HomeMy WebLinkAbout75816D - PlaineLAMA / DREDGE & FILL
J;6ENERAL PERMIT A a c D
Previous permit #
lew Modiiicanon Complete Reissue Partial Reissue Date previous permit issued _
As authorized by the State of North Carolina, Department of Environmental Quality _ 7 j� ^
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC / +! * v K
Rides attached.
re
Applicant Name _�lkV �'f [ � 0.1V1S�. Project Location:--___
Address IQ-;. PiE J�' Street Address/ State Road/ Lot #(s) f V? 3 / t t*A
city Gov'"/�Q
Phone #_VJ l"kl[� G°fbdivWon S- �Sa►'.S _--- .-- -
Authorized Agent +ii� TAtWL- Ciry_ btJ _ ZIP- g -- Affected —
Cw �(W >JITA !-'ES 0IT'S Phone # ( �� PdYErBasirt�_--..._..__._ _-
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AEC(s): OFA -HHF __ui _USA 3N/A Adj. Wtr. Body CZM't tt cf - tom^ / 't}
PWS: _ �
�,�-'-� Closest Mai. Wtr. Body__
ORW: yes `o PNA (;&,, / no
Type of Project/ Activity
Pcer (dockl length-
Fixed Piadorrn(s}
Nos rig P orm(sj
Frtgttr ,er(s)
Gran 1
SuMeadr R,FiI
ays dsstanc ,
max distance
Basin. —
Beach ButldoZN?Other
__�__
(Scale. _
Tco
�f
V
ccq / v
t 1d S r
f 4
Shoreline Length _t. M — i 7 r4 - r
SAV not sureyes
r,
Moratorium, yes no
Photon i Y. C.
/jl1 p L5�1V,1 tR P C..r•JC di. ( •
Waiver Attached: yes
A building permit may be required by. � -yt/tS v, lr _
( Note Local Planning Jurisdiction)
Notes/ Special Conditions /T{j rlAje.S Q.�
Agent orApVicant Printed N.une
$igrratu,e rs Please read comp6ancestatementon baekof permit°'
Applme—Fees) Cl,eck 4
_ See note on back regarding River Basin rules.
pe"r.. 4L- . _ 1'
Signature
issuing Date
0
Exp,ravorfiDate
Se
),CAMA / ! DREDGE & FILL No. 75816 A B C Q
9NERAL PERMIT Previous permit#
New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued /
As authorized by the State of North Carolina, Department of Environmental Quality (� ' ' .� ^ ^
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC fj Ooa
❑ Rules attached.
Applicant Name �Qfc 0.1- Project Location: County _ fH nS wl CIS
Address )off- NE Street Address/ State Road/ Lot #(s) y 39 3 Tide)t-ars
City0otState NCB ZIPHq(95 Lour+ —
Phone # ( E-Mail VJ P1 R I ��qMa 1,1' C't l,bdivision Si- S
Authorized U Agent AA1L U 9JA1 ti%-
Affected ❑ CW ?,EW >�TA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ElN/A
❑ PWS:
ORW: yes /10 PNA n / no
City Ot� Dar {- ZIP-1-NU i
Phone # ( River Basin
Adj. Wtr. Body &A'VeXJ01"' (r`et-K- tj%A /�T m� n)
Closest Maj. Wtr. Body _T_w
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Agent or plicant Printed Name
, e- Ali,"
Signature ** Please read compliance statement on back of permit **
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Application Fee(s)
Check #
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Permi icer's P ' ted N
Signature
Joao g aoab
Issuing Date Expiratio Date