64389_tracey Robinson_20190607

M CAMA A•/ ❑DREDGE.& FILL ' No::. 73069 — : A, ., s,
GENERAL PERMIT TD:. o�3$q Previous permit# � ? ��
,.• > eNk. '❑Modification- ❑Complete Reissue Ill Partial Reissue Date previous permit issued - _►./ 1A- ,
As authorized by the State of North Carolina,.Department of Environmental Quality
and the Coastal Resources71-
,Commission in an area of environmental concern pursuant to I5A NCAC 0- J . i a • -
i:?` C7 Rules attached. r'',
Applicant,Name cif-eL? -72-•,.7t>>,0 3'av\ - ' • Project Location: County Gt„A,, -/ (--... . ._
' • Address •,� (lO 1�i ,, 5 5A-�.0�" �, s Street Address/State Road/Lot#(s) J-4-' <p /1. --1-jL
City / A. S�' j State'/-il' ZIP 2) ,-i; Cm -7- ��/1�' �y �r--s 5 '�2+�, --i'�•/. ,
� �)q � ,.� �,. •.
Phone#(7�7)l'/-2 -O(otxE-Mail ` , Subdivision /,_��,o..as•s A45
• Authorized Agent, ' /.�//�-- ' City" 7a ti p.... ZIP ^7 `-j 5t �'
❑CW W 7p-P,TA ❑ES ❑PTS Phone# ( ) River Basin-0y - �);'��
, Affected 0 r /7 /'
•' - ❑OEA ❑HHF ❑IN ❑UBA ❑N/A f! ;r.4,;:- /nat /man /unkn
:' AEC(s): � • � � - Adj.Wtr. Body r�-y, s� (� ) ' ;
ORW ,yes /,no PNA• yes / no Closest Maj.Wtr:Body 'fi'�� %,-/��?�y^ ' -
Type of Project/Activity, S;H a /�.. - . ,;L. p,)0.i. /;_Ai
(Scale:/ =. ) :.
" Pier(dock)length N, V .
Fixed Platform(s) ��, .. •
r v Y-ar _
Floating Platform(s) .
Finger pier(s) • /
Groin length . • �■
number -
Bulkhead/•Ripraplength'
• .avg distance offshore
r'A, ; -max distance offshore 7', •
Basin,channel I
cubic.yards
Boat ramp I
. Boathouse/Boatlift : I
MN
Beach Bulldozing- ,
•
Other' 5/v - rl; /it{ ■ •
V ~�■v
Shoreline Length 7`6 , I -
" : ; 'SAV:• '.' �ot sure "yes no • I
o III _
Moratorium: n/a _
- Photos:. yes yes Ano ■ •a ''
Waiver Attached: •rye]) no ■ ' a. ' ,4.--.. ) • 4" 5 t/i'' yJ .
�L 1
r:'; - A building permit may be required by:�fiaa',,-4,4 w• See note on back regarding River Basin rules.
Y g g
s�-• ',(-Note Local Planning Jurisdiction)
Notes/Special Conditions Go-71 iS YYt ai sr--' A 4.1 /a s.-'r •
▪ Agent-or A plicarit Prince. Name _ Per itOffit r' Panted Name
•
Signature�:• P asp readcorr) Ir�ncestatem nton back ofpermit Sig�t re
(L;,-•, Application Fee(s)• - - ' Check# sluing Date Expiration Date •t

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NC Division of Coastal Mgt Habitat Impact Computer Sheet
Applicant: A c /( d; 1-1 S
Date: —7 2.0 I
General Permit#:
• Describe below the HABITAT disturbances forthe 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 0 Both 0 Other L? 60 -6eD 12F .
Dredge❑ Fill❑ Both El Other ❑
Dredge❑ Fill❑ Both ❑ Other El
•
•
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
• Dredge❑ Fill❑ Both ❑ Other El •
Dredge❑ Fill❑ Both 0 Other 0 •
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge 0 Fill❑ Both ❑ Other ❑
Dredge 0 Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑ •
Dredge❑ Fill❑ Both ❑ Other ❑
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