45215_WESTPHAL, EARL_20060510 (2)

19 i 11ViA / ❑ DREDGE & FILL
�-
GENERAL NERAL PERMIT
Previous permit #
ElKew ❑Modification ❑Complete Reissue ❑Partial Reissue
Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources -7
and the Coastal Resources Commission in an area of environmental concern pursuant
to 15A NCAC
Ci'1�t !
, ules attached.
Location: County ���`"fiC °
Applicant Name— _.__ __
Project _
Address-1r,i- ��
Street Address/ State Road/ Lot #(s)_r
_��
City �f(rcR 6i r/Mate ,ZIP
-
_
Fax # ( )
Subdivision
Phone -- —
—�" , �
Agent
r�/�, , / c ZIP -'�71
City__ / `v
Authorized �- - __ __
c W ©Ew ffr A ['Id ­OPTS
Affected OEA O IH O UBA [IN/A
Phone # (_) 11__ /River Basin
Tom' (.
❑ HHF
AEC s :
()
Ad1 Wtr. Body rl �' _ n man unkn
El PWS. QFC.
,
ORW: yes / no PNA ye / no Crit. Hab. yes / no
Closest Maj. Wtr. Body —
Type of Project/ Activity
Pier (dock) length
Platform(s) q X /
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length r
avg distance offshore 7'
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
A building permit may
! 1 t� , % e r "��. ca. 1° /1 .7 ; i 0 a-. f
p1 (Scale:
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No
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be required by:
Notes/ Special Conditions
All tk,,v cv,,4r-ch4- fl
See note on back regarding River Basin rules.
_e fa^ a/'et.