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HomeMy WebLinkAbout64517_David Ansell_20190719 • _ CAMA /) PREDGE & FILL 115 No. 73058 D GENE RAL PERMIT =P-tr �° 17 Previous permit# ////tA c )C lew Modification LIComplete Reissue Partial Reissue Date previous permit issued tie 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 2 7 i1 1 IT . Vii 26 ,,JIA L ,Ai ,,Z_ ,) L' i,i,c Irf . ` .''Y C Rules attached. Applicant Name r)Av)1.; A/u CE L L Project Location: County It/A_<1 I Ink,77)A/ Co u N I Y Address s---1?- V Ii?cG 1 i►A P/12( K . Street Address/State Road/Lot#(s) ?'i 1-)0 0r City VI' G1NIA 13FAc1.l . State 1/A zipfl'S/ (Tx. `-'!zr 111- Phone# (?St) ? ci - ?3 it, E-Mail Subdivision • Authorized Agent City k LC WELL, ZIP 27 q 9$ Affected CW ❑EW TA ❑ES ❑PTS Phone# ( .) River Basin AEC(s): oEA ❑HHF ❑IH ❑UBA ❑WA Adj.Wtr. Body LA 1CC r fI[ L hS ((nat/man /unkn) PWS: lA� p fI t t F'f ORW: yes / no PNA yes / Closest Maj.Wtr. Body Type of Project/Activity (Scale: ) 3# ) . Pier(dock)length i Fixed Platform(s) d — Floating Platform(s) Finger pier(s) Groin length I number . Bulkhead/Riprap length avg distance offshore • max distance offshore �1/ Basin,channel i1 !r/ IX cubic yards ' I J - I V , Boat ramp .l d { �Y 333ddd Boathouse/Boatlift I -t A �Vr� i, 1 Beach Bulldozing143, 1 f _ 2. I Other- — : 1 -4' Shoreline Length 1 ot/ A L I Ito/SAV: yes no — f/ 3._ a Moratorium: r a yes no j Photos: yes — ._.._.__ -- — 1 Waiver Attached: yes no A building permit may be required by: LJA5 I-1 1,J(.. 73t' C c of^./ Tv . C See note on back regarding River Basin rules. (Note Local Planning Jurisdiction)Notes/Special Conditions c F h C-7 11, 1 j r C' C r Ao 1 j j D ii/<, A(.)I;,,Jr1 LN i 05 f( t. S/A K E As /`lA>zu I) 13 y Dcin, I •,,'d A s 6 i/ lE `11A1 II Ale 7-- , Agent or App icantPrinted Permit Officer's Printed Nam am 1. Signature .leas r d comp ance statement on back of permit Signature I FxEMPT J 1y 51ALi 26, 9 )9' No/ 2o17 Application Fee(s) Check# Issuing Date Expiration Date . Statement of Compliance and Consistency This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become null and void. This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The applicant certifies by signing this permit that I) prior to undertaking any activities authorized by this permit,the applicant will confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian landowner(s). The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available information and belief,certify that this project is consistent with the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: Tar-Pamlico River Basin Buffer Rules Other: Neuse River Basin Buffer Rules If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of Water Resources. Contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the Wilmington Regional Office(910-796-7215)for more information on how to comply with these buffer rules. Division of Coastal Management Offices Morehead City Headquarters Washington District 400 Commerce Ave 943 Washington Square Mall Morehead City, NC 28557 Washington, NC 27889 252-808-2808/ I-888-4RCOAST 252-946-6481 Fax: 252-247-3330 Fax: 252-948-0478 (Serves:Carteret,Craven,Onslow- (Serves: Beaufort, Bertie, Hertford, Hyde, North of New River Inlet-and Pamlico Tyrrell and