54613_CAIN, T.M. JR._20090910

L�61VIA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit #
❑Modification El Complete Reissue ❑Partial Reissue 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 15A NCAC
Rules attached.
Applicant Name 1� t^ Project Location: Coun (7-
(p'
I f
Address U Street Address/ State Road/ Lot #(s)
City
Phone # aax/x
Authorized Agent Lf Ji
Affected ❑ cW x P A
AEC(s): [IOEA ❑ HHF ❑ IH
❑ PWS• ❑
ORW: yes / 0 PNA � yes /
Type of Project/ Activity
Pier o
Platt
Fing
Groi
Bulkl
Basir
Boat
Boat
Shor
SAV:
Sand
Mor.
Phot
W alp
State IP
l/L' lJr.
-DES ElPTS
❑ UBA ❑ N/A
Crit.Hab. yes / no
Subdivisi
CityuX�
Phone #
Adj. Wtr. Body
Closest Maj. Wtr. Body —
1
ZIP
(Scale:)'` )
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-,line Length
F,ags: not sure yes no
,torium: n/a yes no
of
A building permit may be required by:
F- .
Notes/ Special Conditions
t n
Agent or Applicant Printed Name
Si e ' P,#ease read compliance statement on back of permit
w
❑ See note orvback regarding River Basin rules.
ApplicationFee(s) Check# KocMi4anrfingjurisdiction RoierFile

MONITORING & COMPLETION REPORT
[CAMA Major Development & State Dredge & Fill Permits]
PERMITTEE
LOCATION:
PHONE:
DATE OF INSPECTION a D
PERMIT #je:�Y
��
FIELD REP.
MONITORED BY —)JVO
DATE REPORTEDLY COMPLETE:
—&&t
1) Do the measured dimensions of the development differ from those indicated in the permit and workplat?
YES/NO [circle one].
C OX4MF.NT-
2) SEDIMENTATION & EROSION CONTROL: Has Permittee seeded, grassed, or otherwise stabilized all
disturbed areas? YES/NO [circle one] _ A
3)
COMMENT:
FUTURRMNITORING & ENFORCEMENT ACTION
needed? c i n r,.; A- ---I
COMMENT:
: Is further investigation or enforcement action