A B D
"GENERAL PERMIT Previous permit# `y/
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 f environmental concern pursuant to 15A NCAC d 7 /'I r d'�l"�/
,171 Rules attached.
Applicant Name va (; Project Location: County cower
Address 0. D Street Address/ State Road/ Lot #(s)
Ci State ZIP © 0
Phone # E-Mail i $ q1 •COM Subdivision 1 S ry
Authorized Agent
Affected CW
AEC(s): OEA
❑ PW!
ORW: yes no
'ETA ❑ ES ❑ PTS
❑HHF . ❑IH ❑UBA ❑N/A
PNA yes no
Type of Project/ Activity
Pier (dock)length i
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Ripmp length_
avg distance offshore_
max distance offshore
Basin, channel
cubic yards f
Boat ramp q�
Boathouse oatlift 3 x
Beach Bulldozing /
Other
Shoreline Length
SAV: not sure yes rn
Moratorium: n/a yes
Photos: yes
Waiver Attached: yes
A building permit may be required by:
( Note Local Planning jurisdiction), i
Special Conditions
Printed
�/'r''�ame
{ Signature **` Please read compliance statement on backofpermit"
�'. 5a75_
Application Fee(s) Check #
city t1XV10we"ZIP a>
Phone # ( ) `ff River Basin �Il6Yi
Adj. Wtr. Body C n Cq l�C eei. C/man /unkn)
Closest Maj. Wtr. Body / \'eu SP R1 p&r
1y / I
(Scale: / � )
In
❑ See note on back regarding River Basin rules.