56623D - Cox

tw.AMA / -, DREDGE & FILL
PENERAL PERMIT Previous permit#
New -Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
zed by the State of North Carolina, Department of Environment and Natural Resources "�7 u
oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ///
les attached.
Name p Project Location: County 4 ,✓S w i G .�
t,r• _ Gyres
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Fax # ()
ed Agent
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CW
i EW Li PTA -QES ❑ PTS
OEA
❑ HHF ❑ IH ❑ UBA ❑ N/A
PWS
- FC:
yes / no
PNA yes �` Crit.Hab. yes / no
t
Street Address/ State Road/ Lot #(s) 121 P OL
Subdivision /
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ling permit may be required by: IJD Z , p"'qc ❑ See note on back regarding River Basin

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.Feb.23. 20113• 8:51PMrreSKVLINE PROPERTIES
_or;-p7 19: OR From:
8429806
No. 1561
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Permit #:
cribe below the HABITAT disturbances for the application. All values should match the name, and units of measuremen
id in your Habitat code sheet.
itat 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 fins
disturbance.
Excludes any
restoration and/
temp impact
amount)
S�
Dredge ❑ Fill Both ❑ Other ❑
SL�
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 ❑

HOLDEN DOCK & BULKHEADS
GREGORY A & DOROTHY HOLDEN
910-842-9732 HIS NCDL 4576438 HERS 5202642
1502 STONE CHIMNEY RD SW
SUPPLY, NC 28462
3861
/ 66-121M31
840
TJa{e
$ *') d v
-0 cl
Ll
WACCAMAW
BANK
TIMM;. imccamaivimink.ro"t j� '`_
hr
i• 2 L 5 2�:8000 L 5 7 5 30i1'0 386 �'
.053LL
WILDLIFE PORTRAITSW
Reiland Clarke