37346_TOWN OF KITTY HAWK_20040504

—�XCAMA / ❑ DREDGE & FILL N9 373464
GENERAL PERMIT
Previous permit # Al
XNew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources
Ad the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
J� -Rules attached.
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Applicant Name / ptrn o ti � � a,r✓� Project Location: County Qcre
Address a'Q, /5god �Yf Street Address/ State Road/ Lot #(s)
State Ak- ZIP ;7-74111 z cr-X 1-w SA -eel Aces.
Phone # (;i5l) 24l- 35SZ Fax # () Subdivision N i9
Authorized Agent city /< ZIP 9
❑ CW ❑ EW ❑ PTA ❑ ES ElPTS Phone # (�2) ;U! - ?5'S--Z River Basin
Affected Ql
AEC(s): XOEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body /r 7�Gb r 7S c <i�/man /unkn�
❑ PWS: ❑FC:
ORno W: yes / PNA yes /� no Crit. Hab. yes /
Closest Maj. Wtr. Body,—/%lg.��'�
Type of Project/ Activity * M PO r'u rX mo CA, 6VA 1,k"4 y Q � Z cy SAP � sf t"azt 4v cCP:.I
(Scale: )
Pier (dock) lengthaj
Platform(.)
Finger pier(s)
Groin length -�
number
Bulkhead/ Riprap length
avg distance offshore ..
i
max distance offshore f
Basin, channel _ __ _...
cubic yards
P i
Boat ram _.
Boathouse/ Boatlift
Beach Bulldozing
Other
" ! I
�. .
Shoreline Length
SAM not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no �Lµ�Qsfif t�
Waiver Attached: yes no
A building permit may be required by: fy , C sty See note on back regarding River Basin rules.
Notes/ Special Conditions (t) Efi-v c-Fvg'c (►,y s'c} 4e re& -to VC.( W, '- 'h I V0 41 ys 'Crao ¢ riern't� f /sSr a�x
6) Wo ev,\CroCK-In e-f OC2ct✓ wrArcJ 0� X- Fir?r� LO� &!b, e na�T�1 Vege¢A't,a�
No 1xd verj;0 s 1"b�nce cif e i S ; `^4 doe stryc,-fl reS
Agent or Applicant Printed Name
Signature ** Plea#read compliance statement on back of permit **
i or, 1%Y 7
Permit Officer's Signaturef/
Issuing Date Expiration bate
j�r2t/ �
Local Planning urisdiction Rover File Name