64191_Cynthia Brooks_20190501

XS7CAMA/ ❑DREDGE'.&.FILL` _ 2 „,1-g ,NO. 73011' '" -
,GEN'ERAL' :PERMIT : :.,. . `{" :A , • ` C `D
D:<f-1-, Previous permit# ,✓/i
41,New •. ❑Modification -•; ❑Comple'te Reissue ❑Partial Reissue. ' Date-previous permit issued ,',;//�i•
As authorized.by the State of North;Carolina,Department of,Environmental'Quality ` d ,
and•the Coastal Resources Commission in ari area of environmental concern-pursuant to I5A'NCAC • 'D ?f-/ •'-Z.S >o,:-,' .'.'
. : ,•_-_., ' • . Rules attached, ' , .
Applicant Name ""(1)''i/r/-/'A 312- %G23' , • ' Project Location: County-• r,4 ar''? T, ld . :
, Address '--,3 Z•.'`-" •X •- 2,1--e-72,-5 G197G 6=: ' Gt ,: Street Address/State Road/Lot#(s)c, -a•7 . i?5 '; •: ,
City% 5i. 4220 • State ,'-L ZIP.2-1"-f�/o, _ e 34,1,1-- -L r7'wC&-'r-' ,4- ' --' `, ' 't,E'; . - • .
Phone#.(z<2)c�/3- 7/s' E-Mail ' ' '' . Subdivision , J/G y /54.';;1-,' •
• Authorized Agent. C--one C,:',TT-z)i.1 City ,0A 7-1-- - ZIP•,2 `t©�'• ,
❑CW. :' 'EW .)'PTA ❑ES -• .❑PTS- • Phone#'(- ) -River Basin -'-AAri/ ) c ''
Affected O 0EA ❑HHF ❑IH ❑UBA . ❑N/A •AEC(s): : Adj.Wtr. Body PAMaih 'f�',re- ( -(a%roan /unkn) ''•
0 PWS:
''"' ` Closest Maj.Wtr. Body 'A' '-" �'v67'`--' '
-_ • ORW: yes / no PNA yes (no) .
f '
' Type of Project/Activity ?2 xG �/f L , 16 'r 16 /-.--/- / ���4�""G��
' ' (Scale:) .r3e)• '• )
Pier(dock)length ?2 `y 4.
Fixed Platform(s) /6 'X . ce-- �,c1/t-7L/GO /UGY- ‘---'i
Floating Platform(s) /
.Finger pier(s)
Groin length - �/
number
Bulkhead/Riprap length
avg distance offshore / ry ,
max distance offshore ! ,�.- LE,n© 1 ,
Basin,channel p4LA—-; 'dL M S
4
cubic yards •
Boat ramp
Boathouse./Boatlift r I ,
,
4, ' 2 • ' '
' Beach Bulldozing
pig S 1
Other - "
•
Shoreline Length 7 �,.•.., -
SAV: not sur . yes
e; no L-'+i ST r/� 72-N LI"1-147 r h ?`7'/,F7-4r
Moratorium: n/a yes no L � ��
Photos:- . yes ��yy—�
Waiver Attached: yes LnoJ .
•
- A building permit may be required by: ',`jy,.-- , t i- 4:-4, . - See note on back regarding River Basin rules. • •
(Note Local Planning Jurisdiction) / -
Notes/Special Conditions /_or /.. •.-17 fir}z-p LA�-w 4. �'f-p`/�G r--,+�17N i- /Y- • _ •
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Pfritithco Date

Applicant: e7i4./7-4/,4 r2vm/G�
Date: / /4 4 y Zo/ Gj
-General Permit#:
30
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 Mame 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)
D"Pe-x/
Dredge❑ Fill❑ Both 0 Other [gyp �� 2 ,/.,�q
Dredge 0 Fill 0 Both ❑ Other ❑ 7"�"�
Dredge❑ Fill 0 Both ❑ Other 0
Dredge 0 Fill 0 Both 0 Other ❑ -
Dredge❑ Fill!❑ Both 0 Other 0
Dredge❑ Fill❑ Both ❑ Other 0
Dredge 0 Fill❑ Both ❑ Other 0
Dredge❑ Fill 0 Both 0 Other 0
Dredge 0 Fill❑ Both 0 Other 0
Dredge❑ Fill❑ Both 0 Other 0
Dredge❑ Fill 0 Both 0 Other ❑
Dredge 0 Fill❑ Both 0 Other 0 ) _
Dredge 0 Fill 0 Both 0 Other 0•
Dredge 0 Fill❑ Both 0 Other ❑
•