Gainey, Frank 88670C

LAMA ❑ DREDGE & FILL 9 88670 A B, D
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s Previous permit q r a u
i 3 GENERAL PERMIT Date previous permit issued
❑ New []Modification �.N�Cornplete 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:
15A NCAC ¢ L7 � ❑ Rules attached. General Permit Rules available at the following link: www.deq.nc.gov/CAhlArules
Applicant Name A CA 4 T
Address KP160
City i AA r State
Phone # ( l'
Email
—{ k; Authorized Agent
Project Location (County):
ZIP Street Address/State Road/Lot #(s)
Subdivision
City ZIP
Affected ❑ CW "f W-P�JPTA ❑ ES ❑ PTS Adj. Wtr. Body e% man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: yes/19 PNA: yes/
1
Type of Project/ Activity
n
Shoreline Length tow
Access Length
Pier (dock) length
Filed Platforj�o�
s�CJ
Floating Platform(s)
Finger pier(s)
Total Platfor rea �gy
Groin length/#
Bulkhead/ Riprap lengt
Avg distance offshor
Breakwater/Sill
Max distance/ I gth
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift f
Beach o7�
Other -G `
SAV observed: yes no
Moratorium: n/a yes
Site Photos:as'�
Riparian Waiver Attached: yes` o
A building permit/zoning permit rpWbe reed by:
Permit Conditions
Ai
e \ i•f V ) ti✓
C' f i` 2j� o A �
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
I AM AWARE OF STATUTES, CRC RULES ANY CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Plyyse Initial)
or Applidtant PRINTED Name / Permit Officer's PRI
/� A
Si t turre**Please rga910mpliance statement on back of permit** IX, gists � c; /
Application Feels) Check #/Money Order Iss
on