59138D - Anderson

aC,A�MA /DREDGE & FILL 1
SY .
3EN ERAL PERM IT Previous permit #
),New ❑Modification El Complete Reissue El Partial Reissue Date previous permit issued
rized by the State of North Carolina, Department of Environment and Natural Resources
.oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
t ules attached.
t Name % Y�nc,� ( -mow Project Location: County DYloo6 I%(-L
11da,t Street Address/ State Road/ Lot #(s)
16 wl Il�' state KC ZIP -43� L L� (IJYLIh V
eA) • 00 F�(a'x�,# ( ) Subdivision
;ed Agent �;4 S �UZ ity' 1 (( K ZIP Z S4
❑ CW 4EW PTA ' ES ❑ PTS �# (1 I0) 01 b River Basin
❑ OEA L l HHF 0IH 0 UBA ❑ N/A
❑ PW5
0.
El
FQ
yes / no,_,) PNA yes no
f Project/ Activity
ck) length
ngth
tuber
d/ Riprap length
q distance offshore
uc distance offshore
f�
cannel
bic yards
np
ise/ Boatlift
ulldozing
n1►►,(�WA11. Ix IZ
5rV ED leEla
r$
e Length
not sure yes no -
s: not sure yes no
cum: n/a
Attached: y�
Y
Adj. Wtr. Body - � (naK p
Crit.Hab. yes /lfioClosest Maj. Wtr. Body A YJ
(//
Scale: '
ng permit may be requi� py: � 01 ` t `C�t h `�Wb (,�' - ❑ See note on back regarding River Basin r
Ii 1�% n . _ -1 . 111 x f, T . . ,-s . 1 A In A (.1A P . „ 1 .1'. ,_ .. 1 . L ._ _

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ECEIVE
APR 2 7 2012
DCM WILMINGTON

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70101970000300266691 First -Class Mail® Notice Left April24, 2012, 11:05 am SUPPLY, NC 28462
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Return to Sender April 21, 2012, 8:47 am CHARLOTTE, NC
Notice Left April 10, 2012, 12:04 pm CHARLOTTE, NC 28210
Dispatched to Sort April 09, 2012, 4:49 pm SUPPLY, NC 28462
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Acceptance April 09, 2012, 1:25 pm SUPPLY, NC 28462
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26 12 01:25p Greg Holden U429806 p•1
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ica?it: �Gyrnayl �� y� Permit #: 5� D
ribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
d in your Habitat code sheet.
at 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/or
temp impact
amount
Dredge ❑ Fill Both ❑ Other ❑
IE5C)
56
3
Dredge ❑ Fill $oth ❑ 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 ❑