61593D - Schading

IrCAMA / ❑ DREDGE & FILL A,
GENERAL PERMIT
"New ❑—Modification ❑Complete Reissue El Partial Reissue
orized 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
nt Name C Ct {v Cft.4-01 N �D
A i C. State N ZIP24 (eO�
# �L ­
413417ax#(—
ized Agent
NV 61
Previous permit #
Date previous permit issued
®, {Rules attached.
Project Location: County Iy.SA1(-fcL
Street Address/ State Road/ Lot #(s)
Subdivision
city (A tc ZIP )?
d ❑ CW ©EW PTA J ES ElPTS Phone # ( ) River Basin "' 1�
❑ OEA ❑ HHF C IH ❑ UBA ❑ N/A Adj. Wtr. Body A
❑ PWS: ❑ FC:
yes / no PNA yes " Crit.Hab. yes / no Closest Maj. Wtr. Body
A Project/ Activity I N :>
(Scale:
ock)lenQth
length
umber
ad/ Riprap length
vg distance offshore
iax distance offshore
channel
ubic yards
imp
� I/
)use/f oa; 1 (.�
Bulldozing
ne Lengthy
not sure yes
;fie,
cgs: not sure yes
r .
)rium: n/a yes
V016)
yes
e°
Attached:
no
-1 Jing permit may be required by: - (�C f'S� .lt7y,J/�
❑ See note on back regarding River Basin
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plicant: 30 N Scq-p
Permit #: & I S9 3
scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
ind in your Habitat code sheet.
Atat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
tem
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)
^
V
Dredge ❑ Fill ❑ Both ❑ Other
fimpacts)
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 ❑ Other 7ci--

HOLDEN DOCK & BULKHEADS
GREGORY A. & DOROTHY HOLDEN
HIS NCDL 4576438 HERS NCDL 5202642
PH. 910-842-9732
1502 STONE CHIMNEY RD.
SUPPLY, NC 28462
4UCDbNR
9�Pm
5'�203 5073
DATE
�v,*
1First
Comm munity Bank �!
$ 26o, 00

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