35271_JONES, DREW_20031007 (2)

CAMA / DREDGE & FILL NO 3 52'71'
GENERAL RAL PERMIT Previous permit #
"�lew f_ Modification ❑ _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 N a5c',
Rules attached.
Applicant Name �fexJ �tc_ Project Location: County CL kd,( C
Address Hi A 1 her- - >r
City (CC) f cs: %r_rV State C k ZIP : 5 3c=
Phone # (q ft) 734/5 Fax # (_ )
Authorized Agent r �Ccr1 La"D
Affected CW -_IJIE� [t TA 7ES PTS
AEC(s): OEA ❑ HHF 7IH _, UBA - N/A
PWS: FC:
ORW: yes /Cn6,) PNA yes / no Crit. Hab. yes / no
Street Address/ State Road/ Lot #(s)
r\i CLIM
Subdivision
City ZIP
Phone # (_ ) River Basin tv�0c.t
Adj. Wtr. Body i in f .1% c>Snon n� na man u
Closest Maj. Wtr. Body _f<<V�'r
Type of Project/ Activity ��, < r-CDkZCc_ '�?O k d 5- —M ('Lwrirz'/ i?/o, 6TC1, GiC'✓s �r
1 ,i
Eac r 4)n! - _yn �� c Y2 � 1 (Scale:
Pier (dock) lengths '�c �c__
Platform(s)
Finger pier(s)_
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length "5101r)
SAV: not sure
yes
no
Sandbags: not sure
yes
n
1
Moratorium: n/a)
yes
no
Photos:
yes
no/
Waiver Attached:
yes
no
A building permit may be require-d by:
ir
Notes/ Special Conditions l ` ,cc
Agent or Applicant Printed Name
�j
j IT, I i (r: / % I See note on back regarding River Basin rules.
�0t, f('T r(i Cf (I'�( 4•� (�/.i��il�l�r` i'�fr'll�! Yll� cli riil�
Signature ** Please read compliance statement on back of permit **
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Application Fee(s) Check #
r__�:JAC.t_Q, ct� 0 O
ermitOfficer's Sign ture
Or. � aCo)_3�
Issuing Date Expiration Date
Local Planning Jurisdiction Rover File Name