64203_Roberta T. Allen_20190425

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����''v3° •���z((,, ❑ � of ��;/�7I J��,'' -� � J- -•
I,,.CA►MA/. DREDGE&`*-16 ' !OU! A
mit#/e".:::. . f •`
>G' Iew ❑Modifcation• .❑Complete Reissue. ❑Partial Reissue: , ' Date'previous permit issued ,.. �/{ •
--'As authorized by.the'State of North Carolina,Department of Environmental:Quality ' . - f, •' '._
. and'thd Coastal Resources Commission in an area:of environmental concern pursuant'to 15A NCAC t / G :- '
/ �;�,, [�/RulesaCttached:
Apphcarit Name. ,.i2O'Z.('':� - 4, • /`T ' . ' Project Location:,County / G,liTl (" �o :1'' ' - •
Address a f ....„-if ' T ��l G /-- Street'Addr.'e s/State oad/.L�-t#(s) 4,, 5 '
City . ��r_/`� '� `, State X/ZIP,' P/� /��/�l(" f ��G •
Phone#'(, , j q‘7 J .E=Mail, Subdivision, �/
4:
AuthorizedAgent ��' ' ' 'Ci ' r L/7I.,Lt' ZIP 2 tJK .r
Affected ❑.CW ' -0 EW, _ XPTA•. "❑ES 0 PTS'. . Phone# ( • . )• ` ` River Basin - • .�? '` ,�'
❑OEA ❑HHF ❑IH ❑,UBA' ❑N/A L ���'
2 . AEC(s): Adj..Wtr: Body 77 rP/-05 at an /unkn)'
. ❑ PW_ S: . /
'`ORW:_ yes / no PNA yes /(no ,
Closest Maj.Wtr. Body " F��--%�J " ,'C(J''
Type of Project/Activity , /i5.r%i-7c., /c iiff � ,X ,, /2/Cr 4,,,c.J 4. / ,
�GFac) ,ICri ./ Ov (Scale: / .,--)6) '.)
Pier(dock)length �/. ,fr� •. .
. ' Fixed Platform(s) / .."A" / " n/ $i /iS,f y '
Floating'Platform(s) .r- I t 7 i -
Finger pier(s) ! /i`/ --_ ".� I '
Groin length -- • /,p
number �''.n""..-' (/G`ek . I
Bulkhead/Riprap length
avg distance offshore
max distance offshore , • I ire . I' /•f
•
` Basin,channel — ' , �c 1`
cubic yards \i . ,i-_I rV l ,/ ' : .. ., -. '.:'
.1
Boat ramp ir! �� /G
', Boathouse/Boatlift U 16%' J ,
' Beach Bulldozing �� `` I.-
_Ir ;��`S � �'' � jE' _ `` >-..
Other �/ I r_
2 �., t /�/l �
Shoreline Length t= / `L -1/
, , SAV:, not sure yes no f"f4--- tf — A'r _
/G�(1,-,
`j
, Moratorium: n/a yes f�9 �f�• ` ��
Photos: yesifek ,,;0 �.f� ° '
Waiver Attached: yes 'It`( i
'_ A building permit may be required by:�� &,,, O /-1„<,, r`,/ / ,-/, -��4-- See note on back=regarding River Basin rules. • ',
-, (Note Local Planning Jurisdiction), -
, Notes/Special Conditions (,,,Z- 97 1 ,- ) rfr fitir 717. /V) 7 'J.S eD2 ) ‘2/)
G .: * i<e2k:`AL) /--' /.417 ) . (-1/-(.4__ 77;4' 72".,:,.;// . : : ' ' I '' ' '''''',
Agent or Appl•can rinted Name ) Permit If icS1 Printed ame ' /
......---...-/ s
Signature lease read compliance statement on back of permit Signature_ / I
.,469
1 . :- ‘),::_r -z/gthe;:?7(.
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Application Fee(s) - - Check# Issuing Dante, . Ezisiration Date

NC Divisjon of Co stal Mgt. Habitat Impact Computer Sheet
Applicant: f C- 4 � /‘11
4
Date: j 4 el(21-/
General Permit#: -F3 03
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❑ Both ❑ Other / D
(f)
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑ •
Dredge❑ Fill❑ Both ❑ Other ❑
• Dredge❑ Fill❑ Both ❑ Other ❑ •
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑ •
Dredge❑ Fill❑ Both ❑ Other 0
•
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