59247D - Royal

�6k!VIA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit#
�r ew C_IModification El Complete Reissue El Partial Reissue Date previous permit issued
)rized by the State of North Carolina, Department of Environment and Natural Resources k. I2oo
Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
_ Rules attached.
S
it Name I{ < I Project Location: County &YVyysw�ck
+VAhL1wLA, 11 G Street Address/ State Road/ Lot #ks)
Dc,kvl 1l�J JState ZIP ��� 1 115�- VY1 \�c
��) ( Fax # ( ) Subdiv' ion o In
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zed Agent, ��(�yt�L�d Ci 8{ Yt �Jca a ZIP Z
I ❑CW NEW �,PTA El ES ❑PTS fPV o6 # (I I .5 River Basin LVM
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body C 4o (kt (nat 1
❑ PWS: ❑ FC: / ^ , w w
Closest Ma . Wtr. Body
— i . - aNe .,ems ., , �^.:« u,ti o� r ., , 1 1 y
f Project/ Activity
)ck) len thl� )�
n(s)
:)ier(s)
:ngth
ember
id/ Riprap length
,g distance offshore
ax distance offshore
hannel
ibic yards
mp
use/ Boatlift
lulldozing
kA W9 I G
Leh i
ie Length _
not sure yes no
Is: not yes no _. .
rium: n/a nof
yes no
Attached: yes no
ing permit may be required by:
/L 11
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Iwn bi f -tb I d-t P., D(A (,� ❑ See note on back regarding River Basin r
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'!25/2012 10:40 FAX [phone] APR z 001;0
®,'Y24lZ812 89:53 9107549345 MILIIGANS DOCKS
PAGE 82
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North Carolina DePadmGnt of EnvirwM ent and Natur~ai Resoun-m
Be" Eaves FWsdue Dww"r of Coastal Meragement
Governor Braxton C. Davis
i1rector
Of Antborind AOW for #w rwc
Address: Agwrg WOM Address:
Dee E:ee
SOM
Phone Number .�{3 �,Wo S��`--
Phorm Nun
S—
cWtiiy that t have author'"d the aQerd fisted aboYO to ad on my behalf, for the purpose ofapoyM
a and obtairwnM ail UAMA Permits
or my pn*er* locsW at
hie certiffIQ00, is valid thru
P+r*Pwty ow►nW Silpt Wre
to install or contra titre fovowir,� ( ;v*y):
C_ 2j

ascribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
ind in your Habitat code sheet.
TOTAL Sq. Ft.
FINAL Sq. Ft.
TOT7FeetFINAL
Feet
(Applied for.
(Anticipated final
(Ap(Anticipated
final
bitat Name
DISTURB TYPE
Disturbance total
disturbance.
Disisturbance.
Choose One
includes any
Excludes any
totalxcludes
any
anticipated
restoration
any aestoration
and/or
restoration or
and/or temp
restemp
impact
yW
temp impacts)
impact amount)
temp impacts)
amount)
Dredge ❑ Fill ❑ Both ❑ Other
Dredge ❑ Fill ❑ Both ❑ Other
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both El Other [IDredge
❑ 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 ❑