63959_Brink Willams_20190305

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IENERAL;:PERMIT ''' — 395q .
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' ".Previciut.permit#'-' r: - -; - `Al /4 • ,
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:> '(----7';' New '0 Mo-diiication Otorniiipte Reissue 1`;•,•CIPartial,ReiSsue :.„. • 'Date previous permitssued ' •p.)-/4
AS''aCithcrized:by the State of North Carolina Deartment of Environmental Quality '
andttie'lit.l Resources Commission in
',6&.•'1;r.V. -4 Iafea of envirohhental concern pursuant to I 5k,NCAt '07 d.
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Applicant Name r--`-.. i /I.,'Li,/,42)-'1_ ,:. - - Project Location:: County 234-1- 1/4--r-7:-- --r c`c:,
? : Address y 5-7-,i q.-.77-,27 tJ 1:•E.4Z.;•54:565D: -2.-:;(2•=:.'• - - ' --' " ',"'-;SireeiA0dre§Stttate.Roacl/LOtf#:(s), ,i;-•,...,K...7-/-....•_.- -.,.-7,"A:.--„ ./j:.... ,,,,:?'
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AuthOrized:Agent-',././1/44. •`. . . . -7, -.•' r . '' , ': :• '''''''. . ' City 33/j:.77.41:'' :' '! .' ';'' ' ' :','''-: P1::' .2-7...-3.(4?-, ,•:, ...,,
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Type of Project!Activity.'', e-f-'/-A i":..e-‘"- -./?5". n"" 6,--,. A' y /2 --?‘: /G,-- L.
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Groin length ' ‘•,........p,, i
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avg distance offshore . I
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max distance offshore ' - ' • •-,,' -'4 i -,, . • t :. '
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,..,. ,.. Moratorium: n/a yes ,, TO - .. . --.,: .,,-• •,,,:: :-•'. '"=,,..•'"-- '' -'; ' '-. •-: ' 1' ,
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A building permit may be required by: - c.-,-,4,--, --,.,?.?.._1 2),-,,..,/-7-y . IXI See note on back regarding River Basin rules.
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(Note Local Planning Jurisdiction)
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Noteii3OOOiliFiciiditioOsP-r-, -.:"./.,5,1--...4-1/14:47-1774,4,4 a-z-d 2.A/4_....?Is/.,...,-;( /...A,r7- 7-4, --!'"'l - 4 6) .-i,z1 .-6-
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AgentApplicant -1-inted N - _ PermitOfficeer-s'Printed Name ,f
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' Siin*Fe-----141Dlease read compliance statement on back of permit** Signture - c---- ..)------'-'--, li .....-- -. . ' ,
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;.' ApiSlication Fee(s) . '- theck# Issuing Date Expiration Date
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Applicant: '11 4- k' /L I Ar-r j
Date: tj !'?A-9-4 1'i"
•General Permit#: _7 3 0 0! t3 ,
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.f 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)
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Dredge❑ Fill❑ Both ❑ Other 1 pC22ir00 2
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other 0 -
Dredge❑ Fill❑ Both ❑ Other.❑
•
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other 0
Dredge❑ Fill❑ Both ❑ Other ❑ •
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other 0
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill,❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
• Dredge❑ Fill❑ Both ❑ Other ❑