63377_HURRICANE FLORENCE_20181025

CA MA /0 DREDGE 'WFILL 489',
No.. -72
D,
GENERAL.:::
GENERAL., :PERMIT Previous permit
New, .11Modification ElComolete Reissue OPartial Reissue Date previous permit issued
As authorised bythe 'Stat'e of North Carolina,'Department of'Efivironmental Quality
and the Coastal ResoLirces;Commissioft in an area of environmental concern pursuant to I SA NCAC
ules'attached
Applicant Name�
Address,
4. State zip -
City, 1,LJ 0
Phone # Q C-11 4- 6 - E - M a i I
Authorize d Agent
Affected El CW DEW APTA D ES ,OPTS-
AEC(s): 'El OEA 0-HHF El 1H 0 UBA D N/A
n
'ORW: yes PNA yes 3
Project Location: County T�C—A,"
Street Address/, State Road/ Lot #'(s)
"P
Subdivision
City t_1 zip
Phone River Basin-T7-4Z,7
Adj. Wtr. Body u-4--�qtman /unkn Closest Maj. Wtr. Body 1, A
A
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Y �- Agent o p
r A h icap t Printed Name
PI ' e - 'Siggature' Please read compliance statement on back of permit"
ApplicationFee(s) Check #
PermitO fic—er s—P inted Name
Signatliur 3
Issuing Date Expiration bate

Applicant: AA,-5 L 5
Date: 2 o C-TzT ovs 2v 1$
General Permit* -) z q q ci
13
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 im ds)
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
r
Dredge ❑ Fill ❑ Both ❑ Other 19
S ra or,. t.v w
A ® r I-%.,) M
Dredge ❑ FI Both ❑ Other ❑
4-av
Dredge ❑ Fill ❑ Both ❑ Other
3 a00
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 ❑