72148_07H.1200 Pier, platform, jetski lift, uncoverd wet slip_20180523

1 AMAJ ❑.DREDGE & FILL lVd 72148
p ,PERMIT Previous ious C D _
ermit # ��
.v
4 ew Modification. ❑Complete�Reissue,- ❑Partial Reissue Date previous permit issuedWK .•
As authorized by the State of North Carolina, Department of Environmental Quality 7 (ZOd
and the Coastal' Resources Commission in an area of environmental concern pursuant to I SA NCAC 7 I, '
l ules attached_. r -
Applicant Name'AMACTZE ! v (SKIP �JQAP ,,-1 Project Location: County�,�JA.S►lI
Address ,�6 I .,_• R"YA Pt, p' Street Address/ State Road/ Lot #(s)
City RVILl.0 StateL- ZIP 2$S9d AILFA RD SSr ,9'013f;
'Phone # ,(� SLE-Mail Subdivision 61 A I e S Ho 2>✓ S
+ Authorized:Agent City %DPI 12 ZIP o� �-o
Affected`, '
❑ CW EW - PTA ❑ ES ❑ PTS Phone # (s�s��) 3w l s'� s River Basin '��/I$G1 ®T��I j�
❑ OEA ❑ HHF ❑ IH � UBA ❑ N/A
AEC(s):-- . Adj. Wtr. Body At FEMARc./ SOV+AJh (nat Vinan /unkn)
'❑ PWS:
ORW: "yes,/ no ' :TWA yes / no Closest Maj. Wtr. Body. / �LQI /`7�(ZL►^ Salan/f
•ill
0,
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Fixed Pladorm�',I�
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pier(s)
■■MEN
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Groin len'h
gt
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■■■■
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■■■■■■■■■■■■■■■■■number
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Bulkhead/ Rlprap length
avg distance offshore 7
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max dist
Basin, channel
■
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MW
1
FmIN
loomMOM311�I!■■■■■■■■■■■Ri■■■;
■Iif!■■ONE
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BoatAMP
MENEM
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■■■■■�■IiR�R■EWINE ■■■
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■■■■■■■■■■■■■■■■■■�sr�■■■■■■■■I■■■■■■■■■■
Shoreline Length-- Ph ■■■■■■■■■■•■■±���!.e�®mod!■■■■
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or
gnature, P e eread compliance statement on back of permit
Application Fee' Check#
Per is Printed Na e
Signature
23 MIV 201t 3 S.�f9f Zol S.
Issuing Date --Expiration Date

- - ---------------
ECU STATION
806 E. 10TH ST
GREENVILLE
NC
27858-9997
3632080845
04/30/2018 [phone] 12:39 PM
Product Sale Final
Description Oty Price
Prepaid Mail 1
(Weight:0 lbs. 0.80 oz.)
(Destination:NEW YORK, NY'10010)
(Acceptance Date:04/30/2018 12:39
:17)
(Label #:70170660000032759360)
Prepaid Mail 1
1Weight:0 lbs. 0.80 oz.)
(Destination:FARMVILLE, NC 27828)
(Acceptance Date:04/30/2018 12:39
:31)
(Label #:70170660000032759377)
Total . $0:00
All sales final on stamps and postage
Refunds for guaranteed services only
----Thank "you for' your business =
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TELL US ABOUT YOUR RECENT
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Go to:
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YOUR OPINION COUNTS
Bill #: 840-52700257-2-2644089-2
Clerk: 07

,•r4� a8596
`7017
`
I
11660 0000 3275y`9377
2 E'
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PITNEV BOWES
02 1P $­• ®,67°
0004739327 APR 30 2018
MAILED FROM ZIP CODE 27858
14 NgTfyr

Applicant: A U Gk -Y S Kip
Date: �3 MA`,( 0 I g
-General Permit #:
G6zANAI-4
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet.
Habitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft
(Applied for.
Disturbance total
includes any
anticipated
restoration or
ternimpacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount)
Or W�A- / `
Dredge [IFill ❑ Both [IOther
710 I
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
I