HomeMy WebLinkAboutCarolina Marin Club Assoc. 77176C�bc
N9 77176
)(CAMA / ❑ DREDGE & FILL
GENERAL PERMIT
New ❑Modification ❑Complete Reissue
❑Partial Reissue
Previous permit #_
Date previous 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 NCAC o 7 N
A B (rc D
Rules attached.
4pplicant Name Tina hlin Q11 AMCC, Project Location: County �x�
4ddress ��aJ Dc Iye Street Address/ State Road/ Lot #(s) Odu<D
StateNCZIP"�M
Phone # V-209 /6t-2 -/7 /✓ E-Mail
Authorized Agent R,o ikI to WehlL
Affected ❑ CW 4EW A DES ❑ PTS
AEC(s): OEA O HHF ❑ IH ❑ UBA ❑ WA
❑ PWS:
ORW: yes /� PNA yes no
Subdivision �Oe�iE r UN P S
City ZIP
Phone # O River Basin
Adj. Wtr. Body MAX'iA4 b O.S1 A (nat a unkn
Closest Maj. Wtr. Body n/e ot-F 1 ✓�
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lengthPier (dock) %�.
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Groin length
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number
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Bulkhead/ Riprap length
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avg distance offshore
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max distance offshore
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"Ttgnature ** Please read compliance statement on back of permit**
Fee(s) Check#
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Permit Officer's Pr
Signat re
IssLIfng Da cpirat nDate