53356_BOGUE SHORES HOA_20090319

1J- AMA J ❑ DREDGE & FILL
;
511R 13�..
GENERAL PERMIT
_ '_: - Previous permit #
E�New ❑Modification ❑Complete Reissue
CPartlal Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources �7
and the Coastal Resoo ces Commission i •'an area of environmental concern pursuant to I SA NCAC
rV J
,Etpdraittachetl.
Applicant Name - r t
Project Location: County
Address
Street A�ress/ State Road/t #(s)
City
- f State ZiF�-f
!� L� 1;ai' �.
Phone # (_)_ Fax # O
Subdivision
Authorized Agen A/
/
City ZIP
! '
r i `�
❑ Cw MRlgA URS---- ❑ PTS
Phone # ( ) River Basin
.l_1":
Affected ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
AEC(s):
Adj. Wtr. Bodyf l' : i (: �_ .
(fiat `/man /unkn)
❑ Pws: El F -
f
�
ORW: yes /(lro} PNA t P1-/ of /,' Crit.Hab.
yes / no Closest Maj. Wtr. Body (
-
Type of Project/
Pier (dock) length
Platfc
Finge
Groir
Bulk[
Basin
Boat
Boatl
Beac'
Othe
Shore
SAV:
Sandi
Mora
1
(Scale:
os: yes o
Phot
Waiver Attached. yes no
A building permit may be required by:
Notes/ Special Conditions
Signature " P e e read compliance statement on back of permit
420
Application Fee s) Check #
See note on back reeardine RiverrBasin rules.
IssuingDate ` ExlSiratidh-DaV
Local Plannfng ction Rover ii a N ame