74177_Lawrence Kaminski & Kathy Hemsinger_20191107

2'CAMA / 0 DREDGE & FILL ID (0 4 VO No. 74177 A B C D
GENERAL PERMIT Previous permit# ///t
y�% C hew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued /✓`I
As authorized by the State of North Carolina,Department of Environmental Quality �^ �y U
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCACiir C../ 7# //v
'/ / // El Rules attached.
Applicant Name ,,rt= 6.^.,..4. < i4 1i'y -.ye, Project Location: County � �_
Address /a0 L<.tiJ rkf e C I Street rAddress/State Road/Lot#(s) (`T(, A�f
ICity A�et State we ZIP 7 '0,2 ,� �1 4 (( d:)°
Phone#(9/4) 9 r/ J/re 7E-Mail Subdivision --
nr�l '- 2
Authorized Agent �� / / /�,,.c �4 a. /i f,�. `G C City i1 ZIP S-7❑cw .* PTA DES 0'�TS Phone# ( ---)--- River Basin / t/A1.1
Affected � j,
AEC(s): ❑0� ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body / P ,. !`" 4 -�"r' '/man /unkn)
❑ PWS: r�
Closest Maj.Wtr. Body /l"-- 1, e---
ORW: yes / no PNA yes / no
Type of Project/Activity ' �/� e-•t `' •, y , i...0 ,•.••A
J ,� i�O►
; /l (Scale: )
Pier(dock)length
1
Fixed Platform(s) ■■ ■■WN MEEUTEI9AMEME
loat
Ii, iia lilli 1111111111
■■■ ■■
111 r ! .'
11 Ii , _ � 1 { _
Groin length I •; I IIIIIIIII
number 111111
Bulkhead/Riprap length to 1
avg distance offshore
max distance offshore -2'
I
Basin,channel ■1 ■■ ■■MAWAR ■■■IMI IM■■■■■■■■■■
cubic yards III iiiiiirtu
Boatrap t���� � � ��
Boathouse/Boatlift El 1 _ . ppi
Beach Bulldozing plyytif,
€ 'I j {),7i _ifiniiii,d
MI6
Other era A +.
III II •
II
1-__ IliHhlill
■■
Shoreline Length 1-'ev \ A1 _• lUIiiHIIIH!IIIIL~!F ■
Moratorium: n/a yes ; �■■■ ■ ■■■U. 7Y ,■ltrrrAIIII■I�■■■
Photos: yes no ■�■■ I ■ ' �Z R ��■■■
Waiver Attached: yes no l/r "I I ��
A building permit may be required by: -Pe o- (_ G LJ. S-ee note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) / ,
Notes/Special Conditions 4./f'/ram�J ,-, /.., i-2, '•� �- i ,.
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e�r rlicant Printed Name PermitOffi er's rimed Name �0""
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clease
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Signature/ ** read compliance statement on back of permit** Signature
1 (/QCc -/023i & !IIII
4 ,2/I D
Application Fee(s) Check# Is ine Ex Date ation te

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i'ROPERTY ADDRESS:
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L-7 77/ 7
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NC Division of Coastal Mgt Habitat Impact Computer Sheet
Applicant: L ea,et c�*„tk.' /R 714
Date: ///7//9
General Permit#: 71//77 a
Describe below the HABITAT disturbances for the application. All values should match he name,and units of measurement
found in your Habitat code sheet.
TOTAL Sq. Ft. FINAL Sq. Ft. j TOTAL Feet FINAL Feet
(Applied for. (Anticipatedt9nal (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 tern p restoration or temp impact
temp impacts) impactamcunt) temp impacts) amount)
Sk ""�'^Q Dredge❑ Fill❑ Both ❑ Other
I /.96
I I
1/ Er
7 7 2
SG�t/la. 4k Dredge❑ Fill[' Both ❑ Other ❑ '7 '2�f 2 `� ��r
1 1)L °""el Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑ _ I
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
I I
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
I I
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