Washington Counties) Counties) Elizabeth City District Wilmington District 401 S. Griffin St. 127 Cardinal Drive Ext. Ste. 300 Wilmington, NC 28405-3845 Elizabeth City, NC 27909 910-796-7215 252-264-3901 Fax: 910-395-3964 Fax: 252-264-3723 (Serves: Brunswick, New Hanover, (Serves: Camden,Chowan,Currituck, Onslow-South of New River Inlet- Dare,Gates, Pasquotank and Perquimans and Pender Counties) Counties) http://portal.ncdenr.org/web/cm/dcm-home Revised 7/06/17 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to �� (Name of Property Owner) property located at C 2 rc , (Address, Lot, Block,Road, etc.) on L , in ( rs�. C6) - , N.C. (Waterbody) (CitylToWn and/or County) The applica t has described to me, as shown below, the development proposed at the above location I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or��attach a site drawing) Car51'ti. J- Vny t 6k /01E4d !.I4 CJ"� c cro55 Nu+Erlioi t w+l►d'A o'tr prrj iLy 0oA) on /1.5 'St rvcy LnE Gs /nufitEc/ by fgv.'n Ilwr� JET 1 t'611 941rtS. �ISq CgnSkrkcf pf'Ei, t - o, PI -(o(-m1 bo,# hxt abversti#,C)r Dcfc`I(!. Cot)S J�rrcds) N S 1,n3t p14r;n E r n,c/E Wood(! 1344J , G 1l / rditl f /o AOy-. cn'26 or S;»inkSS 4mE I, cL r' recfn-E 5u rvr✓ by /3f 11 y R LeSb 1014 5 6Yr orhd v-J and St 4E dF�vt' WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin must be set back a minimum distance of 15'from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank below.) I do wish to waive the 15'setback requirement. 1/ I do not wish to waive the 15'setback requirement. (Property Owner loformation) (Adjacent Pro nformation) d/+tl Si natu e Si nature* r �S — g 1. fel Angell ,- .1`.Qs - t� Print or Type Name Print or Type Name S 519 ll rel't, ()Ail Dr. ans _s i + . Mailing Addre Maili g Address City/S te/Zip City/State/Zip 1c7 7a9 -33I6 4:ASA A 5ii T. Asa 556 q 3J6 Telephone Number/email address Telephone Nu ber/e ja2Tdress Date Date* L/ A‘/` Gl / / (Revised Aug. 2014) 'Valid for one calendar year after signature' ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to 's (Name of Property Owner) property located at (Address, Lot, Block, Road, etc.) on , in (Waterbody) (City/Town . N.C. and/or County) The applicant has described to me, as shown below, the development proposed at the above location. I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must fill in description below or attach a site drawing) r �f �` Con5 '11gC+ (fr`nyf b1,iitne4�,( Si4i yA ' ccro5s we4cr4ionf wr'di/, 0'1 pmt Ei y 10�1 on //,5 �SI>+rvky tine 45 /»arllFi, b}, n‘✓,A Neal 3- .fr%n fro4 /I 3141efS. Aka cons-irk cl. piE,; P . o, P/r,4-rornn, bosif 44'.4 f f Abv Sw4,bh 0Fck, . Cons cied NS,AJc rn Gr „€ d n,(-,(6 Ltc x.4j Ark hotted all AA fdirfAf>c )64 1.....1(2. d or S/n);)ks> i 1, *cats recent- 'LiwVey by rgt.1/yRle5 s Gnci st Eofritwil, WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank below.) I do wish to waive the 15'setback requirement. V I do not wish to waive the 15'setback requirement. (Proppe//rty Owner I formation) (Adjacent Property Owner Information) ,6?4) i Si Signatu e nature* r, tild A SEJI g Print or Type Name Print or Type Name 619 14t$7-i' ( DAri Dr - Mailing Address Mailing Address 1X k i''/It 11€'ACJ1 4. ,SI151 City/State/Zip City/State/Zip ?5'9' 7a9 -3g1b rt'a44A5/7dJ8+1,27.to Telephone Number/email address Telephone Number/email address Dale Date* (Revised Aug. 2014) *Valid for one calendar year after signature' 7,/4/ 1 .It1 s3J-9 Ja 3j aY5C LYbL �"" f-pcid _ - I. 1"1 ! 