54572D - Carter

CAMA / DREDGE & FILL r,
E N E RAL PERMIT Previous permit #
Neal ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
sized by the State of North Carolina, Department of Environment and Natural Resources u
Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC �/, , 2 ao o
�G es attached.
It Name_ , '�y 1 �r is /t ) P E9MI e& Project Location: County f�Q y
0 2.1 ri F,'17 s u..Ja^� f,9n/n 1,1) Street Address/ State Road/ Lot #(s) /-2% r A,
'/1IV 90 a State, ✓C ZIP 2? l(j j
2ax # ()
�d Agent P 141y G
cw
OEA
PWS
yes / no
EW i PTA ❑E5 ❑ PTS
HHF IH ❑ UBA ❑ N/A
Ll FC:
PNA yes /Go Crit.Hab. yes / no
4
Subdivision
City1U L �o,,+ ofJC ij ZIP
Phone # ( ) River Basin
Adj. Wtr. Body rJnl it L nat
Closest Maj. Wtr. Body '09 %✓ JJ
Project/ Activity _ %. tof/ A c to Lx , S�,,• J ,vz�,,l .p PLC i{G e ..-,
ock) length pa [ 3
m(s) 7 1 )02
pier(s)
length
camber
:ad/ Riprap length
ivg distance offshore
nax distance offshore
channel
:ubic yards
amp
>use/ oath , 15
neLength�`
notsure yes
gs: not sure yes
..........
,rium: n/a yes
yes
Attached: yes
(Scale:/ /
ling permit may be required Iby: �)/&MVN d pA, El See note on back regarding River Basin i
�c^ �I r..nrlirin /VA / ,/�i Ate. f/--J� Aron'! 7Z1 of vei.i.- /)Y.4—,_. wJ /f /

;ant: k9 -�- by CA.2 f f2
7// s //V
Permit #: S -�' C -22
-ibe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
1 in your Habitat code sheet.
:at 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/oi
temp impact
amount)
7 W
Dredge ❑ Fill ❑ Both ❑ Other
f 2—
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 ❑

Mpg
HOLDEN DOCK & BULKHEADS
GREGORY A & DOROTHY HOLDEN
910-842-9732 HIS NCDL-4576438 HERS 5202642
1502 STONE CHIMNEY RD SW
SUPPLY, NC 25462
ss-
2,00. o0
WA NKAMAW
Supj[y NC 2X4f,
u w.wacca--b.nk.cum
i:05311 2 IS 21:8000 L5753011'0366
WILDLIFE POHTRAITSbU
Lio-0 Clarke

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