74186_Mark Asby_20191114

"'`"7""'"'e�^7....ry.,•n..-"^^. ., �s -.' r.y..4.rr-..---+am..rr.74.„ir..s.' .'HS`fi `'77".. —",..5..rm:l:1 '!::^ xW.RernIfiP' •tV,V.:
toLL(CAMA/ ❑DREDGE & FILL 'ID 17q No. 74186 A C D
GENERAL PERMIT / Previous permit#
��—= R'New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued , //
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 I 5A NCAC 0 7 / &CIO
�n � G�Rules attached. i
Applicant Name /"'G r k 4 6 /i
Project Location: County �r„/ /
Address 21j/..,7 9 t,,,,._ ('c_, / ,(, Street Address/State 7
Road/Lot#(s) /J2 G/,I jI',--r,
City &e c.c-...11 State ,1/'( ZIP,2 717 t/ 1,,c I /J 2/ 7:1/
Phone# (21_2) %:!' X/..$15 E-Mail r Subdivision ,,,./,,. 1. 7
Authorized Agent — City /Je 1 t,...e. ZIP ,y7 71/(/
Affected ❑CW I�EW R PT [D J A ES PTS Phone# ( ) River Basin �, /1,,._
AEC(s): ❑OEA ❑HHF El IH ❑UBA ❑N/A Adj.Wtr. Body /e;,,'/, a �i,t r a� /man /unkn)
❑ PWS: �
F ORW: yes / .,) PNA yes /tio>
Closest Maj.Wtr. Body , i/.r_ ,Sr.,-
�
I
Type of Project/Activity i l.- r U kl�/ ,2 i / ) C <</��A,. .. -1 is X // '��, ///"r f
c r / /y-1 r,? —4"r1:I ,- %,. t/ (Scale: / : _7 c
Pier(dock)length 66-G
Fixed Platform(s) ..20'r`/, f i `+
Floating Platform(s) j Po _.
I 4 /r1 'r-0 • . r
Finger pier(s) ' .
Groin length I !
number
Bulkhead/Riprap length J� ■
avg distance offshore I
max distance offshore I ' k
Basin,channel f
i
. I
cubic yards
Boat ramp 1. I ( I
Boathouse/Boatlift /f r/7` tY _ I
I l
Beach Bulldozing I
Other I i
. ; IIIIC cIF ;
Shoreline Length /2-..'
SAV: not sure yes
1L'
r
Moratorium: n/a yes L I /��
Photos: eyes no I
Waiver Attached: yes I
A building permit may be required by: //Cto,r,/ . [ee note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions r-' -....., if/J/, /. 2///:», , I i/ /S , p, - i
/
L (iL A9jrcl1 / a,..,,i ,,,,-fep ,.,.I // r,_// _ c. / I.
6. lit I
Ail// A i�_7 ���ti F /-��a/,
Agent br Applicant Printed Name PermitOfficer's rinted Name
/ viiii AV
Signature **Please read compliance statement on back of permit** ignature
ri IMP + s!Application
r--
Application Fee(s) Check# suing Date Expiration Date

NC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: MA k /`"f"Slay
Date: // //y //
General Permit#:
'7y /86
Describe below the HABITAT disturbances for the application. All values should match the name,and units of measurement
found in your Habitat code sheet
i
TOTAL Sq. Ft FINAL Sq. Ft. ; TOTAL Feet I FINAL Feet
(Applied for. (Anticipated final j (Applied for. (Anticipated final
DISTURB TYPE Disturbance total disturbance. Disturbance disturbance.
Habitat Name Choose One includes any Excludes any total includes Excludes any •
anticipated restoraticn any anticipated restoration and/or
restoration or and/or temp restoration or temp impact
temp impacts) impact amcunt) temp impacts) amount)
0/0e41 ilder Dredge❑ Fill❑ Both ❑ Other d 9,2 9 9� `
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
I !
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑ !
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
I �
Dredge❑ Fill❑ Both ❑ Other ❑