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40706_GOODMAN, JIMMY_20041227
[ 'CAMA / A'DREDGE &FILL N© 40706 G ERAL PERMIT Previous permit # New ❑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 7/�- %!©0 I `�dc3 _ DDAules attached. Applicant Name 1 il-'� inA +v16'^-- Project Location: County C5,e -l— U Address 7 be of Street Address/ State Road/ Lot #(s) City C 1N ° r _State d ZIP o`L` �7i� j .`3 % Be-zj /a-4 Z-& 14+L- Phone # (255) '2,`f,� - 70 Z1- Fax # ( )_ _ Subdivision pp Authorized Agent _ _ City Al -I jam14 _. ZIP ,;2�'� 76 Affected ❑ cw [OW M11fA ❑ ES ❑ PTS Phone # ( ) River Basin z c iA • Oc K ❑ OEA ❑ HHF ElIH El USA ❑ N/A ,t X,L AEC(s): Adj. Wtr. Body ,�l/li9tiJ-/�/l�94� � (nat ma�nkn� ❑ PwS: ❑FC: rs ORW: ye / no PNA yes Cno� Crit. Hab. yes / no Closest Maj. Wtr. Body— Type of Project/ Activity 1G A 6, n% J CxCL09 ✓fr-/ Z-?'za : %�'��� f�2i✓citi < c'X��+, L -� :,U 69 A,1% L 136 j ilea-) (Scale: k T.5 ) Pier (dock) length Platform(s) _. Finger pier(s) Groin length number -- Bulkhead/ Riprap length Lf� avg distance offshore_ max distance offshore r Basin, channel � 7i 2 �'— .:�/©x3�� 4 x 6 Xx yF 7- cubic yards `KI 9C i Boat ramp _ V- 1 Boathouse/ Boatlift _7 f Beach Bulldozing Other i I. -T _ . _j ._ Shoreline Length E'b SAM not sure yes Sandbags: not sure yes -4__.1 Moratorium: n/a yes Photos: yes rob Waiver Attached: yes no ! i I A building permit may be required by: _ � �- � D �. ❑See note on back regarding River Basin rules. Nodes/ Special Conditions m U5jl lic of e o1-1 ; Aje d c.L M i A.. ; x4 U PeL N A w 60 �i L' ri>0uJ+ z� &xCei1iC,4i0AJ 00 ^,,Ore— -- 6,1 LoyVc��i�st� wa e'r clop j 1," ' it„ ) ) lJo 010L) V hind 1, .uC? 6 - -.5-P0 - f M C-L-er,a- t i I Agent,or r4pplicant Printed Name Signature Please reap compliance statement on back of permit Application Fee(s) Check # Permit Officer's Signature _ l-1 -7 � � � � 7 . ©S IssuingDate Expiration Date at _ law! 4elr� Local PlanningJurisdiction R:)Yer File Name W BAYWATERS OWNERS INC. o9io9 1001 BOAT OWNERS ASSOCIATION 197 BEULAH LN. NEWPORT, NC 28570 66-SV531 DATE 1 PAY TO THE �" CXS ORDER OF (io � � �' � �--,_-.----- - - ._ DOLLARS RBC Bank" -�" RBC Bank (USA) .� • I l ���/)/Ijy FOR `J —J7911, =--------------- 1120000 L00 Li l:0 5 3 L008 50l:0 2& 20 56