74153_Ken Timmons_20191125

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CAMA / ❑DREDGE & FILL _� �' r No. 74153 A C D
RENERAL PERMIT "f Previous permit# /d/q
)C ew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued /J f
I
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 0 711, 120 0 .
❑Rules attached.
Applicant Name KF/J MO/41 0/%15 Project Location: County PAnt it 0 (0 Nf/ T/
Address 61 Fo,K F'0!xi P 0 Street Address/State Road/Lot#(s)
City 0!Z I CATO t State tJC ZIP 2 8 5 7 l
Phone#( NIA ) t/2 -G J6 Z E-Mail Subdivision rO/L IC ropy )
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Authorized Agent D 0 U G n�B A/�1( f City ZIP
Affected ❑CW ❑EW /IX ,PTA ❑ES ❑PTS Phone# ( ) ' t River Basin Ar V 51=
AEC(s): ❑OEA ❑HHF v❑�IH ❑UBA ❑N/A Adj.Wtr. Body , ) O W )S C I t r " an /unkn)
❑ PW : ,, II
ORW: yes / no PNA es no Closest Maj.Wtr. Body AJ CVSic K'Vrn
Type of Project/Activity 't j-nio g,7-t:. 0) 13 '1 j 2; (?d A Z'I/ 5
N
fPier(dock)length (Scale:' :y(J
Fixed Platform(s) I — r
Floating Platform(s)
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Finger pier(s)
j
Groin length �[-� L I
number j " V I i •
LV
Bulkhead/Riprap length ] \� e.;�+ U, �' Y
avg distance offshore 1 j r 3
max distance offshore I416 °1 �� 4 ��f7
Basin,channel {
I to fir
cubic yards ' — - ' l
Boat ramp i
Boathouse/ tlift Z) 3 X'
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oa
Beach Bulldozing
Other
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i fi ; I
r -
F
Shoreline Length I S f) ' I ' 'i 0/43
ity
SAV: � yes no �.._._.._..--- f ------ ,----........- --*--yjOP _.._._....___ ____ ______.,. _
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Moratorium: n/a yes no
Photos: yes no _ ,
Waiver Attached: yes 6 I
PA MLICa 1
IA building permit may be required by: COLA n/T/ See note on back regarding River Basin rules. 1
I (Note Local Planning Jurisdiction)
Notes/Special Conditions .5 t Q`7 j•1 .J Z O O Fr Jim IT C oil V/J)ani 5
0� A n (-.- - I(EV IA) E) A� r
Agent or Appli a Inted Name Permit0 rinted Name
Si ature **Please read compliance statement on back of permmit Signature
f ZOO.06 1 165 d , 100/ GGI9 25. /"1AK( )4 00)el
Application Fee(s) Check# Issuing Date Expiration Date

Applicant: KL /" �M M o^) 5
Date: 7s' /t/ou ao 19
General Permit#: 7, 3 _ 1�
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)
G?0,/ Lefri•n �. Dredge❑ Fill❑ Both 0 Other ix3 3g F 2 3 E9F^
��i Dredge❑ Fill❑ Both 0 Other El
Dredge❑ Fill 0 Both El Other El
Dredge❑ Fill 0 Both ❑ Other ❑
Dredge❑ Fill❑ Both El Other El
Dredge El Fill❑ Both ❑ Other El
Dredge El Fill El Both El Other ❑
Dredge El Fill❑ Both El Other ❑
Dredge❑ Fill 0 Both ❑ Other ❑
Dredge❑ Fill❑ Both El Other ❑
Dredge❑ Fill❑ Both 0 Other El
Dredge❑ Fill❑ Both El Other 0
Dredge 0 Fill❑ Both 0 Other ❑
Dredge El Fill❑ Both ❑ Other ❑
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