77210_Robert M. Mckinney_20200807

1e-5
?i_CAMA / Li DREDGE & FILL ( (0(425T7 N() 7 7 7 1 0 A C D
��� GENERAL PERMIT Previous permit# N}\
•:New DModification flComplete Reissue ❑Partial Reissue Date previous permit issued tjf t tL
s ai thorized by the State of North Carolina,Department of Environmental Quality / 1��
4 Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC U 7 N
a, ( itsles attached.
Applicant Name--Pa3per A4_ Mb 4,1J41=/--- Project Location: County L -/7•e-/Fr3'7 r
Address 2 it,/ 'D t+e. G 4-• 7( . Street Address/State Road/Lot#(s)pr?_.SJ2 /3-c$ T
City P /4-r/si6,'T-0,4 State Al t:.ZIP ,` -7 4f q q E /-?_5. Dt+G/L G P-z-zaL__..----
Phone#( Z_) 41`leZ ' E-Mail Subdivision '27,-IC e L/L�' TX Authorized Agent T.1•• 5 it'fAta, Ge"a`r- City /vft3r/t'1-)4-r-a 4 -------- ZIP 2''•'$fs'3
River Bass -t 1., 7.
Phone# ___-_
n•TT�e _�
❑CW ❑EW PTA ❑ES f(�jP'TS ( )
Affected 00EA ❑HHF ❑IH ❑UBA ON/A
AEC(s): Adj.Wtr.Bod G.0 k /man /un�i)
y_Ded_<<�
O PINS:
Closest Maj.Wtr.Body PAN144GO �,v3t'E _.
ORW: yes /� PNA yes /.-ni a
Type of Project/Activity f NI r f-1 C- /vc) - Of t3 ti 4 '
(Scale: / '3j, ' )
Pier dock length - -
Fixed Platform(s) I I • I ! 1 .
Floating Platform(s) :i)LI s�r__ i i
Finger piers)- I.
syrt q ) _
G
Groin length —_ s1
1+iJLp.�r�c t IJ t
number-
' � 9t.�Tx u o'h I --:
ulkhea lkiprap length/0 0 'NI ' , I. ►J.'z- +a,� _.. :
avg distance offshore_ . ' I 1
max distance offshore—J) s ; !
Basin,channel __ - '
cubic yards -
Boat ramp __ _2_...,_y�. .__-...t-. I ---i—..
Boathouse/Boadift ______
- - —_ ?rLvPc�y Tom,
I
s�iTL
Beach Bulldozing - — -I ---,t-
i
s
*1 O _ - - .. - I _ - -i . _
I _.
Other i Of r3 ci Liles)E/ 1 A .t t E
i
Shoreline Length -r 1 nS2_ _.._ ' A'^ _ _-I 1.__ —
! cry , 1L ri LL \ T fs['�.:•;,gLn
SAV: not sure yes �tt�I NI - rumpA `- , P�dn
Moratorium. n/a yes t i m4 ' -)i--)-`, -I
Photos: yes ! f • Inc�/ 1
I • •
Waiver Attached: �'� no �. --._
A building permit may be required by: -ep'r-i1 a--rc Co • See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions SdM, 5r7--v.4-t pi +to )3 H t"C t /4't'`'r kii L.iv
r ' �P�Ya t-
ermine
Agent or pplican ri ed Name �-� P ' Pikers Printed N_
Signature "Please read compliance st ent on back of permit" Signatu
.0( G h k w `' /'Z - -7• 2-c - —
Fee(s) —— — Check# Issuing Date Expiration Date
Application

