63320_Marshall Willford_20181026

LAMA% DREDGE &FILL No.. i2918
w
E L PERMITO
GENPrevious permit# N16 C ,D
RNew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit=issued
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. 1 SA NCAC 0 V-1- [ i d 0
z" Rules attached.
Applicant Name RS:'� I/a r' L �� L� I'nt�t� Project Location: ' County '-9E'Q r% r` -O- 4.1 ,
} Address . I f { P�.A' 13 Rd I(l c IK rur Street Address/ State Road/ Lot #(s) Ll Z RA
��Ay '
City . r rU State ��(, ZIP. ;.� �(3 .�K. ` O.F F NCL1 S
_ :..Phone # (+7 Z) 3Z , .-lI(� 0' ' E-Mail Subdivision. �3nT Ft C Loa,
Athorized,Ageri't . CityMr. R12 Y )¢) L ` 'ZIP 83. -
,71
El` CW 1 dEW KPTA �.Es V(PTS Phone # (' ) River Basin /ZO A,,,J/o
Affected EL,►i.-
A tecte ElOEA' ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
ORW: - yes / no PNA yes / no
Adj: Wtr. BodyA.CQ L MA'1-LE Scy, Nib r nat Iman- /unkn)`'
Closest Maj. Wtr.' Body AL z c NIARLC � oy A
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AMEME
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arm
Agent br App1icant'Pn ted Name -
Signature.Please read compliance statement on back of permit'
Application-Fee(s) Check #
J rvIAJ
Permit Officer's Printed Name
Signature
460, lot?) Z- of 6
Issuing Date ' Expiration Date

- -_ - - - �-- _ - - - - _- _ -ram � .:,+�•:T {�= r }✓: -
RIPARTAN PROPERTY
• S - _
I hereby certify that I own property adjacent to
property located at
y p Yam'
(Lot, Block, 1R�o�ad, etc.)
ci �, in V V 1rw '� I— pr' , N.C.
on( ate/or County
IW—a�terbWdy)��
_ - -
He -has described to me, - as shown below, the development he is
proposing at that location, and, I have no Objections .:to his
proposal.
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DESCRIPTION AND/OR DRAWING OE pK0=0SED DEVELOPMENT:
devel=Ment)
�� 5 �Y-D V
Signature
Print or Type Name
Telephone Number -

0
�vyj- 4
C, Pam\
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Applicant: 4A'Z"AL` WILL 160X
Date: � & 0 C7— Zo f tb
-General Permit * 7,7 � (9
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
RoP-CLIrk
Dredge ❑ Fill5i_Both ❑ Other ❑
9 5
q
G P UAk)
Dredge ❑ Fill ❑ Both ❑ Other . .
Y5 V F z
SuAuof 1 Glfdwf/1
Dredge ❑ Fill ❑ Both ❑ Other
Z'
1 9 orr Z
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 ❑