63941_Morris Parra_20190307

MCQMA % ❑ DREDGE & FILL Na. '%2975
- GENERAL PERMIT Previous permit•# --.:1,
' ❑New •: ' ❑Modifi'cation ,Complete Reissue • "Partial Reissue . Date previous' permit issued-''
€- As authorized by the State of North, Carolina, Department of Environmental Quality Ll
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC �1� `/Uy
s .' , • ules a ched. '
r Applicant Name S' ;/ Project Location: County••51-9
-- - Address ell,/ir G,//�// . / Street'Address/ State Road/.Lot"#(s)' (p • .,S~,-/�26 1
t PStat��/if �//JyCity
o�)/, b / ��Subdivision
E-Mail �r (�
Phone #g '" -`�' '
Authorized Agent �. S/%/�i�G: City �1y1i�<� ZIP
Affected - ElCW JkEW" [4PTA IkES kPTS Phone # ( ) River Basin
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Bod man. unkn "
❑ PWS:
ORW: yes / no PNA %yes / no Closest Maj. Wtr. Body
. • / / /
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statement on DacK or permit --

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Activity
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B—ulk-
hei0l,_-�prapIengt
' a vg distance,offshore ,f
max distance offshore
-
Basin; channel
cubic yards
Boat ramp
goathousei Boavin_l
Beach Bulldozing. -
'Other
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-Shoreline Length 4M)
-'ye- no
S AV: no
no
-moratoriurb: n/a yes-;.- no V
I A— 11 1- 1
yes - n
Phot6s:
B 'rul
h ✓
S YardinI p�in
-note on back reg
Waiver Attached: Yes
fig -permit may. e req _7 b uired by:
J065; _!ction 11) Y
(Note
�oqa Pl�nning
A,77?�,
J�Cojjdit
44otek/,�Oeda
PkI -
Permit ice,s Print d -Name
entor Applicant licant Printed,
ft
he Signature
t ent on back of permit
ignature,
Ple'a�e fea I
pMnc0 state
S
CAP, .1.
Issuing Pate3.
.
Check#
g13P)Fation Fee(s)

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Applicant: /I�O7
Date: �L�N Pc
General Permit #:�
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement,
found in your Habitat code sheet.
TOTAL Sq. Ft.
FINAL Sq. Ft.
TOTAL Feet
FINAL Feet
(Applied for.
(Anticipated final
(Applied for.
(Anticipated final
DISTURB. TYPE
Disturbance total
disturbance.
Disturbance
disturbance.
Habitat Name
Choose One
includes any
Excludes any
total includes
Excludes any
anticipated
restoration
any anticipated
restoration and/or
restoration or
and/or temp
restoration or
temp impact
temp impacts)
impact amount)
temp impacts)
amount)
Dredge ❑ Fill ❑ Both ❑ Other
o--�
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
r
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- 08-2308 .: 1- 8-CRCO 8 f net revised- 02103,110