63613_Randy Baker_20190107

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D.,Am.,.,0 bREDGE.&-FILL.L. ' ,,-1-L,?.(Z.-€1 )e -t---- . , No.,• 72488 .
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GENERAL P-. PERMIT4 "7---2r- D..ros so Loio i Previous perThit#,
''•,->'----.7"----EiieW'-','El Modifiatipn .., ElComplete Reissue•i LiPartial Reissue Date pr'evious permit issued.T :'v,i'T l A::
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As'aUthorized by the State of North Carolina Department of Environmental Quality
, •. .. '-:',',• . and the Cgastal'Resouree*tbrin-nisSibnin'an:ared!pf environmental concern pursuant to 15A NCAC - . /->t--P1-4--1. --DA 1---,
-1j Rules attached
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.!:•:.:.• Abplicant'Name'-',..1-.44-'41::).‘i '-' A yc-.-V, -. ,T 2 Project Location:-County: -15 e=-It:',..,. :-.1',--,,,-,•"i2j,c77-,. ' .::.:-.':---_'._,. - :,,,.),
Address J 1- C ' 12-1'1'3'6'-it---C1-2--'e-3.,V•- ' .
: Street Address/State Road!Lot#(s) :,Dir- :`••- t?..., :,...n- - .' ,: ' •
City•/-1,,t4-ea 4-4;-1--,--'1;444.-7; L--1' -. ':.-State:1- r, ZIP 2.j--7 e•kc)-7 (... I'' ".1 .-1 l' 4-,,r_,---('fa.e....- -,,, -r-- ... :-:,' ." ' ',-:-.'„- :..-''.;',:.•-.--;7:::
Phone# ( 4-,,),-4--7-2_-=•A'-79 15 E:Haii ',.-, - ''''--',.--; -'`'T '''' - • Subdivision'-'-i,A c,564.--- --; 1:75-v=PC'e..-t. '"--0 '-. • :-.•- : -' ' .,:4
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•:-,•,7Authorized Agent T ' 1-A--:••••• P:.-5--- - 2: •''•, , - City I %..,.1 f I ',--.‘ 1.. ; 2113',-2.-:-.)5(:‘ ,-.--)-.
"--•' ' .ii cw . 'DOA'- •0 PTA ' -DES ' -0,,PTS ,'• • " ••,' Phone# ( ) ' : - _ River BaSinFf' \--.C-';-P4(i.i:.,‘c- : '•`-:
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AEC(s) .'.,_,•• • -- '- „-: b .
,,,:.• -- u0 .A -,0 HHF ,0 IH -'',,CI 1.,113A ',0 N/A. ' • '
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Tylie-Of„Project/Activsity 1--e---( :'r ,t- _ ) t. cD ' c... i-- "i""- 1-1 L,g_.:1-1:---r------.AO . . ., . , . - .:- • • :,:,
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:C{r':' •:;Floating Platform(s) J /C2) • 2-/ l.) -A:(- '"'"' -
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Finger pier(s) 7 1 . -•. 6
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m,. ic distance offshore • -a;. ...1
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cubic yards ,' . 1, 1-.• 1' •;-1- 117 iac--et. _4,- 'eit,-",Dcb
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Boat ramp - • • • - .'., 1.--;,-a ri.,, -,-,) .--,--„,,, -L.:L..12 rirl---1-Z,- ! '' :i ' ' ' '• . > ''.,
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:•,-,:-*' . Beach Bulldozing , ' ; -, - ,.•• -14,,taLl . . .
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•5,,e; - kbililding permit may be required by: '-'- ----1.4-4-,-9 ---cD•rir\-L (*.c.-- , - . JSee note on back regarding River Basin rules. ,•, ., '•••'
(Note Local Planning Jurisdiction)
%--- , Notes!Special CcitiditiOnSLia'1---, : ,13.' A.:A-Ar-/J4.-7--is,-,,--.4-,.--y) t_A-0 t ) ---'1,-1,1 Lyi-1---14i-- hTh. ,- 1,..2„'• A,-.3r- • • . • :.
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,:-. -A,gent or plica t Pn e able,., ,„- .-• -• ..,, ,,, , , , . ,-,,,,,,,,'„ i_:.....--.,,,,,_:4---:----,;--L—Perinit9ffice-r's'Printed Nam-, -- • .16:- ;1.1- •. , ,
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Signature•,•'c,*:41;filease.rea compliance staternent oh back of permit** - , ' Signature.-- '.- / (--•-:::: , ; , .,.,.
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ipl,. Application Fee(s)c:- • ,- ; . • 1 , 1, Check# _ . Issuing Date -. ' -1';':Expiration Date

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Applicant: 12 A-ii YZD Y' i" )P\jL
Date:'-7 A2N-1 `-2.v 7
General Permit*. ,�Z 4— < ,� , •
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)
G- Dredge 0 Fill 0 Both 0 Other T ) C7 c7 r.i , •
1 '
- r yr, Dredge❑ All❑ Both ❑ Othern // (,CO P f, g bp 7
Dredge❑ Fill 0 Both 0 Other ❑
r -
Dredge❑ Fill❑ Both ❑ Other El
Dredge❑ Fill 0 Both 0 Other 0
•
Dredge❑ Fill❑ Both ❑ Other 0
Dredge 0 Fill 0 Both 0 Other 0
Dredge 0 All❑ Both ❑ Other ❑
Dredge 0 Fill❑ Both 0 Other ❑
Dredge❑ Fill El Both 0 Other 0
Dredge❑ Fill❑ Both ❑ Other ❑ -
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge 0 Fill❑ Both 0 Other ❑
• Dredge Cl Fill❑ Both ❑ Other 0