53974D - Daniels

CAMA / DREDGE & FILL
3hENERAL PERMIT Previous permit #
.New ' : 'Modification Complete Reissue : Partial Reissue Date previous permit issued
rized by the State of North Carolina, Department of Environment and Natural Resources
:oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC L L)L
�ules attached.
t Name Project Location: County ''J -M) f
Street Address/ State Road/ Lot #(s)
— --- State.-- ZIP -- -- s-'i � �' r_- i l L L._
(_ )_ Fax # ( _) _ Subdivision_
ed Agent Cif ZIP
❑ CW ; EW ,i PTA ES PTS Phone # () �f5(t ' r) River Basin
❑ OEA ❑ HHF ❑ IH ❑ UBA N/A Adj. Wtr. Body 1 A/ V`/
❑ PWS: ❑FC: nat
, _
yes / no PNA yes /� Crit.Hab. yes / no Closest Maj. Wtr. Body j wVy
Project/ Activity s, t C
�ock) length .-�U " F
rm(s)
pier(s)
length
-iumber
ead/ Riprap length
ivg distance offshore
nax distance offshore
channel
:ubic yards
amp
ouse/ Boatlift
Bulldozing
lc�t1 -,l,c xl�'
E NCTt- I�Et7J
OMMMMM■■E!NEEE■■® ■ ■■1
11NEENNEENE 0 ■l■1
■■■■■■ll�l■■■■■WE ■i "1
■ ■ul
Ell
NONE
MOSE
(Scale: ( -
❑ See note on back regarding River Basin
f- r-.a.— -- — }--„

LAMA / C,DREDGE & FILL
k�
.EN ERAL PERMIT Previous permit #
IKlew : (]Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
zed by the State of North Carolina, Department of Environment and Natural Resources
Mstal Resources Commission in an area of environmental concern pursuant to I SA NCAC 1 f i r• ;..
[-R`ules attached.
Name Project Location: County
Street Address/ State Road/ Lot #(s)
A )
State 1. ZIP
Subdivision
Id Agent r� { v_1' _X_ _ii ,�?f4'Fk City `�1 L l.; i?ti('�,t` ZIP—
O Cw p EW [?PTA 2�f5 p7S Phone # River Basin
O OEA O HHF ON ❑ USA ❑ N/A
Adj. Wtr. Body t'� ti ;/`,,t !•"J 4� at��/m
O PWS: OFC:
yes'/ Closest Maj. Wtr. Body
no PNA yes /Crit.Hab. yes / no �o
Project/ Activity j ' ' t r,; ; {" III 0- /f
E
r
(Scale: I
k) length �. tr ?e
} i ivarlL
t '. C
s
;! < ! t, - i_
f j ` ) -
!
- ii- %L. k. S-
s
t
Tr&
I
i I4
igth
ri
g i
x k.
;
i
A
�--
nber
I/ Riprap length
distance offshore
i
FT-
K distance offshore
annel
f
1
i
j
s" t
}_
t
iic yards
r
-
-T—
ip
se/ Boatlift
�
t
Adozing
e Length
i
I I
riot sure' no
i
i—I
I
yes
s: not sure no
I
yes ti
ium: n/a yes
nq
R
I
T
—
yes
rInol
I
I
I
Attached: ves
I
I
ng permit may be required by: }-'t"'f)t _ ❑ See note on back regarding River Basin rt

Division of Coastal Mgt. Habitat impact Computer Sheet
licant: T( Arl fl(4,(/tf e tS
S/1&/1n
roz-"A %Ttt� : 5 3q 74 C("114
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
acts
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
tempimpacts
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
' l
Dredge [I Fill [I Both [I Other K
V
J
Ifs
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 ❑