74184_Richard & sheri Herman_20191023

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0 P. • MA/ li DREDGE & FILL 1>,F No. 74184
ENERAL PERMIT :i Previous permit# 7 2 I- C D
>�-% ► ew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued I� At d C Zo i'
As authorized by the State of North Carolina,Department of Environmental Quality 0 )
4 and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 7 i- •2 500
❑Rules Itched. •
Applicant Name IC 0ACC.D 4 5 P v. e I J-I Ii M tvJ Project Location: County W ASEI (!JG
Address 53 C ( t2 g l 5/5 S il D 1ZL? Street Address/State Road/Lot#(s)5 3 C j? 5 •)
City RoI2I1It StateNC ZIP °`7570 CPOI(E. S
Phone# ( ) E-Mail Subdivision C y PIZt s5 S lout $
Authorized Agent S Yl`V'ILL) co A)Sjr(U(10i /4'ITIA� .- i 2^ City 1\o vi IT ZIP ; 7 0
SPFuset_ q 2l Z FA _
Affected CW ( 1 W J PTA ❑ES ❑PTS Phone# ( ) River Basin T�`.S( I.0 Pam)(
s IIIOEA ❑HHF 0IH III UBA CI N/A
AEC : Adj.Wtr. BodyA C�E M A(<<k id V A 7
❑ PWS. l man /unkn)
ORW: yes / no PNA yes / no Closest Maj.Wtr. Body Fi L 3 OkiAl2(( .S pu AV
Type of Project/Activity D0,2 4d, A LA 1710lZI Z(f 3 5'j * - a'11,2 � (7) 7 1 Z 1 / VC ATro/l Al S/
A G `lk Pt,? ' I2(A/TC)gM (Scale: ) -
Pier(dock)length 33 $C
Fixed Platform(s) X Z.I (« 0�t � t 1 1 i "
Floating Platform(s) 1
4 Finger pier(s) i ` i
Groin length i
i
number
Bulkhead/Riprap length `� I
avg distance offshore i it- b
/ 4
,
max distance offshore I i i
d 0 e„s L
Basin,channel I Ii - 1C, 1
cubic yards i i ---
Boat ramp i / 71-1 I q .. t .... I r� f e/2
/t i _
Boathou -/Boatlift /i y l3 i
l _1� 1 c Z �+ �E I ,
_ .
Beach Bulldozing
! . ' ( A ITACI4 (1))
• Other i -- I j i
--` i
Shoreline Length ' V i
i
SAV: not sure yes no - _ L...-.... I
Moratorium: n/a yes II
I
i
I Photos: yes _ I T__� i T
Waiver Attached: B IZ � ;•� i i 1
A building permit may be required by: W(ASui ,J� / f/fJ co,, r-( . U See note on back regarding River Basin rules. 1
(Note Local Planning Jurisdiction) %
Notes/Special Conditions . j L 07 II Z}ob. NO Ltf Cll V J3( ( C K I USE ll!0
oAl I xisorOG 2 '"'' g, 170Aril/US<
1-Aghil9v �• SPell-16-- KIT v'/11 Ia A (
Ag nt or Applicant Printed Name / Permit Offcer' anted Nam
Signature **Please rba corhpl' iance statement on back of permit** Signature j
--
-- 6 C r 107 10 st r!T Wi o
Application Fee(s) Check# Issuing Date Expiration Date

Applicant: K I C NA g t) CNr/`1 �.is i<M n/`l
Date: 23 Qc—i" G�'1
General Permit#: 7 i/, R
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.
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)
©Pi-4 nut Dredge❑ Fill❑ Both ❑ Other_ r 1� I
•
Dredge❑ Fill❑ Both 0 Other ❑
Dredge❑ Fill❑ Both El Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge 0 Fill 0 Both 0 Other 0
Dredge 0 Fill❑ Both ❑ Other 0
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other 0
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