57515D - Massengill

- CAMA / DREDGE & FILL ''
rEN ERAL PERMIT Previous permit # 1��97;
.New L1Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
)rized by the State of North Carolina, Department of Environment and Natural Resources y //
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
1 ❑ Rules attached.
it Name 14/j/ L f" /i7.* iy - G`1G G Project Location: County Dy't'4 K j
Unb
Izz )� State G ZIP'
- 5 170-Fax # ( )
_ed Agent J _5�5'
Id CW EW PTA —ES ❑ PTS
C OEA i HHF IH ❑ UBA ❑ N/A
r
❑ PWS: ❑ FC:
yes / no PNA yes / no Crit.Hab. yes / no
Street Address/ State Road/ Lot #(s)
/ Z7 Z,41VA`
Subdivision
City 19�-11 -eA 015- ---,7 tie '" ZIP—AEV
Phone # tT �74 - S 9 7 River Basin
Adj. Wtr. Bo fi��% 'V T/C� �attO
Closest Maj. Wtr. Body .A,) gy
ty J 1 t?q/l .� L y' f � IAA l� of"IPro ec/t/ Activity � �. � �? • � a
pier(s) I
length
iumber
-ad/ Riprap length
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vg distance offshore
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nax distance offshore -
channel
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:ubic yards
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Lengthine not sure yes
1�gs: not sure yes
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ding permit may be required by: b//'� 1 Q� ❑ See note on back regarding River Basin

f�' ��-� �� � �
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licant: 11v 11I I u m X 5'3zuj 1' i/ Permit #:
cribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
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 final
disturbance.
Excludes any
restoration and/or
temp impact
amount)
1
> i.)
Dredge ❑ Fill ❑ Both ❑ Otho&
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 ❑