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HomeMy WebLinkAbout61639D - RojanatavornCAMA / DREDGE & FILL 6`3ENERAL PERMIT Previous permit # New Modification Complete Reissue El Partial Reissue Date previous permit issued rized by the State of North Carolina, Department of Environment and Natural Resources Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC H. 120 0 t Name �,Sft UO PC)SATA O Project Location: 4-.?Rules; attached. County t_.4 u -. Street Address/ State Road/ Lot #(s) State ZIP : G,Uf A k"Ni Ai-L i f' h-A P?-. Fax # ( ) Subdivision zed Agent City('�"&V' ZIP r��3 d - CW _ EW -PTA J ES ❑ PTS Phone # ( ) River Basin OEA HHF ` IH ❑ UBA ❑ N/A Adj. Wtr. Body !?�t�Ii Cj (�'�'_�(nat PWS: FC. yes / no PNA yes no : Crit.Hab. yes / no Closest Maj. Wtr. Body , \ i l V 3f Project/ Activity �_i _ i V, (Scale: Sys lock) length A, I % K m(s) pier(s) length umber !ad/ Riprap length vg distance offshore iax distance offshore channel ubic yards Imp ,use/ Boatlift Bulldozing J ne Length not sure yes no gs: not sure yes no ,rium: n/a yes no ling permit may be required by: ❑ See note on back regarding River Basin Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement found in your Habitat code sheet. -labitat 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 onor temp impacts) FINAL Feet (Anticipated final disturbance. Excludes any restoration and/o temp impact amount) / Dredge ❑ Fill ❑ Both ❑ Other. Dredge ❑ Fill ❑ Both ❑ Other E4f Q �P 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 ❑ ■ Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. ■ 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 mailpiece, or on the front if space permits. 1. article Addressed to: I""a-.1 I A i W ►+ V /' -f A. �nz� I^`� KN �.J�X El Agent ❑ Addressee a R [y ived (P/rin ed Name) C DDate of%eWery �,. r V D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No -IV 3l I w Nw w � \Y , "V qe 4 _-14 \V \-Y q/ Moot T, — — OWN fy (D 34 FA.,j 4- 1 Ny ILI �51tuflgzA 0114 K V 0- J - ff't4cmj. —� - S'i - I