64302_Rick Amick_20190520

CAMA*/ ❑DREDGE &FILL SD# " - No 73015 •
GENERAL. " PERMIT ,•, .0 a Previous permit#: ,r. 1.4
:'' . > L New.- .❑Modification . ❑Complete'Reissue ❑Partial Reissue ' Date previous permit issued '• l.,i -1/ .
As authorized by,the State of North.Carolina,,Department of Environmental Quality ;
' and the Coastal Resources Commission in an area of environmental concern pursuant to ISSA NCAC O7 , .Z y dv -
- Rules attached. -
Applicant•Name I G . A/'1 / G. Project Location: County I'm F11 — r r ("c-3' . ~'•
Address (n G,,o - Po(,---/-1-7- - Street Address/State Road/Lot#(s)l.�'.‹;0_ .) 4- ( . '
City Fj/A--n—) State h/C ZIP 2"2 v'51 p G000i4-1 1—
•Phone#',( 3�)7('f _ �1E-M a3- : !-
ail Subdivision'/` . r a e -, .- - ..
Authorized-Agent /-./ 1 ' ' - ' City 5( - ) • - ZIP '7 Sc-,5'.
❑CW ❑EW PTA. ❑ES _❑PTS • Phone# .( ) —_,_._. ' ' River Basin J A -944-t, t,I r() "
Affected ❑OEA ❑HHF ❑IIH ❑URA ❑N/A •
AEC(s): ' Adj.Wtr. Body &1-7-7- I K---- C. (-.-(- /man /unkn)
' ❑.PWS: - '
ORW: yes / •• PNA yes /� Closest Maj.Wtr. Body'"'c-' e.- /F=1 =�z
b
Type.of Project/Activity 7z x Pl E--"C l Z y " 2 L-- &A-, "
(Scale: / =3a .)
Pier(dock)length ? y '
Fixed Platform(s)•/ r. 3 7 I I.
,,
1 _
Floating Platform(s) ,, 2L / ^
_Finger pier(s) \ .
Groin length r _ _ '�!
number 1-2- X P� i I "'
G-1-IE a) .
` Bulkhead/Riprap length , "Pt-/1.1--yo tPM• V '
avg distance offshore a I
max distance offshore 1 / / T f , i ' '
I
Basin,channel 3 .'t , �' • I ' .
cubic yards • ;
Boat ramp - i
Boathouse/Boatlift e_� - •
I
Beach Bulldozing —_
r-,,r i i,n,--7" i3 LI i`''-4"e''47 -
Other,4 &r SL ,t) - -
•
Shoreline Length 1
-447-.7.--- ___\_174 .,
SAV: ", not sure yes no `4 � \
4.-2 le.-.T�._--:-,'t,7'3a .,�.
Moratorium: n/a yes Do , AI,4-7/G/' Pica p
a
Photos: yes no /, l-'J/.c- ,c)
Waiver Attached: yes no /2.' ev}� •
A building permit may be required bye ul/J vT .F'-72J - - _ ) J See note on back regarding River Basin rules.
•• (Note Local Planning Jurisdiction) '
-Notes/Special Conditions - %,77T / S N/7/1 /1-2T,4-i)-)/ L4 )4.)ij._ ,
.., . _.‘x. -7)/4,,,.. A 4,4,,,-,c ( f 2-
V 4-----7) De,--) - • . . .• .
Agent or Applicant Printgd ame /Permit Office�`'s P anted Name'
Signatufe **Please read compliance statement on back of permit** " Sign to ure
Application • 1
Fee(s) Check# - Issuing Date Expiration Date•"•• •••".

•
Applicant e—RiG A M I c rc
Date: 2 0 ,14/4.'Y 20/ 9
-General Permit#: •
73 o/S�
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
Habitat Name Choose
DISTURB TYPE Disturbance total disturbance. Disturbance disturbance.
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)
Pa:71/
wf�•1�71 Dredge❑ Fill 0 Both 0 Other ® 55 i� Z
'/2 f. c/z-rr
Dredge 0 Fill 0 Both 0 Other 0
Dredge❑ Fill 0 Both 0 Other 0
Dredge❑ Fill 0 Both 0 Other ❑
Dredge 0 Fill 0 Both 0 Other 0
Dredge 0 Fill 0 Both 0 Other 0
Dredge❑ Fill 0 Both 0 Other ❑
Dredge 0 Fill 0 Both ❑ Other ❑ -
Dredge 0 Fill 0 Both 0 Other ❑
Dredge 0 Fill I] Both 0 Other ❑ i
Dredge❑ Fill❑ Both 0 Other 0
Dredge❑ Fili❑ Both ❑ Other ❑
Dredge❑ Fill 0 Both 0 Other ❑ -
Dredge❑ Fill 0 Both 0 Other ❑ •
1