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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�_--..._..__._ _- ���� "" 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 • ■■■■■ OMEN ■w�1Z="�_ ■�■■■■■i•■■ ■ ■■■■1J■�J■17t1�I[�I■■�■ ■w� cam•■■s�■■•��r.w�:.!■■ NOMMENNEMONME ■WIYAW■■■■■■ KAraWV7R/■■/'1i07r ;W ;a FAM= ■■■ ■ram s■■■■■■■►Sri!r:�i■�■■r■wr�■'-���■:�■■■■■■■ Milo, i�■■■Iri`�■■■■� lei■■■I �►����===����■�'>Ai��i�i�! ..� ■■■■■sari■wow■■■��■��■a�■■■�.■■wni�.■��■■A ■�/��■■1►1■Yf�■Ili■■■G /'■��!Il//,■■■I■1■M!,/■�1�� M. M. ' ■ i�l1�■!I■C�a��l�- 1111110,3111M'1■11/1■�fi�bPAil■�� Il■ {� ■lily, 1�!l��lli�11►Y19 �►i:►7HA UNNE54MA M. - ■CHI■Y�IT��■I�■■Chi■■ii■!!!►�l■�!�ih1w'1!1/Jt■Illl■1■■■ice■ ■ZWAUU■_JlfF■■iWM1lrA■■■ ■■s■n■■■■wr�■,��lw■ WillF AMEFFEMOURN-SUI■ r�■�n�ac��■•�■cw��n■��w■rr• _ = • ■�wo■���■■■■�■��■w■■i ■��,N��ca�c�■���+�■ac���:'mot■l,c�■r�■��■►�■o■�w,irr� All�R'�,I■�/►itirl■■►1�■J�lff■■IM�1l11.�11� � `�' i�i■oi�iiii �i�ii■■iiii No UWMEN■ii r ice' ''X!A■ ■■■■ r '\■■®■■■■■■■!� IA■Il:��'r! e. A46V'kd Agent or plicant Printed Name , e- Ali," Signature ** Please read compliance statement on back of permit ** aD0,00 Application Fee(s) Check # go', gy-A< Permi icer's P ' ted N Signature Joao g aoab Issuing Date Expiratio Date