60650D - Love

No bVoJv
=DREDGE &FILL Previous permit
AA / #
Per
Date previous permit issued
VERp►L jCom lete Reissue ❑Partial Reissue
❑Modification p `� 0
>y the State of North Carolina, Dep
artment of Environment and Natural
to 15A NCAC TS---
nees attached
I Resources Commission in an tea of environmental concern p 77&
Project Location: County
� � � ���...••���CV..)) � Street Address/ Stam Road/ Lot #(s)
©�lo
State J v SIP—
' Subdivision 7
C, City River Basin
' glent . Phone #
e,� A ❑ES PTS "'t1e jp%A S nat an
J CW fN ❑ UBA 1 N/A Adi. Wtr. Body
OEA HHF ❑ IH 1
❑FC: Closest Mai. Wtr• Body
PWS:­—� Crit.Hab. yes no
PNA yes %
roject/ Activity
) length_ --
gth
fiber
1/ Riprap length
distance offshore
a distance offshore
,iannel
ibic yards I
n %tom=
,use/ Boatlift
Bulldozing— --
:line Length
not sure yes
bags: not sure YQ5
atorium: %n�l- yes
no
tos:
Yes 'no
vet Attached: Yes ( o
..:u,... r,Prmit may be required by: _
/
(Scale: / f ==
' ❑See note on back regar�tling River Ba!
v / '(t42

•30 10:01„ LOVEANDCOMPANYINC
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--�eN PROPER M eft 87Ai[4i
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l hemDy 4f► tt+21 I awn Wopeft od1ll"t 11 � Praperw Owner)
pmpw'tY lid at (lbddressLet, ftA 4*•} N.C.
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on IYVsler�rodyl t �
The appN� has &WN'bed !o me, as shown below, the Orvelapment Proposed at the atlove
I _ I We nd CbOdion to this pro"W'
I have rations 10 ihis PrOPOW
ppA NNG OF PROPOSED �EVE1 bPMENs
DESCRIPTION AMOM fi �„ n below or #ItrlCl+ a so dnaw)ng1
{fn daal ProPO4*V anrlt �prtst �
1 �
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WaNFR 5EG 11611� or Qro must be eat
breWwwuT, boa11lVW,
I understand that a per, , rnoo D den a=a s unle" waWed by Ms. (Il you
bade a rnirdmum d�noe d IS fMm rrq area of nPe t�lsnk balm.)
Wish too waive the setback. You must irlitia� fhe e0Pr0Pr�
I do wish ID waive the 15' suck mquwement.
I do net wi*h io wGire the 15' Setback requkurnent
(Aey>Ieent P"VO Y Owasr irAvnllai+onj
(p.qurty owner Infornm9wl)
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All should match the name, and units of measurement
be below the HABITAT disturbances for the application.
values
in your Habitat code sheet.Feet
TOTAL Sq. Ft.
FINAL Sq. Ft.
TOTAFeet
FANAiP ed final
(Applied for.
(Anticipated final
(Applied or.
Disturbance
disturbance.
DISTURB TYPE
Disturbance total
includes any
disturbance.
Excludes any
total includes
any anticipated
Excludes any
restoration and/or
it Name Choose One
anticipated
restoration
and/or temp
restoration
temp impact
restoration or
temp impacts)
act amount)
impact
P
is
te mp impacts)
amount)
!zo
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 ❑
Dredge ❑ Fill 0 Both ❑ Other ❑