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Home My WebLink About56593D - Stevensf2 li UAMA / ❑ DREDGE & FILL BEN ERAL PERMIT Previous permit # New DModification ❑Complete Reissue ❑Partial Reissue Date previous permit issued ized by the State of North Carolina, Department of Environment and Natural Resources '7 /./ � Z Do oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC / // mules attached. : Name Project Location: County 3R " I 4�; i e le State ZIP Fax # (— ed Agent CW ❑ EW a PTA ❑ ES ❑ PTS ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A PWS: ❑ FC: Street Address/ State Road/ Lot #(s)�Rr, --e Subdivision -�el v s'/e-v City $ z I P 2 7, �/ Phone # () River Basin L -�1 Adj. Wtr. Body �a/ ky G.i at r Closest Mai. Wtr. Body yes / no PNA yes / no Crit.Hab. yes / no Project/ Activity a /0 , u (Scale: ck) length to ■■�■■■■■■■■■ ■■■■■�■■■■�■■■■■■■■■■■� ■ ■■■■■■■ '■■■ ■■■■■■■■■■■■■■■■N ■■■��■■■■�L■■ ■■��■■■l-WW1 ■�■■■ ■■■ ■■■■■■■■ ■■ ■■■■�i�i� rnber ■■■■■■■■■■■■■■■■■■■■■N■■■!�■■■■■1 ■■■■■■■■■■■N■■,I distance am am ■■■■■■■■■■■■w rAW■■■1 offshore■■■■■■■■■■!%■SI■E�■■■1 ■ x distance offshore- hannel■■■■ ■ii■■i!i■■■■i■■■i■■i■!■■�■aO �r�■■1 ■r,Jc�■� ■■■■■■■■■■■■■■■E ■■r �!■■!IMIN i1 101 bic yards■'■■■ IEMI�■■ME, ■■■■■■■■m■■■ ■■■■■■■■■m■■■Egli NEI s■■■■■■■■■■!i■■■■■■■■■■■■■■1119,■10 NEI ■■o■■■■■■ NONE ■■o��■�►i�■■-w ■■■■■■■ MEN ■■ ■ MEN M■■�E 'JI��■r " aw/ l ■■■®■!! MEN ■M 0■■■ ■!■■■■■oI// :I.-INE FIN pq■■■■ ONE ■■■i7■■m■■■■■■■■ 0■■1.1■1 ' ■■■■■ ■■■ ■■■N■■■ ■■ ■■■■■I ■■■■1>■■■■!9■■■■!l■■■■■■■■r1�'�■■0■■■1 ■■■■■i��1�1■ii■■■■■■■!�■Y■■■■■I�1■I/■■■■{a■■! 1MMmMmMMM■■■■L�1■■■■■■■■■i!�/■r-ieLengthN�!■0■1�■!■■M■■■ 9I■■■■■■■I not sure yes no MA m■■■■■!■■■■■■ ME= NOME�t.'J■■MM■■■1 ■■■■■■■■■■■■■■■■■■■■■■■■■! ■■■■■I xiurn: n/a yes noyes ■■■■■■■■■■■I no IMINIMM�>t/■■■■■q■■■■■■■■■ ■■■■C■!!I■e71■►lllowlp-mmmm 0■■■■■■■V21 ... _ .. NO■■■ ■■■NoMM ■Idiiliill�iifiliiii i■■■■■■■ONE Ping permit may be required by: � f elj- < ¢ 7�- ge"!-�c � ❑ See note on back regarding River Basin Z E G 6 2 g Q •oN mond - Q�b J"Y5 - r Off/ b ,i 5 l M vow Pw4nlg am u! PAP 0lgSede uoW- M-MOM MU 'mopq Mpg Rtiadojd Man, pa**W (**Und VM11t.3 Nis UPMOSAP02 r M aj PMWWmAgQ"9! 593,�to MGM pw lueu*xmms iomawtp eu"ea 4tbM gel YY :tun 1� ZO=Bi Aw-cs--E %ve' � `� �' `� �'� � � � �wi�E�R i�i0 �ATIfl3•UW -1�iVER Ft3R�t! dame afJ1ndM&mI AWlyingFar pemaT Address ofWc pert li J+1 S-t 1q m Stma #, ,Meet or % d) L and C mty) 1 i::- r/•t N:. l! Itr:S { t )` {'1 :... :�Ilr; F«il Cti.i.:.t F: f'11;- a i'f if, ' it " �lSlf. t t [ tt f 1•.ti t•:.:•1�Y 1 «t 't it.- :ti .:i {.'" 1 t,[ t :SI'F: ht;�t !1 :r<�• It � Yt t ' • • tt :rl[ r2 - {I !t 1�`t l • 1..