54134_CAPE LOOKOUT MARINE, INC_20090610

-L4dAMA / L&O'REDGE & FILL No. 5 413 4 (
GENERAL PERMIT Previous permit#
ew ❑Modification ElComplete 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
County Ca
uesattach dApplicant amProject Location: Coun
'
Address Street ess/ State Road/ Lot #(s)
City StateJ„1PLl
Phone # ( ax,# ( ) Subdivision
Authorized Agent City ZIP
Affected ❑ CW (PfA E�w ❑ PTS Phone #
O River Basin
AEC s : ElOEA [IHHF ElIH [IUBA ❑ N/A Adj. Wtr. Bod
❑ P ElFC: i y KaDmaD unkn
ORW: yes / no PNA yes //fio 1 Crit.Hab. yes / no
Closest Maj. Wtr. Body
Type of Project/ Activity
Pier (dock) length
Platform(s)_
Finger pier(s)
Groin length
be
V /'r
(�Ik�rajiprap length x I
avg distance offshore i
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift__
Beach Bulldozing
Other
Shoreline Length "JLC /
SAV: not sure yes
Sandbags: not sure yes
Moratorium: n/a yes
Photos: yes
Waiver Attached: yes
A building permit may be required by:
N
Agent or Applicant Printed Name
Si tur read comp ' n state on back ermit
Ap lication Fee(s) Check #
(Scale:
IssuingD'ate G ExpirAtionDa,* /
IN
Local Ianningj ris i ion Rover ile ame