311,110c1 '17S /9 1 1195504 t,!'!- L----- - te0 ..._______ _ d • 45,a1 i °\ 9,36 g 14- if _4 _Jr-- 1 I 1 1{f f 'd 1 _017 ik.%) �P �qNnd 1 .ti,3110 �� 4 9.), 1 a ,I 40 J3n07 1 ' ib% jp} L__ _ - _.-- sc*5 v fir- k**,o Lm _> >I v itij0 3t,°s I�'37 -Pool// �' w k ywI5/ cJ f`► 1l ;)v{P,4s IN5A0 LELINES surrensrt MAP PREPARED FOR LOT AT 7967 SHORE DRIVE , CRESWELL, NC LOGESGRANTOR: GARY DOWDY a __-COA[lETE A>ar<AENr 9t r PO BOX 1907. MANTEO, NC 27954 Em ---'LUSTING IRON AXLE !gip A*TE23 DAVID Al'�T 'I OP -- ST I PIPE VIAL•4�. _-OUSTING IRON i0°i 517 VIAGINIA DARE DR, VIRGINIA BEACH. VA 22451 -__�p aE TOWNSHIP:SKINNERSVILLECOUNTY: NASHIN6TDN STATE: NORTH CAROLINA _ Y-WI POLE DATE: 11-31-02018-20 8 SURVEYED BY..5RL/j).JN CHECKED 6 CLOSURE BY:MIL 0.8.PP - PG, --Rm r O-eehivQle IPS a-- POIAI artSCALE: }'-200• LF66ETT LAM SURVEYING, P.A.0.2C.8 C-0332J MM -S -- MAB NAIL Stir EOM ---DQ9T. MAB NAIL 1528 MILL INN RNAAO. NILLJAAST011 NC 271$92 99S ---STAMEN STEEL PDE morn*BPIISLE} PHONE/FAX: 262-792-7796 MS ---EXIST. STAIItESS STEEL PDC; (COTTON 9PIN7LE) PION -PK MAIL SET VICINITY MAP NOT TO SCALE STATE OF AOWTN CAROLINA ~b COMM OF MARTIN ZP _. / Z. !ILLY R. LESSETT, certify Chet this plat me dram, o vrasn•ay a. -rtllell frOO an actual survey e if A . enderRV skNerrlaian. (deed deecriptton recorded in `M• (.A east 360 Pap 284 !ether): tfyt the Douncerles net alirroyed ere clearly Indicated se drawn free Information i found in Abet PC 2 Alps 75 B - titer the ratio of •� ! Precision se calculated le I:10,000+ TRAY:. that this plat was ilia Arsvred in accordance AU th S.S.47-3o at amended. tititit SN C A R p�tlr S '183 Witness sy original signature. liasye number and ,yti Q, ly ..VO1C fit. seal this 5TH day a NOVEIBER 201lt "2�. 0 ASS ` rtr a ,�� a SEAL :� qi FRr>FESSIOyAL LA ' `.,. L-2515 .. gg 8 y ' LIOOtSE Me[6i L -25te " .'. •,+, S .T, eclyf one fo ivartiacsrt:fy chit the parcel surveyed le-rd..,, R...L.EUGv...S."~ INst tine atrYry I. of m axisti or bredttii St SCALE 1"=200' 2 f q or mere existing easements end dose roticrests orlchange or one Sii `a existing street. Ear the purpose of this stteection. in exiating parcel or existing Q q2 sseeeent is on arse of lend described in a single lapel description 0 200 400 or. Iyrecrded sub be dlr i ham en r Wsq may be Iselip rsti to w owner i it's existing cent lgu•etion.) 7 4=2s PR:IfEssrLI B L - IS 20 �AN,118EC ClONTaBL QATA 4MOfl1ENT LISA' PIO EYi873 ! ,...i.....4oLAAE elei Cth 732781.97L siATE OY IC e E- 2752151.72 -'—x, ® N PSUOT.aeoa S NAVO 1929 15.4' ELEVATION g MONUMENT 7 T7.7BOEiEIM' PTO E:Y1572! 9T�-r �' A° E 2710B1s..)9?9 #5 E. 2743387.05 1 • r " fJ • .'• _ e7A7t NAVO 1929 18.2' ELEYATLdI ma;iw pt y PS:PS :•A~' ' : _ l e. tR rim ilAbl�M.