64204_Richard Bailey_20190424

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iENERAL%;T:PERMIT - ' if)-4,,,:' _ , .v
n .., :.. • : Previous'perrriit.#:' /,7. ;
nMeklifi'eitiOn :,DC--Ciin"leie Reissue' bi'at'iial elsiue -'' ;- '- '' ' ' • Date prviouperrnItl§suect,-,;(•fr "- :"--: -• •'''-'',
As7aUihci•*413y the State OfiNcirthCar'olin*'pep41-trrent of Environmental Quality ' , , 9/-51 cr.— , : :,..,.;-_',-,,'1' ,1:',,'.-:'':::,-,::'`•,:.,°.:i;
ancltbe"C *,a1 Resources Commis,.ion
irian area of nyironnnentalconcern pursuant to I 5A NCAC. ., •006.--. ): . . '. :--• •,,,.i ,'',.: :• : ,-,:.,..,..': :-: ::.,,,,
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V ,Applan;Name - : /4 /1 ,, - 1 ,-, - — „ •Project Locationz,County "..:
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Subdivision • 71/ /-/* t'- -,->. ' C
Phone - ' 2/
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Affected
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; , • ,O Cw. . Aw -;S-163TA '0ES OPTS - 'Phohe# ( ,_. ) . .. 1 iver Basin .. ‘477-'.,Gpfel
S'1'AEC( 0 0E4 • •• 0 HHF El IH • ID UBA. 0 N/A
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‘ . ' ;I=1.14S: ': ' • - ' . ,. . ' Adj.Wtr. Body ' , 06/7 //0/ , . /man'kinkni:
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Closest Maj.Wtr:Body Aietio 72;4%Lr- .. . „ ,.
ORW: yes./(5 •' 'PNA yes / fi/o.c •
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,., Type of ProjeFt/Activity / q/C:2,,-4- o k./,9‘‘e— ./--•, ...5 X /th k>/-11" /re r Ge,)/. .-t - '--, ,,-,.,:.
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. . . (Scale:1 ii-....: •. ) .;.,
. Pier(dock)length 5--%,(-//e-f, : • . , .
::;,•.. Fixed Platform(s) F. .11.' 10: . .
Floating Platform(s) • • ----- .4\ .
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",,••• 'Finger pier(s) . • •••••, ....•-•1 I - ,,'• , i
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•' - Groin length , .------• _. , (/' 1 _ —, : • -• i& "-
number - --- ' j
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Bulkhead/Ripfap length •""-------- i 0- 4 .;, i ,
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:.• , •avg distance offshore --•\ i , . ,.
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max distance offshore "---- " Y I ,
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',.7 Basin,channel. : — :i • •.
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, cubic yards ..,'--•t ' "'"--- _ -
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.!.. Beat ramp - . • ._ - • . ':-
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Boathouse/Boatlift. , ,,........-___
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Beach,BulldOzing •
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'=.. Shoreline Length_ tt-,v,•D . . . __. \4 ‘j t . j AI •
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'1,•.• SAV: not sure yes n n .c-A9 ,, _ (--- .,.. - . .
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Moratorium: n/a yes n
Photos: ,. yes r tfl ' . , 4r/.._.:
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Waiver Attached: yes , . .
'„•.,:„ .A building permit may be required by: Y:- /bi, /.(` / A See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
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Notes/Special-Conditio9s , , A'e- •-e" 71?,4(If.if i4C... .."0/ / ),/4---Y L-5.
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._ Agent or Appiicant Printed Name • ( 13 • tr ' ' - .: ' -Per i Off er•e rinte,ame
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Signature **Please ad compliance statement on back f p rrnit" Signature A
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' • Application Fee(s) ' . .•• Check# Issuing Daw - • 'Expiration Date
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NC Division of Coastal) Mgt. 'Habitat Impact Computer Sheet
Applicant: RiG tr ' '/!G�
Date: 4C/1/ 2, '
General Permit#: 7J 03
of
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)
qi/Aalir Dredge❑ Fill❑ Both ❑ Other P ,
Dredge 0 Fill El Both ❑ Other El
•
Dredge El Fill❑ Both El Other ❑
Dredge El Fill El Both ❑ Other ❑
Dredge❑ Fill❑ .Both El Other El •
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge El Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑ .
Dredge 0 Fill 0 Both ❑ Other El
Dredge El Fill El Both El Other El •
Dredge❑ Fill El Both ❑ Other El
Dredge❑ Fill❑ Both ❑ Other El
Dredge❑ Fill❑ Both El Other El
Dredge 0 Fill El Both El Other ❑
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