60784D - Perry

J
f CAMA / - 1 DREDGE & FILL NO. 60
ENERAL PERMIT ✓ Previous permit#
New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
rized 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 �f + r�"99
❑ Rules attached.
nt Name 60 501 Y✓ U Project Location: County /Av ov%Dy
s 120 41 (Y / t Street Address/ State Road/ Lot #(s)
( ! ' //1 I�Y�State_/f%� ZIP
# ( )%7 'y/Fax # O Subdivision
ized Agent (5e"le // 6 '1/ City ZIP
d _ Cw ]4W L FTA ES ❑ PTS Phone # (_ ) River Basin ! a
_ OEA i ] HHF IH UBA 7i N/A %3 e
Adj. Wtr. Body FJ/'Z+r 44w /
nat
_ PWS: ❑ FC:
yes /,fiti " PNA yes & Crit.Hab. yes / no
Closest Maj. Wtr. Body ie t.1✓/y
>f Project/ Activity 10
H7A/r►
Eck) length
m(s)
J
ength
umber_I1lI
,
r _
ad/ Riprap length
' i•' I
✓g distance offshore
iax distance offshore
G /tY!! : 'In fi
:hannel
jbic yards
imp
eel
use/ Boatlift_
4.
3ulldozing
ie Length `401PJKI +_
not sure yes 01
gs: not sure yes llii
rium: n/a yes
yes �► i a'Y
Attached: yesy
(Scale: /0-
ing permit may be required by: /'fl it//'/, f4fq,1 �! /,`fir ' � See note on back regarding River Basin i

PACIFIC 2.1 ENTERTAINMENT GROUP, INC.
HOP #9 "WITCHES OF EAST END" PILOT VENDOR CHECK DATE
10201 W. PICO BLVD., BLDG. 103, 5TH FLOOR
LOS ANGELES, CA 90064-2606 859200060792 11/12/2012
NC DEPT OF ENVIRONMENT NATURAL
INVOICE INVOICE DESCRIPTION GROSS DISCOUNT
DATE NUMBER
11/08/12 110812 10/25 PERMIT/ENTEND DOCK 200.00 .00
Tota
FCE6
NOV 14
I)CNiI W!i.NAiN

? Ur,i?
} ihgate C ^
ihr LItk 37PS a O in
v
.as20}
J
herized Agent
to 1 A CS PT5
t
t3f,"'a ;iMIF1 3;ttt.'k�btC;i'�s ra%�r_i`I
M1f' Y p��; - f rsr,M .. i Wtr. F,
i j.
f
IC Of Prqject� Activity
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"i iiFra�G ?IA/
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Attached: yr s F 4 14113"
ling perrrlic rttay be requ"

LOCATION MAP
HA IVKS CHA IVNE-L
PIER HEAD LINE
Q 4.
TO APPR. HWL
US
COAST WARD
STA nON
g LA
>
A
R, NWADVE TOTAL 150.0
WATERSTREET (20' PuBuc R,GHT OF
. . ......... /w
RIPARIAN SURVEY
& a3 BOUNDARY SURVEY
< r- M A C- r- r's A rn r- m MNJ in

rCAMA / ❑ DREDGE & FILL
/
No. 60'
3ENERAL PERMIT
�/
4New ❑Modification []Complete Reissue El Partial Reissue
Previous permit#
Date previous permit issued
prized 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 Name_ j/Q cr,r fi"�/
Project Location:
Rules attached.
County /f
Street Address/ State
Road/ Lot #(s)
tSVt
114' 80OW , Statue ZIP
Fax # (')
Subdivision
-
.
edApnt 40e "w!1 E�l )
J
City
ZIP
�f�y4yi"
❑ CW CREW C!d'PTA El ES ElPTS
Phone # ( )
River Basin
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
Adj. Wtr. Body
/Jf�i� /E s L / /f
❑ PWS: ❑FC:
r,s' (nat
no;
yes / PNA yes /�fio3 Crit.Hab. yes / no
Closest Maj. Wtr.
B ody
igth
fiber
/ Riprap length
distance offshore
distance offshore
c yards
a/ Boatlift
Idozing
! _ •1
Length
not sure
not sure yes an
m: n/a yes
yes t_l
[ached: yes f
permit may be required by:
❑ See note on back regarding River Basin rul(

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Division of Crustal Mgt. Habitat Impact Computer Sheet
)licant: FrdSev- Pe(rtlPermit#:e: l�J
)II2q%l�L
,cribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
nd in your Habitat code sheet.
Atat 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 b
k
6V
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 171