74120_Gary Cardwell & Joyce Spruill_20191205

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❑DREDGE & FILL DDI` I rtj No. 74120 B C D
GENERAL PERMIT 4 1pLigLq Previous permit# N A
)C• :4 ew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit is ued 4//k
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 tt 2 o
7 / ' o Rules a ched.
Applicant Name GAR\ CA?l�LI[L L 70 ycE s Phu ILL Project Location: County It'A i 7 (O
Address I g G C i 7 . 2/J Street Address/State Road/Lot#(s) /P 7 5 h/y
City 90 PriZ State /‘)(--- ZIP:7/q 7 ° ' 2_
Phone# ( ) T 111 - 0 lS I(E-Mail Subdivision .v PI 12\/ J/\N)L.Authorized Agent City 126 I2I ZIP 2790
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❑CW ❑EW ❑PTA ,S GjTS Phone# ( ) River Basin FAQ t/b%7 4
Affected ❑DEA IDHHF ❑IN CIUBA /❑N/ illA
AEC(s): Adj.Wtr. BodyIQ /1g(t ot'AO �' an /unkn)
❑ PWS: A SIMARI S0 G N
Closest Maj.Wtr. Body
ORW: yes (T14) PNA yes far
Type of Project/Activity t r uL�` If1 I( A/ 61Z IA/J - r P�1 nl 15 1-1 /A 36/ S 1%)0
(Scale: ///ir'iriairr , , )
Pier(dock)length
�, ■ -■ ■�■ ■
i number ■ ■■ ■■■ ■■ ■■■® ■■/■ ■■■■■■■■
1, Bulkhead/Riprap length ■ ■■ ■■® ■■ ■■ ■■■■■■■■■II■■■
avg distance offshore ;1 j i
max distance offshore - 11E111I Il EMI I I[IIII1III,IuI
I !IIiL1iiii.iiiiiiii1iiiiIIN Boat ramp �
iilltr/�; ■■ N■/I ■ 1.1111111M1111111111111111111111111111 ;
Boathouse/Boatlift �""—
Beach Bulldozin " I�1 s � IIII1110.1111111111415111111111.1111111111
�� �� sir ,
Other � 1���1)♦�
!lIIIiVAIIIIIlIIII1P!!!II I IM
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Shoreline Len: h 10°
, , . gr.SAV: not sure yes no r : Pr 1 4,P „ I m 1 nl■■
Moratorium: n/a yes ■■�■■� ■IIIM■�M■� r ■■,� �,���� ' �■■■
Photos: yes 1 _.—■■U ■■ _. _ ■■ 1 { _ A■ . U■■.�I ■■■-Va■■■
Waiver Attached: yes no : / '
A building permit may be required by: W A S tI 14 C' // (0 U N Ty n See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) �?rCO %1 5 �� f/r�
Notes/Special Conditions O71 L 1 Soo r C 4M i 7 N Li 17)U� ' (51 M s v
fcn1'o1c
KiviA) iiii,e_r
ar pli �4Ifd Permitofficer s P int e
nt or pli t Printed ame .� /' �
G�ti�G'�'7 Signature
Si natu a **Ple a read compliance statement on back of permit** g
_ rc 1 .C10 5 e'i Z za
Application Fee(s)
Check# Issuing DateD �J Expiration Date

Applicant: AI CARD
Date: r p CC Z of 9
General Permit#: 2 O—1.7
Describe below the HABITAT disturbances for the application. All values should snatch the name,and units of measurement
found in your Habitat code sheet
TOTAL Sq. Ft. FINAL Sq.Ft. I 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)
11
16 la G R.f6,J9 Dredge❑ Fill Both CIOther ❑ )$Oo 1=(2 2 ja�-1 Z'
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both 0 Other ❑
Dredge 0 Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both 0 Other ❑
Dredge 0 Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge 0 Fill 0 Both ❑ Other 0
Dredge❑ Fill❑ Both ❑ Other 0
Dredge 0 Fill 0 Both 0 Other 0
Dredge 0 Fill 0 Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill 0 Both ❑ Other ❑
Dredge❑ Fill 0 Both ❑ Other ❑