HomeMy WebLinkAbout54579D - Jordan16AMA / `1 DREDGE & FILL 5;.
,EN ERAL 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
:oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ? �r7t✓v
Rules attached.
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NCD04R
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary
Dated/��
Name of Property Owner Applying for Permit:
�lUfinP� L Jfirti4y�
Mailing Address:
ko-jd.ty A/C 202S 2jZj,*Aty A/C UY
I certify that I have authorized (agent) �/ay1e ��oQr/Ks� " to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity)
at (my property located at)
This certification is valid thru (date)
n j - // ,o 11,E
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C Division of Coastal N19t, Habitat Impact Computer Sleet
plicant,, Permit #: qp
te:
scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
ind in your Habitat code sheet.
bitat 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)
56
Dredge Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill N Both ❑ Other ❑
�,
9 CFO
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 ❑
TOPSAIL OFFSHORE INC 3215
PH.910-328-2316 67-7194/2532
743 COCKLE ST
SURF CITY, NC 28445
- //
DATE
PAYTOTHE s
ORDEROF
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F' st Feder 1
FOR C - MA w94R-
1: 253 27 L945i:5806000313511' 03 2 L5