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HomeMy WebLinkAbout63321_HURRICANE FLORENCE_20181023GAIIVIA -Gll� 11-1130tEb:& FILL,'- No. 72920 '(�OC-'- D GEWERAL`---PERMIT" = Previous permit -71 P-A artial Reissue E]p 16N evv af�i Modification. DCorTiplet6 Reissue Date previous permit issued As authorized by the State of'North Carolina, Department of Environmental Quality and the,Coasial Resour6s Commission in an area of eqv'ironmental-concern pursuant to I SA NCAC -1 Rules atpflched. Applicant N �2 a -me Project Location: Couinil Z2 /1/ ;77) r Add pss City A, /I Stat elQ— ZIP E Phone'#,-,�(�) -Mail Authorized'Age:nt Affected [1,CW 'D EW El PTA El ES, El PTS AEC(s)- 0 OEA D HHlF El IH El UBA 0 N/A' El PWS: ORW: yes 145? PHA - yes /&D Street Address/ State , I Z , - - - ; / Subdiv'isiop City 'ZIP Phone # River Basin. Adj. Wtr. Body nat /man -/unkn Closest Maj. Wtr. Body — ype F eCt/ Activi MEE -M INMMMMMMMMMMMMIMMMMMMMMMMMM MEMMMMEMMEMMEMM MEN FIRM �N■■E■NEON MMMMIMIAIMMMMMMMMNMMMMOMM IMENNEWMENUMPAMMINAMMOMMEM JWMMW- MMEMEMMEM ■Ny■■ JI&AVIUMMEWW"EM MEN MEN `■ �■■ AMMEMEMEN ME WWWRE25= PW-. -Tdommmom MEN E MEMMMMMII M MEMIMMEM MMEMMEMMM■ MEN MEMMMMWIIMMMMMMMMMME MEMEMEMOMM M. MEE M. MMMIMMEMMMMIMIMEUMMMM MENIMIMIMMUMMEN MEMEMMIMMEMEMEM M MMMEMMEEM sm rMMU..■ ■�i■■ WIMI .N. 0 MENOMME M M M MOMMI■0 - �-. ■E■EE■■■N■■EEO■O�1�Dfl��■ONE■■EEO■■■■■■ NIMEMMEMO%MEW" 'SOME MMIJA nmo,� . 12 ■.:■■■■ MWENOME w- M mMEMM !111011"! 5 g.; a wffinR—M w MEN MMMMI M■ mEN ENom■ M :■■ME■■■ Agent or Applicant Printed Name Aw, Sign-ahure' Please read compliancestatemenlW,backof permit" F.:A—e— I, -.Application'Fee(s)' Check# NC Division of//Coastal Mgt. Habitat Impact Computer Sheet Applicant: Date: ���r 10'6 General Permit #: 3,?, 4dzo 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) Dredge ❑ Fill ❑ Both ❑ Other Lk71 IV 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 ❑ 252-808-2808 :: 1-888-4RCOAST :: www.nccoastaimanagement.net revised:02/03/10