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0 Zs'CAMA / ❑DREDGE & FILL k
jI-` ° 77849 A B r D
GENERAL PERMIT Previous permit# - y LI 32
�-= [J New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued i iio/' o"4--
As aut orized by the State of North Carolina,Department of Environmental Quality c-
and the Coastal Resources Commission in an area of environmental concern pursuant to I5A NCAC 0-714 . 23 00 .
❑Rules attached.
Applicant Name e✓ �, . 1 r Project Location: County �/.....-- -...., .s c
Address U ��t � (-), (C—.5t l`C-, Street Address/State Road/Lot#(s) (�'' '
City L,J k\,-e,.)411 _ _State 0 C. ZIP 2 5142 L (Jr L t•,u A Vz�( ( 0 E
Phone# ( ) — E-Mail J €.r lt-,J r ..A ie 1‘ j Subdivision
Authorized Agent CityM\''!,()\k V t ZIP 2 - Z 2
Affected p Cw DEW in.PTA ❑ES ❑PTS Phone# ( -j--� River Basin L,-.. t
AEC(s): OEA LI HHF ❑IH UBA ❑N/A Adj.Wtr. Body A w QV
<`7lan /unkn)
❑ PWS:
ORW: yes n PNA yes / Closest Maj.Wtr. Body l J ‘Ai
Type of Project/Activity \- ;\�C�c• `\ ' .�%. ,-, ,-, (z,c-\ ' • /14 C., 5
; 4 �_,./V, c ...— k ., \ (Scale: J I S )
Pier(dock)length S'/Ic" V U '
Fixed Platform(s) 1 Z Y I V. I - I - v'-:,„/'`� n fj ►A
'
Floating Platform(s) 1' I o l . 1\ 7
Finger pier(s) ,7
{ I
, , : ,
i
Groin length , ( f
I .
number ---t----- ----I I
Bulkhead/Riprap length •-" ,�� — f 2
avg distance offshore
max distance offshore f
Basin,channel j
cubic yards
p� I. L �' r YR ivv C...t t o
Boat ram . �, I
Boathouse(Bowl S f X lit - ` — /�
,
;
t �` _
Beach Bulldozing a I I I
Other I I , 1 1
i
�54 1 f//' i N61 � -
Shoreline Length / 1 = ' p/4, +
1 1 !
SAV: not sure yes no - is
�ci? c.„L",.� ■ l_... vIA,.ge FoT(•, k2 1C-- — t, s•C11.
Moratorium: n/a yes o t' g _F J l e Si.:
Photos: yes n 1. , -e • _. ' r
Waiver Attached: yes G../ , ,
A building permit may be required by: Jr�".S i c le CC.,nlT . See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) ( (�
Notes/Special Conditions ' ` �Gc.I c. T `-- ,I,4 t(1 1j¢_ L i i "1 f(-1 _�(�^--k cife' '!4
,, `., ,\l �.,, tc,n \ e,\ 4e C Pr ,Oe- '1'� rl.//lw, C_e./Lx I , ,
3� /4--1-4 µ; A r e c �-,
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Agent or Applicant Printed Name PermitOffi rinted Na el.__`
Signature Please read compliance statement on back of permit** Signature `
i t\4 A ii9/rzaZc
.) T 5 ?c.R./
Application Fee(s) Checkk�# Issuing Date Ex ira on Date