63324_Hurricane Florence_20181017

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i. I CAMA R5REDGE&FILL No. 7249 8,,�_
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GENERAL PERMIT Previous permit
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El 'Complete Reissue El Partial Reissue Date previous permit is
_"e Modification 1 sued
As authorized by the State 0' f North'Carolina,`,Npartment of Environmental Quality
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and the Coastal Resources Com'mission in• an' area of environmental concern pursuant to 15A NCAC
�Rules.p' h d
p nt Project Location: County
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P h o n e, #'Ifs�)JJ� E-Mail
Authorized gent
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Affected 0 Cw EIEW - = PTA- ­,E:1t§ El PTS'
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0 OEA El HHFI OIH El UBA
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Subdivision
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Phone'# River,Basin
Adj. Wtr. Body e nnat /man /unkn
Closest Maj. Wtr. Body —
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,Type of Project/ Activity
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'Agent or-Appli6nt Printe'd Name
Signature GPlease read ccL statement On back of permit
,Application Fee(s) Check #
Signature
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Is I sui,ng Date Expiration Date

NC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant:�(�
Date:
General Permit*
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)
411�11,Dredge
Dredge ❑ Fill ❑ Both ❑ Other
❑ 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 ❑
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