41 _ CAMA/ ❑DREDGE & FILL No 77211 A V C D
GENERAL PERMIT Previous permit# li.lA
�G$New ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued m 144,
As authorized by the State of North Carolina,Department of Environmental Quality
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC Y) 1--) • / 1 dC) .
i&IRules attached.
Applicant Name LA 72-y .73. 01...,l-.2 Project Location: County % brz T- <d ,
Address -7ZCP 477 .7'L_ L Li Loch-T Street Address/State Road/Lot#(s) p 5 /35--
City lilt(-!7'ZE-0 v/(,L E State He-- ZIP 2 ce$?1 e )/' 17 u c le-- Gs -x 5; .*t t-5 d .
Phone#(7-5T4 -7/-7- - 3 0 E-Mail Subdivision Dti o,c- Giz mo
Authorized Agent ' T Y S /rAZ7r+-&- City 4/ d-i>J4 4 ZIP 2,7 y g y'
Affected ❑Cw ❑EW TA ❑ES cS.PTS Phone# ( ) River Basin- -?AAA L.;e cp
AEC(s): CI OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body'D Lit-x.. C/7- 7L ‹nat)nan /unkn)
❑ PWS:
ORW: yes / no PNA yes - no Closest Maj.Wtr. Body :?4V7 .. I 0 27 y 1
r
Type of Project/Activity i ra S;Au. r o 2 o f 13L&L,x.r 4 b
AA
(Scale: ) ;- a )
Pier(dock)length
: i I 'll'. j l
Fixed Platform(s) — I7 j
Floating Platform(s) i I �'�[:1t -7 r-1 ij pI ,
Finger pier(s) L r-) T.•_?
Groin length 7
number "b___,.._44 _._L.7z.c.A._ _.Jilll
Bulkhead/Riprap length 1 00 - - "- ' ---- -.__ _..._.._..._.. __. __ — i._._.
avg distance offshore b i
max distance offshore J' 11
f . °
Basin,channel - . • ( i •
cubic yards c> 1 L,,�,r1'tir,
Boat ramp I j
Boathouse/Boatlift till
.___..._........._..--_
i
Beach Bulldozing %it J `\
Other V y ![),5p .P i - �zum .Z
►�� L q nn A \ �` `L
, . - ,\
Shoreline Length * t c-c7 creier. I
SAV: notsu +yes no - ---. ! �,�jW,1 1 Slrt1C.!
Moratorium: n/a yes r)o t ; *- ct 1,-y-ry�
"Vt
Photos: yes no _ ,..._. .-- hi 1 f;
I t....� '("` .....
Waiver Attached: i ! I I I °
F e noteon back regarding River Basin rules.
A building permit may be required by: 11,M�cYi� See g g
(Note Local Planning Jurisdiction)
1 Notes/Special Conditions Ld'T tS nAta-1 wt A r-41-170 LAw 1. 1
r
" E Lc.), 'n'g'
Agent or Applicant Printed Name Permit icer's Printed Nape
a
Signature **Please read compliance statement on back of permit** ignature
p (..-1k. LrLc /3sd:T.4i g . -7 • Zo2c) i2- -7 • zo -D
Application Fee(s) Check# Issuing Date Expiration Date

Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become
null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The
applicant certifies by signing this permit that I)prior to undertaking any activities authorized by this permit,the applicant will
confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian
landowner(s).
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief,certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar-Pamlico River Basin Buffer Rules Other:
Neuse River Basin Buffer Rules
If indicated on front of permit,your project is subject to the Environmental Management Commission's Buffer Rules for the
River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of
Water Resources. Contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the
Wilmington Regional Office(910-796-7215)for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave 943 Washington Square Mall
Morehead City, NC 28557 Washington, NC 27889
252-808-2808/ I-888-4RCOAST 252-946-648 I
Fax: [phone] Fax: [phone]
(Serves:Carteret,Craven,Onslow- (Serves: Beaufort, Bertie, Hertford, Hyde,
North of New River Inlet-and Pamlico Tyrrell and Washington Counties)
Counties)
Elizabeth City District Wilmington District
401 S. Griffin St. 127 Cardinal Drive Ext.
Ste. 300 Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax: [phone]
Fax: [phone] (Serves: Brunswick, New Hanover,
(Serves:Camden,Chowan,Currituck, Onslow-South of New River Inlet-
Dare,Gates, Pasquotank and Perquimans and Pender Counties)
Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/17

