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Home My WebLink About68062D - Young4PAMA / ❑DREDGE & FILL `j >RQ6`Z A B GENERAL PERMIT Previous permit # Clew Modification ❑Complete Reissue Partial Reissue Date previous permit issued orized by the State of North Carolina, Department of Environment and Natural Resources u Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC 07 P ,7 � CC) (b� Qua � ❑ Rule attached. nt Name ` Vw Project Location: County�✓� j L4:�. s j G t/M 0 Street Address/ State Road/ Lot #(s) �u State . LIP J O 'f` 7�a # E-Mail ized Agent LCO" 14 1;115 d CW PTA ❑ ES ElPTS OEA ElHHF ❑ IH ❑ UBA ❑ N/A PWS: yes / 10 PNA yes / 19 A Project/ Activity ock) length 'latform(s) f g Platform(s) X I (p y length umber ad/ Riprap length vg distance offshor isddistdistance offs re .. ............ us Boatlift Bulldozing ti ne Length � 51 not sure yes mum: n/a yes yes Attached: yes 'C'r IT Subdivision /,City C ivzip phone # (°l1 � ) A 3' H Yl Y River Basin (, JIti1 Adj. Wtr. Body (/(/LA/ lat Closest Maj. Wtr. Body fiVVI/1/ n 0 von C �oJ (Scale: � � ,- A ling permit may be required by: �j(,/Vl� �CVVI ❑ See note on back regarding River Basin I nrnl Pinnnina Liric Airtinnl C Division of Coastal Mgt. Habitat Impact Computer Sheet Applicant: �� y�`�, Permit #:Z-- Date: d Zj ( -7/2 0 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/oi temp impact amount) ow v Dredge ❑ Fill ❑ Both ❑ Other Dredge ❑ Fill ❑ Both ❑ other ❑ r tau f 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 ❑ Ox McCrory ;;Cvernor "AN- North Carolina Department of Environment and Natural Resources N.0 Division of Coastal Management Join E. Ski secs AGENT AUTHORIZATION FORM Date Name of Property Owner Applying for Per m-t Name of Authorized Agent for this protect ne- Owner's Mailing Address. Email - - -- Phone 1_ I _ Agent's MaUMp Address: ✓iqo� K.�6,, C� 5�v lT� out �1k4 to Z Email tic-,c VS Sri G Y).V. •Cd Phone OW J -�I�- LI Y I certify that I have authorized the agent Itsted above to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary or construct the following (activity) Ir For my property located at 9 l V N U l� Ids 2(7iSo ol Q�t7 Agent 0 Con1*10 rMMs 1, 2. and I drama g Print your name and address on rollese )OW 'So,that , we OaT, Tetum " card to You, Rel;6%fod by (Plin Date of t .y (plin Noma) M Attach this card to the back of the MallPi8m, or on the front fff 5PRCe Wr"rtcl- D. ta delivery address different 13 Yes 1. Article Addressed ff YES. ter delivery a= NO Zee all # M.A;k 3. SendceTYP6 Marc OAdultsignowre C3 Adult ftnam Rftv1&*d C) cenrw man 9590 9402 2021 6123 2957 55 j rt Signatufe Godrma*) pelly"y Sign"A" UOMMBW 2.- �-13 4165 all P4 W� ;_4C3 RagujoUd ubltftrX. 13 w4wed Mai `OS FojM 381.1, July 201'5 P5N Complete items 1.2. and 3. Print your name and address on the reverse so that we can return the card to you. Attach this card to the,back of the MdPJW,-S. or:RL1hk,*ht If space permit. -77 111Ni111111111111Ill111111011111111111Ill 9590 9402 2021 6123 2957 62 7015 1520 0003 2853 7131 PS ForT 381:1July(2016 PSN. 758p-02-000-00$3, OAduRftnMm,,,- 0 Adult S)j� RpVCW Q 0 CRrved 0 Oerekd Ma N — Y; 0 C61wpri De", E3 Agent 0 Ajddrs Mail 0 patirn RK*1 'Gry 0 Sig ehn cc 13� ctd�+ AMA /❑ DREDGE & FILL N? 68062 A B GENERAL PERMIT Previous permit # Arizeew —1Modification ❑Complete Reissue El Partial Reissue Date previous permit issued d by the State of North Carolina, Department of Environment and Natural Resources�7 Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC 07 CC) 0-7 c �a� � ❑Rule attached. int Name Project Location: County "e"ni is S AVA 6 0 Street Address/ State Roadf Lot #(s) 5WN, State 5 IP Z O v- # ( —) — — E-Mail ized Agent L-AVIe 4() V�tS -tJW ,4-Lk vt At, ,d ❑ CW � PTA ❑ ES ❑ PTS ❑ OEA ❑ HHF ❑ IH ❑ URA ❑ N/A ❑ PWS: yes / 00 PNA yes / 0 of Project/ Activity _ � -e jock) length. Platform(s) T fig Platform(s) �t length camber :ad/ Riprap length tvg distance offshc nax distance offsFj channel Subdivision City zip 2 �� ?4wr hone # ( °1lo) k 3' HOY River Basin L✓W Adj. Wtr. Body '41 j/ w at, Closest Maj. Wtr. Body fiWVI/ lY,r.�1 I U (Q, 'H VA v C�- I T �x ck w ti. TP,� 1 :ubic yar �j iY1 amp CW ous BoatliftGh� Bulldozing �rtN c "nS l(4� — +v UCA SDI, off` line Length L 150 not sure yes 1 orium: n/a yes ( OIr, S s: yes rAttached: yes . ding permit may be required by: 9(w1,C1vt—C [r— lSUu A 1 o riyv� c�M o Z (Scale: k r�,n I � o P,7-- ,fiver Basin