63610_Jessie Brooks_20190116

,�,"':TTti:'•.r:7',��r. _ j: p.y:1 - - •ti• _'-.� ",j%•r1:J7'E'7'4.i.,a,er••.
4J'-.
t ,...e_,,,-,...ot.,r,tr,
-.-i-,-t::a___e:-,
•
GENERAL'. :'PERMIT:>., . D:a:t � Previous= ermit#.. . • , .1AA
3l� Yp ;r.
,�y New', .❑Modification+• LI Com -fete;Reissue;_`'`❑Partial-:Reissue"'' Date 'revious ermit issued • .; ;!`L`'1_.r4
As'autliorjzec,1 by,,
the State'o•fYNO•r,th Carolina,De•artment'of Environmental9 uali' .0 y.
,X P Q tY.�. <{ ..�wr
iand,the Coastal Resources'Commission inan are'a,of,env'ironmental'concern'pursuant to�•��15ANCAC � _ l,:`•- .. . . � - . •,,.
s Rules attached.
t"Applicant Name S �c.• 1^—c .'c \ - '-" . 'Project Location: County. A- I-0 'C` _'
Address '°j.'' =�•• .130-4::!iil�S '"V , ' • .. ,Street Address/State,Road/Lot,#(s) Df:4.L•4-1c.9'.=1 , 1-..; .
;. .City 1-- ... . ;State JLZIP. 7q -e —,'.—?.'g i3'i-2=,�'Si-3, '?Z�: .�;: ` ;
Phone#(-551 4 (t:'fo-E,Mail `..Subdivision .do25r-5'~ A .. - .. , _,--
''. :Authorized Agent,;. , .' , - •• City � - - �'ZIP_• )
., ' ' ` O,CW ' Ell -�PTA U ES O PTS Phone#• ( ) River Basin A'�-'•f'
>-'Affected' ;❑OEA' ❑HHF1' ❑IH '-ID USA USA N/A
r; AEC(s): . , Adj.Wtr.Body i : C _ • net man, unkri
r` sx; .'❑PWS:
_ ORW yes / PNA yes no
Closest Maj.Wtr. Body I7�L' -a '� 1 e'`�
.'' Type of Project/Activity'' k-�L. h 1 c , It k. - 12. 'p ZK-- ) 4 ` 't 1 C� P� �v
•r - • - - (Scale: I p:.36
' . Pie-r(clock)length ` .. . , ,
Fixed Platform(s) I L.) 1
LI .,,,;.:
Floating Platform(s) .
Finger pier(s) •
Groin length
p .
number - - -
Bulkhead/Riprap length'
avg distance offshore i .
max distance offshore • 0- ' / I
• Basin,channel ~'�
cubic yards
Boat ramp . . . - -
Boathouse/Boatlift IiII1I1iIiiIIiIITJiN
•
Ire it L.�
' Beach Bulldozing
`; Other 27 X ('1 1
, 71:,...ez.g..
. - iiiiiiiiliiiiimilis. „.
Shoreline Length�23(� -- v IiIIlIi
' ��11
111 �111111111
II
1 -:
t", SAV: '..� Yes no - — ,
ill
Moratorium:' n/a yes no r a. �' i, 'I
Photos: yes = 9 A .:NI ,
4
Waiver Attached: yes rio ' P.
•A building permit may be required by:"- T>W+1- r�C.- 1� 1 ❑See note on back regarding River Basin rules. ' .
(Note Local Planning Jurisdiction)
• Notes/Special'Conditions ( 4'� \ J�t�-•--1-'1- n.i-� Q 6 AA .)-I Pat-DC) S� .�, � , .
-,:' - ‘,. J €--CS/e C , ISroolkS )• (_„e . ,----1.A.;,/ 4,;i1N.P6- - ..
Agent or pliicant Printed Name P r rc ffic is Printed Name / ;
•
'' PI C. 'JILI)-84 i
'.'Signature -**Please read compliance statement on back of permit**_ \Sigrha1t e ...) t
:. U/A1 ti.�� tk 1� (Le S •-- •. S car M
Application,Fee(s) Check# Issuing Date _ 2a 1
'Expiration Date .1,

Applicant: ss+ t—
Date: t JrMri 1
General Permit#:—I-2...c3 4 •
cD
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)
QQE-INI 2
V., y. Dredge❑ Fill 0 Both 0 Otherp `Co
\ 06,IA.
L,7 j 14Q Dredge❑ FII❑ Both ❑ Other la, ` z r p2
Dredge El Fill❑ Both ❑ Other ❑ -
Dredge❑ Fill 0 Both ❑ Other ❑
Dredge❑ Fill❑ .Both ❑.Other 0 -
Dredge❑ Fill 0 Both ❑ Other ❑
Dredge❑ Fill❑ Both 0 Other ❑
Dredge❑ Fill❑ :Both 0 Other ❑
Dredge❑ Fill❑ Both 0 Other 0
Dredge❑ Fill❑ Both 0 Other •
❑
Dredge 0 Fill❑ Both 0 Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both 0 Other 0
Dredge❑ FiII❑ Both 0 Other ❑