GP78301-signed(BP2.R005)

CAMA / 14'D6REDGE & FILL N9 7j0 1 A B D
G,ENERAL PERMIT Previous permit #a�n
ew .Modification ::Complete Reissue iPartial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality C e? y�. �� o 0
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ! 7 /
�. ules attached.
Applicant Name AlC Pb l e
C� K1r1w j4� �A � �� c� Project Location: County � ►eN�S7
�f
Address a I r-y-f-F-wif- X-14e- J won Street Address/pp
1State Road/ Lot #(s) �•^� z
3
City State - e- ZIP 60/ oYl �h / 1 1 q rvk.- IvDd NC IDI
Phone # jµw� k(elf A Co✓N
( )- _ •.-. -• - _.- ..-_�_ E-Mail -rf _ .. �_ _ i • Subdivision
I I Authorized Agent u'M �a �"` e City.��✓�� ZIP��a
Affected
i+,-'w [mow [1111'�TA F] PTS Phone # ( ) River Basin k1
�1
AEC(s): ; 'EA i. HHF C7 IH UBA [ i N/A Ad'. Wtr. Body r
"` r .,,,,�� [cH-0� nat man unkn
1.1 Pws: 1 Y __-- _ I_ 1 _
ORW: yes / n� PNA (ye / no Closest Maj. Wtr. Body IV 'tt''v�0 ;4- Av`r _
Type of Project/ Activity
��
A c
�Q e-t�1�71'r�,
r► ;�/ i
�c7 Urr e �C'
q O)un)
C4A
�Gx
�.zaw.
d ^r"�V� z a�PJ
(Scale:
Pier(dock)length
Fixed Platform(s)
Floating Platform(s) ^•
Finger piers)
Groin length f I fj s
number T '
Bulkhead/ IZprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
r
� cl, 0.4 ­ - - + / ,
A -f .-�a c- � e "' . 'Z�\ co,-,rcrr_ e� P"_Irm'
Beach Bulldozing
—
Other
f !�P
b
Shoreline Length
r
SAV: not sure
yes
Moratorium: n/a
es
no ,
Photos:
es
no
Waiver Attached:
--
A buildingr
ma Y be b : Y � See note on back regarding River Basin rules.
( Note Local Planning Jurisdictions 6 n 11,, d
Notes/ Special ConditioN 6 _W�f, W ° rV )t all c W4,Q Irr- f. fi_jri i' I rI 1
v
k—IA �OA'_(..Xe l any 0-.V-'f1h
to\ cL C C o r chC � j,�ri f 1 jj p f j 1
{M .
M1�! � rl t.-/' y y �'�-�'''Fcc ��l q f� a� �.i' vvt•¢�,lurz/ ?� -II b-z i w�,�jz ��^'�Q
Agent or Applicant Printed Name
6V�L—
Sign:tu a Please read compliance statement on back of permit
Aoolication Fee(s) Check#
PermitOffi r'x rinte Name
Signature�
Issuing Date Expiration Date