48262_CONNELL, CAYCE_20100128

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CAMA / O DREdGE' & FILL C�
GENERAL PERMIT Previous permit#� D�
QNew ❑Modification Complete Reissue ❑Partial Reissue Date previous permit issued , •L
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 7.
❑ Rules attached.
Applicant ,Nature C A`f G tr- C ( Project Location: County k��; ,(. �; t"U
Address 9 ( "" �-% Street Address/ State Road/ Lot #(s)
City - L/41 . C 7 -2 State AJC. ZIP 5k,4cq / � �—Y .
Phone # (9 1 b) 361 Z 5-7 Fax # ( ) Subdivision
Authorized Agent _ _ A`t, [. ')`, `. /Ul %% %L . � F . ) ty S ZI P E cM Ci ✓�f' !�`
Affected ❑ CW /�W PTA El ES ❑ PTS Phone # (% /� XL 7 iS jF�iver Basin
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
AEC(s): Adj. Wtr. Bod<VOJIj IA/ (nat:� nkn)
❑ PWS: ❑ FC:
ORW: yes no\' PNA yes /no
Crit.Hab. yes / no Closest Maj. Wtr. Body ,11 fWA.)
Type of Project/ Activity l?z /'G,� �b7"
(Scale: I J0 )
Pier (dock) length LO
Platform(s) / Z l y
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length_
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathou / Boatlift ��
Beach Bulldozing
Other 7/
2©"
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Shoreline Length
SAV: not sure yes n
Sandbags: not sure yes no
Moratorium: n/a yes
Photos: yes
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions 6 Z; S iI o
-'Tig—nature* Please rgad compliance statement on back of permit
Application Fee(s) Check #
❑ See note on back regarding River Basin rules.
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P it Officer's S' nature
Issuing Date Expiration Date
Local Planning Jurisdiction / S'VvC'er�}IpD1e2 A

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