63481_Cary Cardwell / Joyce Spruill_20181113

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CA 72'
IV®: 456
GENERAL."P,PERMIT: revious. permit
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e�w'. - catibfi,-, ❑Compieie:Reissue El Partia[ Reissue Date:previous Iiernik Abed: AJ /A
As auil-16rized6j the S tate Noiih Carolina, , Department' Environmental Quality
Commission in -an area o environmental concern pursuant to 15A NC
AC ,­ - n t> aridthe Coastal kes6urces o f AC 6 :7 1-1 2.5�(!X
P9-Rdl6s attached.,
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Applicant Name tA/I_L Project Location: County
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Address Street AddressfStai
State 'Ci
Phone
E, Mail Subdivision
Authoriz4Agentcity ZIP':
f- kiveir'B as i El CW%: EW �KtS El PTS Phone #�lI 7 f%5 Q(_A 6�11 zll�
PTA
Affected'01W ❑ UBA' 0 N/A 16 OEA HHF --`5C)tAw(nat i4jan-/un AEC(s)-. Adj. Wtr. Body— kn)
E] P%4s:
ORW: .-yes./(no' ) P, N 'A' _yes. no' > Closest Maj. Win Body
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t,, ase read iment on back of permit
ead compliance state
Appiiciticn Fee(s)- Check#
Vc viJ 1-1 A r
Permit Officers�Printed tlLrne
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Signature
13 A)QV 4 0-1
Issuing bate Expiration'Date

Applicant: G A KY CAga w r-L L
Date: 13 A00 zoig / 4General Permit #: 72Vs-6 _ 6
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your habitat code sheet.
J
Habitat dame
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/ortemp
kn act amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impads
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
jn
Dredge ❑ Fil Both ❑ Other ❑
2 l�r2
Zs� o FTz
Dredge_❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other [I --
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 ❑