HomeMy WebLinkAbout70683_Bulkhead_20180305- AMA /DREDGE & FILL el /� li2 7®68' r l
Previous ermit #
_ GENERAL PERMIT � ,
XNeW • OModification ❑Complete Reissue El Partial Reissue Date previous permit issued 14A
As authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC• D -714. 1100
I J ❑ Rules attached.
Applicant Name Kod'�l i r -q)orl P'ro/ Project Location: County [ti��N 1
4116^c
Address" ';3 3 & w gr 121Z-< 9)) Street Address/ State Road/ Lot #(s) ;2 33 n1 F I.JgrsR
'CiState zip Z17 �0
Phone # 6M _9' 0 E-Mail Subdivision /\K_ 3 QZ?'Y L 11,40 j1-J6
Authorized Agent City �� ('( !7 zip 279 20
Affected ❑ CW �W C (PTA 'i s �jPTs Phone # (" SZ)901' mo River Basin 0/ L SQo--FA A K' .
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A SGt �n1li rat unkn
AEC(s): Adj. Wtr. Body t�.13r-P L>'
❑ PWS: -- _ A ) DI-- AA A L? i f fn. I A 1rl
Agent or Applicant Printed Name
h.C�A
Signature Please read compliance statement on backof permit
P100. oo IS'? I
ApplicationFee(s) Check#
Permiter's rinte�� "
r
Signature
Issuing Date Expiration Date .
Applicant: O��t� MO'tfud
Date: ,S MARCK Z4I9
-General Permit M T 0& t 7
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
temp impacts)
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)
s IbmtIVIL
Dredge ❑ Fill%�&'Both ❑ Other ❑
'r g
11 q /
Dredge ❑ Fill ❑ Both ❑ Other- .
1 T'-z
SHALLOW
Dredge ❑ Fill j�— Both ❑ Other ❑
36 Frz
31f
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 ❑
on
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CAMA'/^❑'DREDGE,& FILL WN`�
ENERAL 'PERMIT :; ':',:' c D
Previous permit # I�
r
lew,.ddification ❑Complete Reissue El Partial Reissue Date previous permit issued A'
As aiithoriied by the State.of North Carolina, Department of Environment and Natural Resources
and the Coastal Resources Commission irf an area of environmental concern pursuant to 15A NCAC
j Rules attached.
Applicant Name gow,lli>✓ --t-�)(j}gpS01" Project Location: CounS0J/1)67VW CU
Address_ 3 /!fit In1�1= p � i % q Street Address/ State Road/ Lot #(s) 2 _3 3 Al j�
city Ko P L.K- State 4C zip ! �
Phone # ( 5� �� �l " U q E-Mail Subdivision AJEW 3r-1Z `i' I M u lAlt
Authorized Agent
Affected ❑ Cw
AEC(s): ❑ OE,4
*W XPTA
❑ HHF ❑ IH
❑ PWS:
ORW: yes / no PNA yes /(n>
❑ ES ❑ PTS
❑ UBA ❑ NIA
City_ d\0] i K zip )M 7 0 .
Phone # (�b 0 River Basin P/1S Ire 0! A tV k
Adj. Wtr. Body Jr_MA? LrL_ Zokedf> (nat�/unkn)
Closest Maj. Win Body AL1RtmACL.rSDIAP
Type of Project/ Activity 1,1 Z CA ,\i i_ M A 1I • A w -l4 o ,'2 !I)) So
fiATFOPM 4- �� � i� � �;��. (Scale: / �! 10 �
Pier (dock) length 60 XS
Fixei
Float
Fing(
Groi
Build
Basir
Boat
Boat)
Beac
Othe
Shore
$AM
Mora
Phot,
Waiv
I Platform(s)!■■■■■■■■■■■!■■!■■■■N■■■■■■■■■!
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■nr�■■��■■■!■!!■■■!■!■■!■!■!!■■!!■!■!■!!I
i length
■UM■■■■■■!■■■■■!■■■M
■■■!■■■■■■■■■■■■■■■■!
number
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■■!!■!■■!■!■!lRINUUM!!!!■!!!!!■!!!■■!■■!■
avg distance offshore
max distance offshore_—■■■!!!■■0!■1!■tli!!!!■!■!■!■■!■■!■■!■
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channel
■■■■■■■■■cubic
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yards-
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ramp
!!!!!!!!!■IIfJ!!!!!!!!!!!!!■■!■!■■[JJ!!!!!
Boatlift
■■■■■■■■■!■111■■■■■■■■■■■■■■■■■■■iii■■■■■■
louse/
Al Bulldozing
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no
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SEEN
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yes
sr Attached: Yes r�i!!!■■!!!■!■■!■!■■!!!!!!!!!■!!!!■!!!■!!!!
A building permit may be required by:Lf ❑ See note on back regarding River Basin rules.
( Note Local Planning Jurisdiction)
Notes/ Special Conditions SF- ii( Pj }. l� (� , Z��i �� I( !^ t J colg 17 J -nod S. 2 AF1"? o f
/ICE- o -4/.1 P $Dd r�� (,da s� 7Gt% a QZ0 C71J?; P2' r xcii r �2,
AgentorApplicant nnted'Name
Perrri fOff is Printed Nam
i
Signature Please read cqn4pliance statement on back of permit
Signature
tjfA-
S Fh 13
k7 0Cr-
' Application F_ee(s)- C 'eck#
Issuing Date
Expiration Date