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Home My WebLink About63177D - Hayes�jra s, LAMA f-0 DREDGE &FILL iENERAL PERMIT Previous permit# Vew ❑Modification El Complete Reissue El Partial Reissue Date previous permit issued zed by the State of North Carolina, Department of Environment and Natural Resources O-} �� ' Z cep :)astal Resources Commission in an area of environmental concern pursuant to 15A NCAC ❑ Rules attached. Name A4qC t Project Location: County S C%lN Street Address/ State Road/ Lot #(s) �l 4 � State A) ZIP 27� 5�7 `, 2 Z-? 1/✓ft 7�` '!�/�'Lf / �Wq Fax # (_) Subdivision p W Agent s City �'N l� s �-ti�'l� ZIPS h ❑ CW SEW ,AZ TA ❑ ES f ❑ PTS Phone # O River Basins ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A AdiWtr Bod(nat r ElPWS: ❑ FC:no yes / PNA yes no Crit.Hab. yes / no Pro'ect/ Activity ie Length ! not sure yes , no 3s: not sure yes no ti._. rium: n/a yes no yes nod Closest Maj. Wtr. Body�'�" SOyN-� (Scale: f /t- ling permit may be required by: ❑ See note on back regarding River Basin — --- -_— THROUGH 75-1555I North American Banking Company, MN 912 337747101 GLOBAL E% RESS MONEY ORDERS, INC. DIV. OF GLOBEP OFINANCIAL SERVICES. INC. Yy SILVER SPRING. MARYLAND 2— C— CHECK #1 ii.0 • #337747101 6432 04/01/14 4RO M:0+C>4DOLSOC7CTS ,� ``/yam f. TWO HUNDRED AND 00/ 100 DOLLARS GIN`�' ....,J 1 7 -� O NOT VALID OVER FIVE —HUNDRED DOLLARS $500.00 PAY TO THE �/nAbMiEFlk ORDER OF --'- -O ASHIER -R PURCHASER,, .y1d �- i SIGNER F; IG<\ t\G U` l H/`5 t 1GI','_ S 0 '1 F10VS ON THE gPVERSE SIDE AND ON PURCHASCR'S RECEIPTT' FOR DRAWER . - __— a800 9 b 2 b 5 5 58'a Division of Coastal Mgt. Habitat impact Computer Sheet icant: .� Permit #: cribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement id in your Habitat code sheet. itat Name DISTURB TYPE Choose One TOTAL Sq. Ft. (Applied for. Disturbance total includes any anticipated restoration or temfp 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/c temp impact amount) Dredge ❑ Fill ❑ Both ❑ Other Dredge ❑ Fill ❑ Both ❑ Other ❑ \ N / Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑EOther❑Dredge ❑ Fill ❑ Both ❑❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑EOtherDredge ❑ Fill ❑ Both ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Qt. r' L lVE 71R, F I'D Rl iri. 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