�w. T.... fi_a_l31Y9� `v .2.,•c,a, , m.rW,W�-� 1•e)•O1• /44L f� >Q aeso7er CALLS TABLE FOR o+ mneeNr � /,� 4....1 gw as t>M LOT BOUNDARY / `v Los BEARING DISTANCE r fPor y Li N1s'D'28'E LQ.q• � 4 L2 M18'2p'A6'E 115.W' '(--- Ip„, 1� L3 Nis•i5'A2•!' fd6.62' 'ems, Tp� LA Nurstras•E 10.02' �/ 41e, �a G t o a:. d LA ffiI Y7'ag• 104.05' rs* i lr Sie�p'as• 93 m• U,ti�T N 733996.gas! LT SIB•2D'b• '1.g2' r'�' W LN g1g'20'28•I� MAP' `` �'•';,6.,` E 27AeTa2.aagl Li E13 Dr'b•Q l79.W' ., ! .:,4•t so)avt ReNi Lie BSI-ao'2d•W I5a.2D' . - e !cede L11- Itii�'31• 100.po• P '4py E Np 270152'OWE ` �S•-N s sV„ I. aY�1 �jne LIME SBC s wnu. NC GRID NORTH NAD 1983/2001 --_ `t?? - ❑ISTANCES ARE NC GRID WITH x _� .. COMB. FACTOR OF 0.99991485 ALL DISTANCES ARE N.C. GRID IN US SURVEY FEET. ALL COMPUTATIONS ARE BY COORDINATE METHOD. THIS PROPERA�TpY SU9.KT Tt1 ALL yEXISTIING,A9010 ROT /VA ZDNIIB AT AAD RESTRICTIVE 1 I47MNTS THAT ANY E REVEALED AO TITLE "MUCHIIFORVATI7LEjrAS PROVIDED TO toretaR COLgpMy ryy THE FIAT sewl®PaR THIS SI/tVEY. Proparty Is not 10Cated in a Flood Hazard Ares. © wag: No7. halt THIS MAP T9 TO BE UBEO BY THE PER$DN MAIEO pt TTE MAP fOR THE PUpFVE ITOICATFI7 OILY. ANY OTHBi ON REfl/IRES ial'1SiITTEfi AiTTHMIZ TIIYI QP lf£PREPARER OF THE PLAT. • d g d red 6419 1t� R 1g.E5`Eocr ro 'A 0c J dot6- 1 ASV-.4 t5'�° 1°�.6....C-'s, --~J T, 7g�°, T� j`` n L OF SHORE LINE '9T FN�, 1 t g\ T- .— d ATK EEP6 LESEV. 1995 1 -- FCNSH01RE L l NE ~`.., \ 0r /•�- r- oe' p pc_ a��1ta+ I►0 TANK �. Ill LOT DOIlNOAR CALLS TABLE OR `NC GEODETIC CONTROL DATA 116N16 °N` ; r, rm M� NAD 1883/2001 1:gL.N.P �E MFi�(R C. i n MONUMENT'LISA"PID EY1573 I ptK1W pc FES ', OHw +v 1 att)* N=732781.37 8Eti gMYJ14�pMEa NIR ON LINE fL errs E=2752151.72 Pag'FDjgN 3 FKfeg -- , ILI _ y $ ri NAVD 1929 15.4'ELEVATION Uttkl .D 1 1 1 $yy u irzrn+ MOMUMENT-BOEREMA'PIO EY1572 t II I I �`~ -fix """"�eeLP N.735737.71 --'Nit---o.e I n , �oI F.=2743387.95 ff NAVD 1929 15.2'ELEVATION 05) /�` S caw-- 1 # N. et .�i- lA I 41 1 W- `�21a�AtSst �' g1�1N�'g�i ---4 StSLtNE u5►; E ~r NORTHERN EDGE OF r14 • o NORTHERN EDGE OF Al __....-_____...-_._�,....._..._._.... 0 CANAL_..._..._........ 2 EASE N7 EASEAENT —_._._.-' —`-_.....--_—'-_�.._._. mr LAND TITLES BK 13 PG 335 LAND TITLES BK 13 PG 335 ( - '--" -- - _.'1'6' -POKER Li 17E EA Nt DB_240/583 16' P LI NE EA EI&NT DB 2101 563 u I&f.. ...424 CI CAAVFl_ROAD RED � 0 BR 1183 APPROX. CL OF CANALR!W 129' LEFT —.____--'--._._......__._..._.. _.._.............._...........--- ... ..........................-.........._.....__,......_........__ .........._........_,.....,............_.__,....._.._....._...._........_._._..._._....._^^`^--^-_._.._._..__..----- O 5 Anseh Zreswell PN s oI SurvyNA 7 Hart, Kevin From: Phillips, Howard <howard_phillips@fws.gov> Sent: Friday, April 26, 2019 2:44 PM To: David Ansell Cc: Hart, Kevin; Trostle, James L; Rebekah Martin; Greg Boling; Donnie Dance Subject: Re: [EXTERNAL] Adjacent Riparian Property owner Statement Attachments: 2019-04_David Ansell_Bulkhead - Lake Phelps.pdf External email. Do not click links or open attachments unless you verify.Send all suspicious email as an attachment to David, I'm not sure that 90-degree wing walls would help stop erosion on adjacent (Refuge) lands, but thanks for looking in to it. After looking at the lake's southern shoreline on GoogleEarth in more detail, it appears that most of the erosion has occurred where the trees and shrubs have been removed - and that's where the bulkheads have gone in. Hopefully, the forested Refuge lands on either side of you will also not experience substantial erosion after your bulkhead is installed. The signed