HomeMy WebLinkAbout55868D - HaywoodI'(,AMA / �--16REDGE & FILL
'ENERAL PERMIT Previous permit #
law ❑Modification El Complete Reissue El Partial Reissue Date previous permit issued
-ized by the State of North Carolina, Department of Environment and Natural Resources
:oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC ��. p e G
(� ules attached.
t Name 5E' -t' 'c A9V G✓da C Project Location: County 2 0 ck
Z 7el- QAx r L /1w„ 2 1 "s2 ,21 Street Address/ State Road/ Lot #(s)
i State *C ZIP
( /D )1?Zr- �i Ja Fax # ( )
ed Agent d ? pe. A& L CIP—,
❑ CW P W QRT+4- EtrES ❑ PTS
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
r PWS: ❑ FC:
Subdivision
City .1,41," 1 CY 0,- ,G} O%j ZIP .2 pV <'
Phone # ( ) River Basin L41/A?,
Adj. Wtr. Body �AN•q O f'�A/14/ (nat�r
yes /rfio PNA yes � Crit.Hab. yes / no Closest Maj. Wt. Body '4 / i'' /-./
Project/ Activity �� C P � 'S r s �.g� ^� v >U 6� P9-el -✓ SA M P Go
:k) length -- (Scale:/
igth
nber
1/ f;iprap length yj o
distance offshore
x distance offshore�"—
annel
do yards_
ip
>e/ Boatlift
illdozing
it
Length
le)
not sure yes no
not sure yes n@
um: n/a yes �` I
no
,ttached: yes
ig permit may be required by: /yw(- O' )) /4ync 4�7 ElSee note on back regarding River Basin ru
�
Special Conditions L ( C'�i .i 4', �" ,, / ,- -r d� 1" /> .11,-,,d fps 4, P1/ ! f
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icant: ,� Pr �%�/ G ✓Or�� Permit
-vibe 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 final
disturbance.
Excludes any
restoration and/c
temp impact
amount)
Ilea C , ' L
Dredge ElFill Both ❑ ❑ Other
S
J C / �f
L 6--
Dredge ❑ Fill Both ❑ Other ❑
Se) r
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 0 Other ❑
Ho")CIV O
GREGORY OCK g sULK
si0-sa2-9732 A & OOROLKHEADS
SUPPL502 Y NC 28462 RD SVy AICDL $ THY HOS 5D2026a2
w TACC, �H e
B-1F2 i C
�r T
-,�
10 S 3� 1 �' is c'i;8000
15 7S30/r
3 723
66-1215/53,
��str 840
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