51838_BURTON, KENNETH S_20071102

❑CAMA / O DREDGE & FILL
GENERAL PERMIT
ONew ❑Modification ❑Complete Reissue
C&T
❑Partial Reissue
N° 51838C,
Previous permit #
Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
Applicant Namne �e,l
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Project Location: County
AddressyO�,(/t,Q�,Q�/'�s
Street Address/ State Road/ Lot #(s)dA��'Aleltr<y�
City
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State /�ZIP3"V
Phone #)
ax # O
Subdivision
Authorized Agent
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City ' i (,/� ZIP , I
❑ ew
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CPArfA ❑ ES ❑ PTS
Phone # River Basin/
Affected
AEC(s): ElOEA
ElHHF
1-1IH ❑ UBA El^L
N/A
C
Adj. Wtr. Body o at man unkn
❑ PWS:_
❑ FC:
V
ORW: yes / no
PNA
/�
yes / V Crit.Hab. yes / noIJ
Closest Maj. Wtr. Body
Type of Project/ Activity
Pier (dock) length
Plata
Fing
Gro
Bulk
Basii
Boat
Boat
Beac
Otho
Shor
SAV:
Sand
Mor,
Phot
Wan,
(Scale: A) T5 )
-
—
:)rm(s)
.r pier(s)-
length
I
n
number
—I
lead/ iprap l gth
avg distance offshore
max distance offshore�r
i, channel
I
I
-
cubic yards
ram P-
- i
+
louse/ Boatlift
i
-/-If�-
Bulldozing
j/
--
... --
�Q
�
% �_-
V
/
-
—
-r-
--
aline Length II-�
not sure yes o �.,
)ages
iorfumnot sure
yes o
/ y
)s: yes no -
er Attached: yes o
-
�' V{•ry )
—.
--
-
_.-
—
I
_
A building permit may be required by: �it �.y�- U. T- Lev z
Notes/ Special Conditions ni)4 e -cep'ro5� _ . C%-,9J .
a
Ag t or Appleant Printed aC (G�
Signature PIS read compliance statement on back of permit
Application Fee(s) Check #
❑ See note on back regarding River Basin ru eJ
Local PlanningJurisdiction
xpiration Date
over FileName