Adjacent Riparian Property Owner Statement is attached. I'm sorry for the delay in responding to your request. Howard On Wed, Apr 17, 2019 at 10:16 AM David Ansell <dacan517'a gmail.com> wrote: Howard- Yes we can modify the design to address this issue, hopefully in a manner that works for both of us. I spoke with Stuart Davenport this morning; he has done a fair amount of bulkhead/Dock work in the area. He suggested 90-degree wing walls heading back 12' or 16' from each end. Does this work for you, or can you provide any suggestions? I look forward to hearing from you, David Ansell 757-729-3316 On Tue, Apr 16, 2019 at 4:23 PM Phillips, Howard <howard Phillips afws.uov> wrote: David, I'm sorry for the delay in responding - thank you for the reminder call today. If I understand the project correctly, you propose to construct a bulkhead across the whole width (102 ft.) of your property, putting either end of the bulkhead immediately adjacent to the refuge boundary. I have seen many places where erosion has substantially increased on both ends of a stand alone section of bulkhead like this. If that occurs here, and I'm correct about the location of the ends of the bulkhead in relation to the adjacent refuge lands,this could lead to the loss of refuge land due to shoreline erosion since we have no plans to bulkhead the refuge lands on either side of you. Is there any way you can modify the project proposal to address this issue? Thanks and I look forward to hearing from you. Howard Forwarded message From: David Ansell<dacan517(gmail.com> Date: Mon, Apr 1,2019 at 11:19 AM Subject: [EXTERNAL] Adjacent Riparian Property owner Statement To: <howard_phillips fws.gov> Howard- Please see attached 4 page Pdf of Adjacent Riparian Property Owner Statement, with recent survey, and Site plan. I also attached an expanded copy of the Billy R Leggett survey for ease of reading. I have a meeting with Kevin Hart&Jim Trossell in December to see about how to protect my property shore line from the NE wave action. Jim and Kevin Placed stakes on the 11.5' Survey line, Kevin gave me your information and a copy of the ARPOS to forward to you. If you have any questions please do not hesitate to ask. Thank you, David Ansell 757-729-3316 dacan517(agmail.com Lake Phelps property address 7967 Shore Dr. Creswell,N.C. 27928 Mailing Address: 517 Virginia Dare Dr. Virginia Beach, Va. 23451 Howard Phillips, Refuge Manager Pocosin Lakes NWR; PO Box 329; Columbia,NC 27925 252/796-3004 x226 (office) 252/796-7517 (mobile) www.fws.gov/pocosinlakeS/ 2 NOTE: email correspondence and any attachments to and from this sender are subject to the Freedom of Information Act(FOIA) and may be disclosed to third parties. Howard Phillips, Refuge Manager Pocosin Lakes NWR; PO Box 329; Columbia,NC 27925 252/796-3004 x226 (office) 252/796-7517 (mobile) w-w-w.fws.gov/pocosinlakes/ NOTE: email correspondence and any attachments to and from this sender are subject to the Freedom of Information Act(FOIA) and may be disclosed to third parties. 