HomeMy WebLinkAboutTaylor, Gene 77381CLAMA / ❑ DREDGE & FILL O
N . 77381 A B (C�' D
GENERAL PERMIT Previous permit#
fdl�ew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit i sued s
As authorized by the State of North Carolina, Department of Environmental Qualityand the Coastal Resources C (� a 'ea of environmental concern pursuant to I SA NCAC ed. v
/ ules ttached.
Applicant Name / - , f ��` Jf� Project Location: County s �/ � �-.-
Address / f / f'T/'i 44 WO
City 1 j Stat ZIP d 1 .j
Phone # (1 ) /�� E-Mail
Authorized Agent
DES ❑PTS
Affected
AEC(s): 00EA
❑HHF ❑IH ❑UBA ❑WA
❑ PWS:
ORW: yes / no
PNA yes / no
Type of Project/ Activity
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ oatlift
t
Beach Bulldozing
Other
Shoreline Length
SAM not sure yes no
Street Address/ State Road/ Lot #(s)
Subdivision � qq
Cityt W e ZIP
Phone # () River Basin
Adj. Wtr. Body B101et nat man unkn
Closest Maj. Wtr. Body--!r%
YG It.
-a
C�m MOWN
�I�ho�►�EE�r��!EnEEE®
Moratorium: n/a yes no
Photos: yes no TI'y_r
Waiver Attached: yes no
A building permit may be required by:/'—
( Note Local Planning jurisdiction) ) /
Notes/ Special Conditions ;,C I • �J y G t- �✓ f 1 ^�;/
Agent or
(Scale:/�tf' )
❑ See note on back regarding River Basin rules.
read compliance statement on
C4
Issuing
1
Date
IN
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1
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