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Home My WebLink About68083D - TerryCAMA./''DREDGE & FILL \ A B Previous permit# iENERAL PERMIT New ❑Modification []Complete Reissue []Partial Reissue Date previous permit issued ized by the State of North Carolina, Department of Environment and Natural Resources J' .'� O h oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC �j Rules ttpched. Name N V ,� 1 a f� i 30, Y `,- AA�i- _ _ L lov I G ',IState _ ZIP M- E-Mail ed AgentG•1 ❑ CW ❑ EW El PTA ? ES ?(PTS ElOEA ❑ HHF ❑ IH - UBA ElN/A ElPWS: yes / fo PNA yes / M Project Location: County �jJ1( Street Address/ State Road/ Lot #(s) Subdivision City 1' u RtAt ZIP Phone # (W) S4 6-4 51 a River Basin Adj. Wtr. Body r Closest Maj. Wtr. Body v ■■■■■■■■■■ ■■mber Sg distance offshore Lx distance offshore ■� ■■■■■■■ hannel bic yards Uldozing r ■■■■■■■■■■ �■ §i�ISljtlYT�■■ ■■■■■ .� ' .1. ■�,� ■ ■■■■�■■IA OWN. ■ PTA le Len h man - not sure yes i �i ��■Ea rium: n a yes yes t-- i Attached: yes r '^ ling permit may be required by: ]r AV 8A, (Scale: ❑ See note on back regarding River Basin WC division of Coastal Mgt. Habitat Impact Computer Sheet Applicant: T ;4y Date: 6 , 20 cr7 Permit #: Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement found in your Habitat code sheet. Habitat Name DISTURB TYPE Choose One TOTAL Sq. Ft. (Applied for. Disturbance total includes any anticipated restoration or temp impacts) FINAL Sq. Ft. (Anticipated final disturbance. Excludes any restoration and/or temp impact amount) TOTAL Feet (Applied for. Disturbance total includes any anticipated restoration or temp impacts) FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount) Dredge ❑ Fill Both ❑ Other 1,0001 0 D b 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 ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both 0 Other 0 :xmMmp dp srn��- 9 00l - �!� �N MOM v1 l�^ o SMPW URNMO A ��"�►s S��co _C -4*WW PW40KP 00 q! PAP �' *J s! ua_M�uOtPrN3 041 'mq" Pft9 AOedoW So iq Pw!wtw (3)wwd VWVO Aumm p of .ro &do ps o} Peo4w4PW Aq&04 st - =- �1I mu oil pwn 87f2�$4 19:20 9108429806 %RE& HOLDEN PAGE 01 DMIJIM OF CQ&R- L MAR GEMS U _ AW�►CEI�i' PAAIhN PROPERTY OW3QER �i1fiCAT2Dit/WAZ� 80� Name Of Individual Applying For Pe":Lt: _D_00�L6Cr Acidress"of Property: j �s• S„$�►a/4 17f ,. (Y.ot 'or Str-eet eet or Road, city & county) I herebp certify that I MMI- pr+apetty adjacc.>rfnte to 12m above- ralerQnctd property. 'be individual applying for this permit has d i2red to ma � as sLoon the attimc ed draining the' davelopment tbeY Mrs pIroposing. a descariptioA or drawing, With dimensions should be provided with this latter. / S have no objections to this proposal. I nt�dierstasid that a per. 16 C3 . Mooring pilings, brmakwater, boat house. lift . rest be set back a ni.nium distance of iS• fray my aran of riparian acmas unless warred by are. : (It you wish to valve the setback, ym =AM iLitial the appeal inte blank below.) ,.._._..__.._. !.-Ac; wish to waive the 15,Psetback requirement- I do not Wish to waive the 151setbetk requirement. s Date jf2@84• 19:20 9109429806 GREG HOLDEN PAGE 01 DIVISZUN OF Cf &U" MMAfifiZKM ADMCM RIPERIM PROPERT==- VQ0TIPXQAT3:JMMME=6 FORK Name of Individual Applying For F=mit: D Tt rr Address-Of Property: T / -or Street V, -Street or Raid, City t county) I hereW certify that I own- px+operty adjacent to- tim above - refer cae,d psvperty_ She individual applying for this permit has described to as as shame on the attacjkmd drawing the' developprrant tbey are proposing. A description or drawing, wIth dinensions. should be provided with tul 2ttrAw. XI have no objections to this proposal. I nnde=starrd that a pier, dodo, W=Winq pilings, bcM urater, boat ham, lift _ . aast be set ba Ck a niniMM distance of 151 fz=Y axon of ripaclan access nnluess vaivad * are. : (It you Irish tty waive the setbar k, Yoe IkS= initial the appropriate blank below.) ~M X,:do wish to waive the 15,Psatback requirement- ..._.__. I dg not Jutish to waive the 15 • setback requirement. Q,vti j• - I S - ► 7 F35% s tnrr: a � �n • Print Name