3 Hart, Kevin From: David Ansell <dacan517@gmail.com> Sent: - Wednesday,April 17, 2019 10:10 AM To: Phillips, Howard Cc: Hart, Kevin;Trostle,James L; Rebekah Martin Subject: Re: [EXTERNAL] Adjacent Riparian Property owner Statement External email. Do not click links or oRK attachments unless you verify.Send all suspicious email as an attachment to report.spat ao.c.gpv Howard- Yes we can modify the design to address this issue. hopefully in a manner that works for both of us. I spoke with Stuart Davenport this morning; he has done a fair amount of bulkhead/Dock work in the area. He suggested 90-degree wing walls heading back 12' or 16' from each end. Does this work for you, or can you provide any suggestions? I look forward to hearing from you. David Ansell 757-729-3316 On Tue, Apr 16, 2019 at 4:23 PM Phillips, Howard <howard Phillips cnr fws.gov> wrote: David, I'm sorry for the delay in responding- thank you for the reminder call today. If I understand the project correctly, you propose to construct a bulkhead across the whole width (102 ft.) of your property,putting either end of the bulkhead immediately adjacent to the refuge boundary. I have seen many places where erosion has substantially increased on both ends of a stand alone section of bulkhead like this. If that occurs here, and I'm correct about the location of the ends of the bulkhead in relation to the adjacent refuge lands, this could lead to the loss of refuge land due to shoreline erosion since we have no plans to bulkhead the refuge lands on either side of you. Is there any way you can modify the project proposal to address this issue? Thanks and I look forward to hearing from you. Howard Forwarded message From: David Ansell<dacan517(a>gmail.com> Date: Mon, Apr 1, 2019 at 11:19 AM Subject: [EXTERNAL] Adjacent Riparian Property owner Statement To: <howard phillipsaa fws.gov> i Howard- Please see attached 4 page Pdf of Adjacent Riparian Property Owner Statement, with recent survey, and Site plan. I also attached an expanded copy of the Billy R Leggett survey for ease of reading. I have a meeting with Kevin Hart& Jim Trossell in December to see about how to protect my property shore line from the NE wave action. Jim and Kevin Placed stakes on the 11.5' Survey line, Kevin gave me your information and a copy of the ARPOS to forward to you. If you have any questions please do not hesitate to ask. Thank you, David Ansell 757-729-3316 dacan517@gmail.com Lake Phelps property address 7967 Shore Dr. Creswell,N.C. 27928 Mailing Address: 517 Virginia Dare Dr. Virginia Beach, Va. 23451 Howard Phillips, Refuge Manager Pocosin Lakes NWR; PO Box 329; Columbia,NC 27925 252/796-3004 x226 (office) 252/796-7517 (mobile) www.fws.gov/pocosinlakes/ NOTE: email correspondence and any attachments to and from this sender are subject to the Freedom of Information Act (FOIA) and may be disclosed to third parties. 2 Applicant: DAV I 0 ,,4d$(Ct i/ife(MJ'' LC>` Date: 19 y SO/ General Permit#: 7 3 0 7 0-g 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 mpactsl amount) 5 14.0(Zt J Dredge❑ Fill Both 0 Other 0 8oF-1 /AG IJ, Co(2d y AI, Dredge 0 Fill 0 Both ❑ Other K. 4800 FT Dredge 0 Fill 0 Both 0 Other 0 Dredge 0 Fill 0 Both ❑ Other 0 Dredge❑ Fill❑ Both ❑ Other 0 Dredge❑ Fill 0 Both 0 Other 0 Dredge❑ Fill 0 Both 0 Other ❑ Dredge 0 Fill 0 Both ❑ Other 0 Dredge 0 Fill 0 Both 0 Other ❑ Dredge 0 Fill 0 Both 0 Other El Dredge❑ Fill❑ Both ❑ Other 0 Dredge❑ Fill❑ Both ❑ Other ❑ Dredge❑ Fill 0 Both 0 Other 0 Dredge❑ Fill❑ Both 0 Other 0