HomeMy WebLinkAbout60602D - OppegaardKCAAAA / u DREDGE & FILL No. 60
ENERAL PERMIT Previous permit # A
ew ]Modification ❑Complete Reissue -;Partial Reissue Date previous permit issued
orized by the State of North Carolina, Department of Environment and Natural Resources
Coastal Resources Com fission in an area of environmental concern pursuant to 15A NCAC /
❑Rules ttached.
nt Name Project Location: County
s QAA R JAAA v Street Address/ State Road/ Lot #(s)
_. Upsad StateZIP -2(L �- t. / D ^' D k
( fib) "' ` ax # () t Subdivn G
zed Agent City B 5 ZIP 2 C�
ElCw /In4W >7r"A ❑ ES D PTS Phone # (_ _ t`.1��� River Basin ��
'- OEA ❑ H4 ElIH ❑ UBA -_: N/A Adj. Wtr. Body IVF•�
❑ PWS: ❑ FC: �� �,,
yes /ono PNA yes(no Crit.Hab. yes no Closest Maj. Wtr. Body Tv1 X[ j�
if Project/ Activity LMS
(Scale:,
ock) length_ __
m(s)�����
11 r If -
r
_ T
piers)
ength
umber
ad/ Riprap length
-
jf
41 f P
�
ig distance offshore
iax distance offshore
i i f
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:hannel
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ibic yards
mp
1
use/ Boatlift
i
dozi
Y
t
ne Len;t
not sure
yes
o
gs: not sure
yes
no
rium: n/a
yes
no
yes
o
Attached: �joi� �io�
'ing permit may be required by: �6(1 See note on back regarding River Basin
00
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t(o(v l (ot-I (p&rol,✓ox
PIMA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue, Governor dames H. Gregson, Director Dee Freeman, Secretary
Date < --31— l Z—
Name off jProperty Owner Applying for Permit:
D12Pe q aa-lJ2
Mailing Address:
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I certify that I have authorized (agent) `�^to act on my
behalf, for the purpose of applying for and obtaining all LAMA Permits necessary to
install or construct (activity)
at (my property located at)
This certification is valid thru (date) / 21-�1 1 x
I
Property Owner lignature I Date
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iplicant:
ate:
C�fif Iq lei,
/ 0 ) re�
Permit #: 666e)2-
scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
ind in your Habitat code sheet.
�itat Name
DISTURB TYPE
Choose One
L Sq. Ft.
(Applied for. pated final
TOTAL Sq. Ft.FExcldes
Disturbance totalrbance.
includes any any
anticipated restoration
restoration or and/or temp
temp impacts) 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)
W
Dredge ❑ Fill ❑ Both ❑ Other
Z (�
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 ❑
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