34746_HINE, JOHN_20030827

NY 3 4 7 4 6—
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GENERAL PERMIT Previous permit #
ew 7!Modification ;Complete Reissue ­iPartial Reissue Date previous permit issued ---,—
As ai thodnzed 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 N(+AC f� ! 6 � attached. -
I e Proje oc*ion: County._. - ---------------.. - -
Applicant Name.
Address_._ Street Address! State Road! Lot #(sQ•
St, ? - - - -- -- — --- --
t
---
ax
- -
Subdivision
CiZIPS j�
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Authorized Agent _ r — - - y - __.-_ .- -- -
; Cw W TA ❑ ES J PTS Thane # _ River Basin -- - `�
Affected OEA H}iF FAH IM ❑ USA ❑ WA na__ an unk�
AEC(s): Adj. Wtr. Body- - -- ---
PWS: ` ❑ FC:
Closest Mai Wtr. Bally _-- -- --�-- - - --- -- ----
4RWI: ye / no PNLA yes no CHt. Hab. yes / no
Type of Project/ Activity -�
(Scale: UTS
Pie• (dock) length_. _ '
Platform(s)
Finger pier(s) _ ---
Groin length
number____
ength ®
avg distance offshoreP
max distance offshom
Basin, channel _
cuLicyards_ _
Boat ramp - _-
Boathouse/ Bcatli`t
Beach Bulldozing
O,her
t- --- ---
ShorelineLength
�..�.---__--
SAM not sure /yrsi) rx�
Sandbags: not sure dyes
Moratorium: n/a
Photos:�..
Waiver Attached: yes !no
A building permit may be required by:
Notgs/ Special Conditions
Agent or Applicant Print me
Signature " Please read compliant tement on back of permit
00
-- -- -- - -- --------._J_�.
Ap icat on Fee(s) Check #
1�P4 t�
See note on back regarding River Basin rules.
.ate.,.
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P�rtnit
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Issuing Expi n Date
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