�-pf[7. F. i.i i E: r•; ,rl . ItI luttll..Yf�.'1 {'i•: ':I�i' t t 1' t l,i.t (11 It 1 I have no �-weiq WWCSaL yea► bwft G%M* ms ft what a bed s the ERvisjou ])giveIs of CA ITC 2 405 or tau 910-3" tla s ef�rsem* ta[Si�e mares. i�&rrespeamt is eo �n�w,eaes mQ ob ecl T" Imv bus mom by Cue&&M2M. , boot iroase sr omit S m ' = �L4 ftstaiefarea of smm _ waived by, � 1►� lalArai+�8�se a ,7�ltiac -ems%below) rx I dwwsshID vm&v --*m IT W3c I -don to tbt iS k�4n�eanraerrt Insert Selection Tools Help 40 256CD021' 25FCDO25 3X205 256CD020 T wv " i F-M CD0160 2�5�6 �GAO!20 25-511A2,1D 2,561115 6GD,118 45. s� IL gmll 01 CCD017 )774 x_r tv I3c_ts- ��K1 Y t3w�i�NOTLFICA-nONIiN.AIVER FORM "'mane Of -Individual Applying Far Perimr- ':S o�, S kddn= of Prcqcay___. -5-3 �� 1 (� - ULot or Sty 4, Street or Road) I (City and Couty3 • t :'t tt tt " 1 t :.; :tt,6.:,t is i t'++ fit a i'% i{ (t tt ti t �lIS(! {•.ti ti•.;`t•i 1 �t :S it v .Lt''' t I;t t ;Fi ,t :.t tl :k+ tt • t t ♦ it :•t[ t; tTt�V ! • {.�-i•iti'4. t:1 i. F7r: •' ft * !AI ttif t. i.'i _ . l ii� S'-t t-tti�a fl � 7 t 'i■�d Dr�eve B p ,wanimccum,NC 2U05 atr a�i19 fl-39� :' 3b dAws alrecdo t of #Ids uafmP_ no- res eosz i. eat the maUL- as -aQ objw 7W bwm baa mwffAmA byCarfffied MWW I a Vm# a !i6 MOGr®g PORM bmakwaftr, bout housear bast fift m setbclL*mAdwmftdjgftueegCl.T*Owmy=- at ofr4g -n waived by rombbU traire 8rc sic, low tue, mtje bhak, below. i do. 10 Waive the 1 i' w1backeaseak �tl Comas e i+, e �f . - I since to w$ivc the 35t seek req�e��_ iuo, D 1 rAt� Qs,�,m ,Al- 1 f?�/Z.��!/ Insert Selection Tools Help 4" tF 0 d4C-?=-a Ile 11113 d ml AWying.FDr I'eumt: J <%w, S k v,e� dress Of Property: 53 :-w; e,94 OLOt or SbT2, Sty or Road and may) lly�iadjacent fi -the 1 t * Lw :.ti,iThe i3at t Fi i\ f13 t .•=tit! t-:s ! r:•cr i• I'i )S ! • description or r • t! II1 tttEt•:•/ Y:t .1 ; ! t ' provided - with this 1 t ) t•i iht ! !\ Ti lit. 1' \ 1 Iti`•: ba re fa wbat is bewg use write tine Divbdow ,9.. me�f;. i2T d �� NC � or call. 9��•-3 tbt�s �raer:�rt #fie arertiee. NO -rat k Wired the3Mnae as n Intte ba a aobt W by C M-ma aaQ obj - Al aaderstmd IWa der, dock awggbg ems, bra , boost home ar -box& W mt -a:dIwmwwQCI&ftwwmY= Ofx*3rjmSOCm _ nUIss Waived i3 tke=dmmkVmm PimMd ti,c riarie bbia% below ) i do, 10 vadve� IT - - )Iicant: ifj rrr PJ S7 L�✓P,� Permit #: � Scribe below the HABITAT disturbances for the application. All values should match the name, and units of measuremer nd 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 fin disturbance. Excludes any restoration and, temp impact amount) Dredge ❑ Fill ❑ Both ❑ Other C%`�✓ Dredge ❑ Fill ❑ Both ❑ Other gS' 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 ❑ HOLDEN DOCK & BULKHEADS GREGORY A & DOROTHY HOLDEN 910-842-9732 HIS NCDL 4576438 HERS 5202642 1502 STONE CHIMNEY RD SW SUPPLY, NC 28462 66-1215,531 -- / - 840 _ _ W WAOCAMAW LR1Z1.tINN:(X .'1 111'4152�I.009I{ L• i:053112L521:13000 5753011'0 izw fend Cl— WILDLIFE RORTRAITSO