63600_Wade Smith_20190111

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,61E-Aiti TRAL-' ;PERMIT ,-x-P, :. .0.04 i----W.: . _. '-:::',-., ,.::146,;(9ief-i-,-iit*--...,: -:-;',---'!,_-_,--•Q-.):A.;':
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,-• A.s'authoriiea by-the State of North,Carolina,Department of Environmental Quality , -, i • ':,,- ; ::,.•„„:;.:1•,, , . ,..• i •.•,- , , •,,,, ,.:,._:,,, .,,,,-,.,..7,
and the,CoastatResourcei'COMMisSiOn in in area of environmental concern pursuant to I 5A NCAC ORules attached
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'-,Applicant Name. A.n..)4:c5,-,:... /L.A1-:-7-1-;-A-.1 • , ' - - .-nfirojet LcicatiOn:'.County , -4,,i---„4-i.-1''. 6 -)r.-=:.. : ,_ •,... :. ., ....,,,,,
Address': "2:`,/., 1' t-2 \;,-5 11.....7.:,...c,-i.....) 2-•'L'Art--- --c.77.-..: .' . . Street Address!State Road!Lot..#(t)'•cs1--..1-'•\ --i-i 1,k)V."..4 '._ 12.;••.,'"::
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Phone#..(c;/ici)6) 41:-61'3 17) "I- E-Hail--:-..-.-•• • ' ' ' . - ubdiviSiOn --4:- 14:4\v-6-1-1
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Authorized Agent )--!.‘.4-----'n).-.1 k.,•.)e----43 - ' . . . :Cityik--fi-4 ';• •- • - 'IIP: 2;-'--)<.4 P-14:;':
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b'cw.• . -.. 1Eik - .?tilTA ' E ES' - O PTS f' •, .- Phone.# ( . ) - River Basirre-r-A.-;9-- (;)\1`‘i--;\? L
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AEC(s):, - Adj.Wtr.'Body`---r- ..\1\A 1.-.1(or- i...2-s'0-C-.) (nat /man'Junkri): -.-,
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ORW: yes j op PNA yes / no .
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Type of Project/Activity ) -7__;c- x C,, -pi ESL: , 1 i,, ->r 1 (,,_,,
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' Finger pier(s) • ,•••
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Groin length • • ,--
number
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Bulkhead/Riprap length • PA/Al../1/c _5> cb •
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, avg distance offshore 1 I . - i2qr-fp'"'L,PrZ,.-t-. 1".,'''.r-„ 'X s •'.'
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max distance offshore ,.9 1 'l F.1-2
;•• Basin,channel. • -, 1.7 0.C.----."-- "• ''' .
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cubic yards
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Shoreline Length 't- c. n 1 . ' 8 6,,,-•.--, --2-.,,-.7. -z.-- a-- •_41. 0 .-• -9-,-,,,i-) -.7- • 3n,t,
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SAV: Agar yes no ,petiza... _C- ? . 5c..574
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Moratorium: ' n/a yes c:/2D igtoy) L_ ...- ,
Photos:
yes o (q-1 1-t-1-1 °ye,zp . , . •• .,:,
Waiver Attached: yes no . . . ,,..
. . • A building permit may be required by: ."...t--•?-5-2-1 -17- it-r- (c_ . . "See note on back regarding River Basin:rules.•
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Notes/Special Conditions WI I 5 ,I.A A-, r-.1.---r-A--0--L t--/D L 4,... ..5-)1.-.1, _ ---7_< c_.. ' --I.-- • ••. . .
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Signature **Please read compliance statement on back of permit** Signature . .. • ..,
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.• , Application Fee(s) .• Check# Issuing Pate , . Expiration Date.., .;
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NC Division of Coastal Mgt. Habitat impact Computer Sheet
Applicant:id --S;f/
Date: /1 •s1/ y7,2e7/67-
General Permit#: "a-j
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)
0 0 � Dredge❑ Fill❑ Both ElOther
s�
Dredge El Fill El Both ❑ Other ❑ -
Dredge El Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
• Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other El
Dredge❑ Fill❑ Both ❑ Other ❑
'Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill El Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑ •
Dredge❑ Fill❑ Both ❑ Other ❑ -
•
252-808-28O8 :; 1-8 B-4 COAST :: www.nccoastal anacgerrient.net revised: 02103/i0