54561D - Battleship

CAMA / DREDGE & FILL
GENERAL PERMIT Previous permit #
,a Modification FIComplete Reissue Partial Reissue Date previous permit issued
prized by the State of North Carolina, Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
Rules attached.
,t Name U SS 111(___ I?� �__��-�'
1 L4 me �s ire 1Z
liP7 State AW ZIP f l
J 51q^ Fax # ( ) --
zed Agent S Yh F, ' )
i CW E4EW E�PTA ❑ ES I PTS
OEA —1 HHF IH a UBA N/A
PWS: ❑FC:
yes / no PNA yyee / no Crit.Hab. yes / no
t \
Project Location: County /(fG"/,t' ! r/yy�pyl,
Street Address/ State Road/ Lot #(s)
�« C
Subdivision
City S%AWf ZIP
Phone # ( _) �5A41--v River Basin
Adj. Wtr. Body 61a/
Closest Maj. Wtr. Body �F•�
,f Project/ Activity yS rr: : l; %f i ii 1 Gi �l ,,di. �, ' i ,✓�i>d �/ �'C� �t f/�,
. l000
ack) length
:)ier(s)
=_ngth
ember
id/ Riprap length
,g distance offshore
ax distance offshore
hannel
ibic yards
mp
use/ Boatlift
iulldozine
(3
t •"n !yS x
ie Length
not sure yes o
;s: not sure yes o
rium: n/a yes no
yes yes Ao
Attached: yes n
ing permit may be required by: // 14 Ch . IGVl'lpn ❑ See note on back regarding River Basin r

IC Division of Coastal Mgt. Habitat Impact Computer Sheet
pplicant: V55 / C 641*51* " `ekwl-I W Permit
late: 000
escribe below the HABITAT disturbances for the application. All values should match the name, and units of measuremenl
)und in your Habitat code sheet.
labitat 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 fina
disturbance.
Excludes any
restoration and/
temp impact
amount)
Dredge ❑ Fill ❑ Both ❑ Other
S
y
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 ❑

MEBankofAmerica. 0037 3- 531
3006 Hall Waters Drive, Suite 100
Wilmington, North Carolina 28405 May 20 2010
[phone]
Two hundred DOLLARS AND 001100 CENTS
$200.00
:NR NOT VALID FOR AMOUNTS IN EXCESS O $y, .00
1r003?9311' ':053 100025f: L83856?3 �11