66106D - North

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.GENERAL PERMIT PreviousWPmi�# /-c�106
New yC Modification El Complete Reissue ❑Partial Reissue Date previous permit issued
wized by the State of North Carolina, Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
❑ Rules attached.
it Name W Aj 6 F %y�:, lZ7 fl "�OI�Sl4 / /40--604r A(Project Location: County
010c rvii.0 i Street Address/ State Road/ Lot #(s)
4114 %dGXW-•/ State-C,ZIPe. k`/Gc!
I�LD)�Zt5-/"54 +� E-Mail4&' O"W"-q.' Cfr0w/,�W-C.a/subdivision
zed Agent N �," City ZIP -'We
I ❑ Cw ❑ Ew ❑ PTA ❑ ES �PTS Phone # 00 /,344:f River Basin
%OEA �HHF X11H ❑ UBA ❑ N/A
Adj. Wtr. Body /✓-- ���� C-• (�1a�
ElPWS:
Closest Maj. Wtr. Body ���Aro•?��C � �.t �
yes no) PNA yes / /moo
f Project/ Activity
)�o length_
lat�orm(s) _
Plaiiform(s)
mgth
ember
id/ Riprap
,g distance
ax distana/
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Z A
(Scale:
❑ See note on back regarding River Basin i

NC Division of M t. Habitat impact Computer Sheet
Applicant: aa) �� c / K
Date:
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
F
(Applied for.
(Anticipated final
(Applied for.
(f
DISTURB TYPE
Disturbance total
disturbance.
Disturbance
di
Habitat Name
Choose One
includes any
Excludes any
total includes
E.
anticipated
restoration
any anticipated
re
restoration or
and/or temp
restoration or
to
ternimpacts)
impact amount)
_temp impacts)
ai
Dredge ❑ Fil Both ❑ Other ❑
qer
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑

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NORTHING: 287t60.Y
EAjTING: 2498805.6'
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NORTHING: 287479.9'
♦ EASTI
CASTING: 2A9 0Y\✓9Y'1�\'{
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NORTHING: 287676.4' I I
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\ fASRNG: 24986z$.8'
NORTHING: 287453.2'
CASTING: 2498645.0'
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N NORTHING: 205
CASTING: 2A97
ELEVATION: 7.5
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HORIZONTAL CA
VERTICAL DA7U
COMBINED FAC'
VERTICAL h HC
TOPCON GRS U
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OPERATING REF
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WIDTH OF RE
SHALL NOT E.
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C: 2498667.1'
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+a�Y�lea� +n� sr,� ASIYc x•aeFes' ! / �e ♦. %:K _ _ ., si % o: :
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GRAPHIC SCALE
FLOOD ZONE "VE"
(ELEVATION=15.0'+2')
FLOOD ZONE "VE" _
( E L E V A TI ON -16.0'+ 2' )