75412_Thomas Edwards_20191107

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JCAMA / DREDGE & FILL -'"7->T,a,' .'/'l No. 75412 A B1 C D
GENERAL PERMIT ID 69I"y;100 Previous permit #
> ::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
Rules attached.
Applicant Name f',A ''4 Z.-:-P," ' 6 r2> Project Location: County Jr A ., -r -r -) .
Address ,.1 cr /;.. 1, -, , Street Address/State Road/ Lot#(s)
City , States I ZIP,. "'r`- / / '!,, >- r; --<,,. -t
Phone# ( ) / / / E-Mail Subdivision '2,--r/�-'c--z--- '-
Authorized Agent '' City ZIP , ' r
❑CW ❑EW PTA 0 ES E PTS Phone# ( ) River Basin , mac "`'''' ' - ,
Affected ❑OEA ❑HHF ❑IH ❑UBA -i N/A
AEC(s): Adj.Wtr. Body /.A.2- ''r -^ 1--'t-?=---r_ 6-at)/man /unkn)
i C PWS:
ORW: yes / no PNA yes / no
Closest Maj.Wtr. Body 2'�" ) C- '''-' T 'rJ e7
Type of Project/Activity I -e;/'T-e, t=- ,- %/e-,c ), ) v/2 J,n 7-,r, t r
1 i , \ (Scale: / ._- r
Y
Pier(dock)length v
Fixed Platform(s) Y r ,# A 1 I — _ }
Floating Platform(s) i UHIHI H I ' II : III ! 111 4 '1III
pier(s) � X C�
Groin length �number , �- '11/1111111/111111.11111111111111 Bulkhead/Riprap length ■■■■■■■■� rir__ __maEmmaus r!i*� t./
avg distance offshore �,� +. 1VED
max distance offshore 11111111111111111111
EL,'
i (-i 5$/I II
l 1�4'
Basin,channel 019
jlZ,v AF IlIIiiiiiiIEII III
1_ I
cubic yards
Boat ramp IHIII9IIIIII1IIHIIIII1IIIflhIPC
'WARD
Boathouse/Boatlift •■UB'■ ■ ■■■..■■■■■■
{ Beach Bulldozing MIN'.w' L'■®EMM■■■MIM■■■■■:■�■■■■■
Other ■■�I ■ ■ ■ �M ■■■■
■.■.■ggin11■■®�■■i a ■U
■■■im...■■■�■■■..a . 1 111..E - - '
Shoreline Length ,i>:. __, 7Q 111§1111111111"
I `Iii
7•-In 11111 >SAV: not sure yes no1 _L.._ 1 ^ ) .■
Moratorium: n/a yes (no r� e�ram■■®�,..��■■■�ii■6� �■■■■.■
Photos: yes /"no: ■■■■ i E.-.-- V1000 _■■■ ■■■■ ■■■■ ■■
Waiver Attached: yes 4 i I I 1
A building permit may be required by: 5:7--A y'r"r.)2tr .-Dv-=1 TL) LSee note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions o -r 15 /'-' n , -4 ,,t ,4 L .---'A.j - — 7
1
— N14144;) ._ 1.-)03 (-- f •...( • (..._
-‹ E-2, -, --D Pit-ie‘*--
Agent or Applicant Printed Name Permit Officer's Printed Name
i `-/ \L---- 0-t.Jfr\--
Signature i ** lease read compliance statement on back of permit** Sig ur
Application Fees) Check# Issuing Date Expiration Date

NC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: 7 ic, 7 l?) 2,1,- --a ,') �.
Date: '7 7-ie v .2
General Permit#:
Describe below the HABITAT disturbances for the application. Ail values should match he 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 j Disturbance total ! disturbance. Disturbance disturbance.
Habitat Name Choose One i includes any Excludes anv total includes Excludes any
anticipated restoraticn any anticipated restoration and/or
restoration or and/or:ern p restoration or temp impact
temp impacts) j impact am cunt) temp impacts) amount)
l Dredge❑ Fill❑ Both ❑ Other ❑ y cJ% r)_. ;
Dredge❑ Fill❑ Both ❑ Other ❑ I i—
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
I
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
i I II
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