73672A_Welch, Donald & Michele_20190731

I
ECAMA 12 DREDGE & FILL
6iGENERAL PERMIT
,XNew 'Modification ❑Complete Reissue ❑Partial Reissue
AO B C D
Previous permit #
Date previous permit issued
No. 73672
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 15A NCAC O H , I -, ,
t''` _ X Rules attached.
Applicant Name ���iVg{.�� r Af✓ WF�i / J, -q Project Location: County �� .-r'1 -W OA IV S
Address 11 I�U(1f�r?lt% Street Address/ State Road/ Lot #(s)
City \� rtl&L&) State ZIPQM i`t.l�l �Lrw S ( �1... j/IJ�-�
Phone # (,no) - Z E-Mail Subdivision RAI (NsuA si'+1heL7
Authorized Agent ANCE S5&,q Z Lj�7- City C1!_✓l i �r;}z l� ZIP �?ql
Affected ❑ CW IOW PtTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
ORW: yes / (,o;) PNA yes / ��
Phone # ( ) 5,444't- River Basin 0(-'/MIS
Adj. Wtr. Body 6c, ./J V NI 9/man /unkn)
Closest Maj. Wtr. Body A i &
Type of Project/ Activity f, JCrq ' �[a k (e' 2 f ( i h Iyi 1,.1/A GYZ/►1 W !; e`X 16' 5jiul)nki AJ
'¢Pier (dock) length 1oq'
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ oat ift ��
Beach Bulldozing
Other
Shoreline Length 7 N
SAV: not sure ® no
Moratorium: & yes no
Photos: es no
Waiver Attached: yes
A building permit may be required by:
( Note Local Planning jurisdiction)
Notes/ Special Conditions S (j� tLl i ill E �� iC,��' �.l ILr)
Agent or Applicant Printed e
Signature Please read compliance statement on back of permit *'s
Application Fee(s) Check #
(Scale: /, 1,0 ',
❑ See note on back regarding River Basin ,4i les`." '
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PermkOHi er's Printed�+z�
Signature
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Issuing Date Expirati n Date

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201-911

cim— yowivii i nMr-nrNu%m rnu,r-UWF4ER STATEMENT
1 hereby certity that 1 own property adjacent to ."nr 24 � ►" f i rJ, / !/
j'Na P rty Owner) �1100 ii44ii�j1
properly located at r' F
1 ( re , LotAl elt, R e , rEe.` �I�ii li+4i+fl!!
on in N . C:
(Waterbody (City(Town and/or County)
!914!il�liii�41#1t}jitjtitt44��..�141i41i!�� '?R1�444►f►i{1{'
The applicant has, oescribed to me, as shown beknw, the develogrTw_rt prapow at v,de above
�4ljijnf4liii�li�4ii{If4�
1 have no objertton to this proposal, t .. ..
I ha%,e objections to this proposal
DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT il,01aiwiikii
findividvaf ,proposing development must Ftl in dlescrfpfion below or arlach a sate drawongj
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�as , I { 4!� R 4.,�i [bratiV•ate(hoat�°44me. rM 01 Cmih`4
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o waive the t5t,,c teq tail)?!
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wish to waive
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NC Division of Coastal Mgt- Habitat impact Computer Sheet
_ /
Applicant: Permit #: 7 '7 I C� !z
Date: C�
l
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet.
Habitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp im acts
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
evkk
Dredge ❑ Fill ❑ Both ❑ Other ❑
t
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 ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