20161173 Ver 1_DCM General Permit for West Bulkhead_20170113

0 1CAMA/ bREDGE & FILL N° 69785 A B 0 D
ENERAL PERMIT PreviousP ermit#
-•-• l ew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina,Department of Environment and Natural Resources p^) /
and the Coastal Resources Commission in an area of en ironmental concern pursuant to I 5A NCAC ki I ri
kr .
[`Rules a ached.
Applicant Name �' �" 4 -' '_ sr Lal ,/II ', Project Location: County `fit I
Address Fo t "•—, Street Address/State Road/Lot#(s) /100 ct/+ ,--h
City iii•''-' A I ' f1• State/. ,r ZIP I YY�`
Phone#Ji ',I ;' _' ,' ail Subdivision --"---
Authorized Agent �� ;�/lCity /-fec l.�a , ZIP
10 CW W TA TS Phone# ( River
(y ,0Affected
10 OEA 10 HHF ❑IH ❑UBA ❑N/AAEC s : Adj.Wtr. Body
�f„ I �, c/man /unkn)kn)❑ PWS: Closest Maj.Wtr. Body t l 'ORW: / no PNA yes / n
Type of Project/ActivitycA'OrOS€1(,) �"i i v`k I h ix l f 7 v0cif I j,,...._ni-
m.„ ___.
111 / f,
//F (Scaleif ) )
Pier(dock)length
i I
Fixed Platform(s) __�_ _
I ' Ill ' ' .
t
Floating Platform(s) ' T _ --
i
Finger pier(s)
Groin length
j.. a ,..
.._ _ -4---
=ulkhead/,'iprap length }�- i i ,- �._.._ 1-... -__:._ �_.. . �.__.- ...- __._... L
g distance offshore °` i I i
max distance offshore- C--_..
Basin,channel r R I
i_
cubic yards ✓ _ I
Boat rampTi.i
} I . _ � i i
Boathouse/Boatliftii,
l 1
Beach Bulldozing MAEt
Other /,-
111
1111 IMMO” I U=1111.111111111111111.
'NIf_ — i ,�.
;
Shoreline Length iv/
CVC/ i ;/
SAY: not sure yes no e A ', ! �/
I r/; i i
I. IIIIMIIII MI
w.
)04
-'r. , 1 , 1 MI
Moratorium: n/a yes no ; �71.n:•11'41' E 1 I
Photos: yes no dak
Waiver Attached: yes no II* W -. lifC. aha, IN
A building maybe required
permitby: : G)ifq I I See note on back regarding River Basin ru es.
(Note Local Planning Jurisdiction)A - \
---1, I ikjo 'Notes/Special C nditi Ai �c-- , � f C? '1 i 0 �`' 6LA
oci\VO '
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e& 9,kedI e.„- fii. men'c---litizo
vjo . t t ey, , ac' e-, e x i s ,i rt u Wttcri-. 1
nricl- G.eorAp(p� t nnte• ame /1 i\ff Permit Officer's Printed I
/Sl / / , I
4 7 91-ti '
Si tul a Please read compliance statement on back of permit Signa ure �y
� ,`�� � •� i & J7 1/17
Application Fee(s) heckC # Iss ing ate Ex ation Date
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