60701D - Mickey

'CAMA / JDREDGE & FILL
/ NO. 60
3"ENERAL PERMIT
I/ Previous permit#
,New ❑Modification ❑Complete Reissue ❑Partial Reissue
Date previous permit issued
ized by the State of North Carolina, Department of Environment and
Natural Resources
j
;oastal Resources Commission in an area of environmental concern pursuant
to 15A NCAC
Name (,.Gt�'4�n ` Yl f/
Rules attar
Project Location: County
7j3 IAVI{,AJ 'r]au
Street Address/_State Road/ Lot #(s)
OW V/ State 14 C Z!P 2%2_01
(� Z ..7 �.1,'T}! `.✓ .� �(1 �/�
Fax # ( )
Subdivion WA
tickv-1btC s
Ci ��(3dAgent
ZIP
❑ CW EW -" PTA YES ❑ PTS
Phone # ( 'v) C.% River Basin YIA
❑ OEA ❑ HHF ❑ IH Ll UBA ❑ N/A
Adj. Wtr. Body Oa h(�lf (nat�
❑ PWS: ❑ FC:
yes / no � PNA yes no 1 Crit.Hab. yes no
Closest Maj. Wtr. Body
Project/ Activity U1
(Scale: , !i
Length � _ i G
not sure Yes no 1�1Ld._ L e
. not sure yes
/
urn:
1 yese5 no
`,4�,/ j r -- - - t--
X.
ttached: yes no
ig permit may be required by: 11 Lk I d ty . ❑ See note on back regarding River Basin
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Oct 31 12 10:45a Greg Holder 842980G P.1
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itKilwt �L dlat tMy Iays ao sbjscti•w ,e des prwtanr.! rrsrY � dsi dre a�jtots ri�1M !may w�+rltta b... t+srs nW fitd
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I hereby oordfy *w 1 aww p+opa!y wdjtxt+tto dw abo+t--mFW need �p.ap<M. The Led:v.dusl applknrve sort ,iy permit
has Aucr,�od ro arc t6.irar. an � �� d,dw�lA1 daveloptntht dt+ty the vro/asi.Q. � destnln,Ow w 6favnng.
Mitt dirnunvwu. yteald Ire otoviilr4 ••:d1 dtk kav,
�6 1 have no obyteabna to tlrts gropoost,
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No waspoMss is erwsrtw.sd dw eras■ as w6 aq indits If yoo be" btxa wedAMd by Careifaod Mail
WAIVER StCr1014
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RECEVEU
DCM WILMINGTON, NC
0 C T 3 1 2012

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TRANSMIS3IL�N VERIFICATiU•1'REp[77T" ""---—'---•----•---
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DATE T I r�C alrw�nna�y
FA). NO. � �w■ cw �� .�
DURATION 08tf31;e3
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31 12 10:48a Greo Holden 8429806
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®CM WILMINGTON, NC

escribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
and in your Habitat code sheet.
ibitat 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 ❑
tb—
Dredge ❑ Fitk Both ElOther ❑
'ob
L
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 ❑