63477_Curtis Brookshire_20181214

kg A ❑
E &FILL . �-e NaXCAM/ DREDG :. -72940
GE'NERAL ,'PERMIT '_ A• •' g ,�c o .
Previous. ermit #, - . • 1\ 1'
New• -❑Modification'` -El Plete'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 I SA NCAC 'Z�;
`2tRu1es attached..._' .
Applicant Name �f Project Location: County �G�-t�'Fr��:- `. • w•`.
Address j -' ( /., o S E G t 7� • 4� C) - Street Address/ State'Road/.Lot #(s)•
City L✓ l�t� i ?�cf -r-a r�7 State -ZIP . 2� 4� �, 12 I' C� c�i� 5t`• g-t�.
• r�?
' Phone #`(2S 10­-: 20.42E-Mail " Subdivision �ja 7h it r�z t�
Authorized Agerit —� , t—bra �-vi�f City �,✓/c�,�\ c t�t c��� - - ' ZIP ' "2-�, •?�r^?5` `i
❑'CW W - PTEl ES , PTS Phone # ( ) River Brim A� ^
Affected /�
❑ OEA ❑ HHF ❑ IH • ❑'UBA' ❑ N/A .
AEC(s): Adj. Wtr. Body �� r� 4' Cy : �'-1yc Hari an /unkn).'
❑ PWS:
ORW: yes /(no PNA yes / 01� Closest Maj. Wtr. Body'R+\"��'
Basin, channel'
cubic•yards_
.Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length h v
SAV: 'not yes no
Moratorium: n/a yes- o
Photos: yes. no
Waiver Attached: yes no
A building permit may be required by: 'y-_>efi._l U2 4 ., (� See note on back regarding River Basin rules.
( Note Local Planning jurisdiction)
Notes/ Special Conditions LO T- N` rf�7 r-4-1-1a-, r-1-1--{j L,/t � �1 �/ tf� r\ cJ 1 U
t v I �, '> r-41 ,
Signature "Please read compliance statement on back of permit" t.
Application Fees) Check #
P.ermrtOfficer't Printe Name
Si nature
Issuing Date' Expiration Date -Z��

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Applicant;
Date: /tom
General Permit M —7
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
DISTURB
One
TOTAL Sy. Ft
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)
FINAL Sq. Ft
(Anticipated final
disturbance.
Excludes any
restoration
and/ortemp
impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
teinp impacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
L✓'���•�
Dredge ❑ Fill ❑ Both ❑ Other ❑
44 3Ca
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill [I' 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 ❑ FDI ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑__ Both ❑ Other ❑