54589D - Carter

,LAMA / 'DREDGE & FILL
jF�ERAL PERMIT Previous permit #
.Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
rized by the State of North Carolina, Department of Environment and Natural Resources r-%�
:oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC //' • / 1a d
0;+Ru1es attached
t Name IJ->t(190 f PZ
��0�11c� State, l c ZIP
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;ed Agent KrIZ 05_y l c e,,
❑ CW L�tV ZETA ❑ PTS
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
yes / `o PNA yes / o` Crit Hab es / no
Project Location: County, l�cyw_S0w11C.'(
Street Address/ State Road/ Lot #(s) 12 7
Subdivision
City ,�� 1 o�P, ����� zip 2 7/!�
Phone # ( ))+ River Basin L Adj. Wtr. Body ef%r,a I e)7q 'vG✓ (nat.k
Closest Maj. Wtr. Body
' Project/ Activity �/F4O/7L AC f i ,,e.S 7 i— q
(Scale:/
:k) length
L S�
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ier(s)
ngth
nber
#% Riprap length —
distance offshore I �L
x distance offshore
cannel
sic yards
ip
W Boat�
Aldozing
Length
not sure yes
not sure yes
um: n/a yes
yes cW
,ttached: ves
ig permit may be required by: J, ��(J'o,.� 94/i C ❑ See note on back regarding River Basin ru

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Permit #: S— yS_ C f
tribe 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 fina
disturbance.
Excludes any
restoration and/(
temp impact
amount)
Dredge ❑ Fill ABoth ❑ Other ❑
�S
,S!
> L
Dredge ❑ Fill)Z Both ❑ Other ❑
7
Dredge ❑ Fill ❑ Both ❑ Other
j 6) U
S0 d
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 ❑

7-777
HOLDEN DOCK'& BULKHEADS 3670
GREGORY A & DOROTHY HOLDEN
910-842-9732 HIS NCDL 4576438 HERS 5202642 861215/531
1502 STONE CHIMNEY RD SW �2. 0 — (� 940 e
SUPPLY, NC 28462
Dom L .,u
�l WC AMAW
8= NC 28462
rurum.ruuccmm�mbunk.c m �e,
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i:0 5 3 L 12 IS 21:8000 L 7 5 3011'0 3 6? alp fowl
WILDLIFE PORTRAIT9A