31115_CLAYPOOLE, WILLIAM_20011212

Permit fficer.'sSignature
CAMA / ❑ DREDGE & FILL N? 3111574
{lI 74
NERAL PERMIT JAN 1 1. 20n2 Previo permit#
W�*,lew CModification OComplete Reissue e❑Partial ReissueDate 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
Applicant Name -
Address ,T c�GF� c C- . P3,��n
city h State iQ ZIP Z 79 5
Phone# () 46
C2 Fax # (_ )
Authorized Agent
Affected 4 �CW XEW 'PTA ;�kS G PTS
AEC(s): ❑ OEA ❑ HHF C IH C UBA ❑ N/A
'fir ❑ FQ
ORW: yes / no PNA yes / no Crit. Hab. yes / no
Project Location: County_-QixLE
Street Address/ State Road/ Lot #(s)
Subdivision - c y�y� %
City VV uw7 ITV "•�7 ZIP
Phone# (�)_ River Basin
Adj. Wtr. Body v, KL&,L7 S-t 2nit�2 (nat /man /unkn)
Closest Maj. Wtr. Body �5 t_
Type of Project/ Activity Pi GR A k\ b pLr1T a.14
7C
2di (Scale: rlP )
Pier (dock)lengtha- --
0
Finger piers)
Groin length
number
Bulkhead/ Riprap length_
avg distance offshore
max distance offshore
Basin, channel
cubic yards_ ,
Boat ramp
Boathouse/ Boatlift c i
Beach Bulldozing
Other
i : C�ji-t X'rC t�l
Waiver Attached: yes no --
A building permit may be required by: I vy i r 1 uF i� b(,S At7l, I See note on back regarding River Basin rules.
Notes/ Special Conditions U;ll60L �y CIYZ UM5i7� :C F �1,�y ��i 0Y',- JSf✓17
�duvn h- htEfL LTKE JI-)wl6,FLP1_i(r i�=I ��t+-rr� i�► �n N
--- -
---- ,� r
Shoreline length I •",R i ScI1?FUS • � �
SAV; not sure no
Sandbags: not sure yes Cb�D l
Moratorium: n/a yes
t
Photos: yes no J
Agent or Applicant, Printed Name
Signature::