erJ CAMA / DREDGE & FILL N° 77211 A C D
GENERAL PERMIT Previous permit# N. -)A,
��-%,INew ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued :,) I\q
As authorized by the State of North Carolina,Department of Environmental Quality
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC [D-1 I--I • / ) vU
Rules attached.
Applicant Name -A' -i ?j!r„.pw r-) Project Location: County 2cf'4.-"r daa r !� .
Address r 4"44c. 147"7-47._1 / ' loe.,z-"7- Street Address/State Road/Lot#(s) -yr 5 !�,-
City Ai,ti`TEiP t- /:_,L e State 1`l L ZIP 2 {Q v ca 11 y ,J de.... � v.0-IeD02 r$ Ii2.d .
Phone#(i;:) 7/- -. -,ci 3 D E-Mail Subdivision yN eI !n
Authorized Agent ''J S fr`Az 7 r -c City ;1/►3 I-1-s,-/4 1 a r.) ZIP 2'7 5,1 g 5
❑CW ❑EW A ❑ES p.PTS Phone# River Basin-f�C- ?Ann L. , ,v
Affected
❑OEA ❑HHF D IH ❑UBA ❑N/A
AEC(s): Adj.Wtr. Body -7D Lie )G t i�G t1� -lnai)man /unkn)
❑ PWS:
ORW: yes / no PNA yes / n Closest Maj.Wtr. Body P�1n-r L..,c J /2 1 i2� .1
r
Type of Project/Activity , A•ti,>., � )C7 v o • ,
(Scale: ) .;3 o )
Pier(dock)length
Fixed Platform(s) I i ;
Floating Platform(s) ��y-r71, p( f
Finger pier(s) _/ -r �. 1y . _�_ _ _
Groin length i { j 1 { �W�
1 1
number �" �'�lL_L.1Z__. ,Y {
!
Bulkhead/Riprap length t O Cam ._—I _; __ �.._.___i �-�- -__._._, „._...... _.__._
I
avg distance offshore D 'I i
,/
max distance offshore v' 1 1
Basin,channel 1 I
I -
111i o 5'n7_ti f% c.,c.)
cubic yards d r `i! , /X, -
Boat ramp
I i
I
Boathouse/Boatlift —.--. .-*.-- — — _.-_._` _____..__.
j
/ — i .._ —_--..-- _
I ! 1
I ')
Beach Bulldozing i �`y w
i. , , ,
Other !Wt),t.f1rL P , ,
i , , , . . : r1/4 A. ! I
Shoreline Length = 1 !�c) I j { ! ��\ { - ! �*A T p
SAV: not sur� yes no Jj2,q..,w•.i 1 ! ikr—I- /hc! fi
Moratorium: n/a yes (,...no—) . tNi "Ni
Photos: yes no f �. ,.. .. _.. .._._..—;— ' ':4A�_�__ .
Waiver Waiver Attached: �y : I . ! i I i
A building permit may be required by: 12, -Nn-"rc e-t + e u • . ji See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions �-r 11? "n, r-v't ht,-i--15,--) �.w..., +-
Y /-y_ c y jP►>r
Agent or Applicant Printed Name Permit 0 icer's Printed Name
r
r
Signature **Please read compliance statement on back of permit** ignature __.
p (-ilk_ `f-oe, , i3c 4" .,c . • Zo-zo I-2_- -7 - 2.-O . -cam
Application Fee(s) Check# Issuing Date Expiration Date

Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become
null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The
applicant certifies by signing this permit that I)prior to undertaking any activities authorized by this permit,the applicant will
confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian
landowner(s).
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief,certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar-Pamlico River Basin Buffer Rules Other:
Neuse River Basin Buffer Rules
If indicated on front of permit,your project is subject to the Environmental Management Commission's Buffer Rules for the
River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of
Water Resources. Contact the Division of Water Resources at the Washington Regional Office (252-946-648 I) or the
Wilmington Regional Office(910-796-7215)for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave 943 Washington Square Mall
Morehead City, NC 28557 Washington, NC 27889
252-808-2808/ 1-888-4RCOAST 252-946-648 I
Fax: [phone] Fax: [phone]
(Serves:Carteret,Craven,Onslow- (Serves: Beaufort, Bertie, Hertford, Hyde,
North of New River Inlet-and Pamlico Tyrrell and Washington Counties)
Counties)
Elizabeth City District Wilmington District
401 S. Griffin St. 127 Cardinal Drive Ext.
Ste. 300 Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax: [phone]
Fax: [phone] (Serves: Brunswick, New Hanover,
(Serves: Camden, Chowan,Currituck, Onslow-South of New River Inlet-
Dare,Gates, Pasquotank and Perquimans and Pender Counties)
Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/17

0 CAMA / DREDGE & FILL N° 77211 A BCD
GENERAL PERMIT Previous permit#
>Z - New Modification ❑Complete Reissue Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC .
Rules attached.
Applicant Name ..) ;::,-—' Project Location: County
Address e. r ', Street Address/State Road/Lot#(s) ., J;_ i ' ,;,,;-
City _ State ' :.- ZIP 01.:,t t ; a
•
Phone # ( ) E-Mail Subdivision )..
Authorized Agent City ZIP i ,< ,I
Affected ❑CW ❑EW [PTA ES ❑PTS Phone # (_ ) River Basin
AEC(s): ❑OEA ❑HHF ❑IH UBA ❑N/A Adj. Wtr. Body (nat /'man /unkn)
❑ PWS:
7
ORW: yes / no PNA yes / no Closest Maj.Wtr. Body , . ` /-"' ' ..,
Type of Project/Activity
'
(Scale: ) - >p )
Pier(dock)length eN
I 1 1 I I
Fixed Platform(s) I i
i
Floating Platform(s) _ i+ ,-r-` } ,i,t 7 ;
I —
Finger pier(s) . .. ,z js. .�___— ...._........ ' I
Groin length
,. _ i i '..
number_ - L +....,_ST.__.t. :.� t �L .....;fit ... �. G
Bulkhead/Riprap length —" I ,
avg distance offshore :> I j { i —
max distance offshore `)' I I \'Basin,channel Ai I
I I 1
cubic yards
\ } { i. , >, j ,.�7 t.l }
.,-„r c�,4 it. 4. ta,. -,')
Boat ramp I I ; I
I 1
- -........._....__..._y_.
Boathouse/Boatlih i I ..—...._t— .
�• —t--- ; -`"---
Beach Bulldozing l5JP � I a
1 ✓ r ", ,Z 11 I
Other ita:> . z ✓ L. I, 1
I tv� c,.
-
Shoreline Length__ = •t- 4.) I I ' I ' {4 ,
{U GC✓W-.1 i '7ri,'4�,-\- Lr 1SAV: not sure yes no i I . `'j
Moratorium: n/a yes no i 1 I . I.y-i„ I.
Photos: yes no ' 1 i"et '� L
I i — _ r' �+
Waiver Attached: yes no
A building permit may be required by: titi1. .-4y i .. '' -Z - F. See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions t. 1�
/ . . / : ,
Agent or Applicant Printed Name Permit Officer's Printed Name
r
Signature **Please read compliance statement on back of permit** ignature
r' I f-.:7_;7 r _ . 'o -,_' . «.. _. i - J `"'-
Application Fee(s) Check# Issuing Date Expiration Date

Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become
null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The
applicant certifies by signing this permit that I)prior to undertaking any activities authorized by this permit,the applicant will
confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian
landowner(s).
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief,certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar-Pamlico River Basin Buffer Rules Other:
Neuse River Basin Buffer Rules
If indicated on front of permit,your project is subject to the Environmental Management Commission's Buffer Rules for the
River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of
Water Resources. Contact the Division of Water Resources at the Washington Regional Office (252-946-648 I) or the
Wilmington Regional Office(910-796-7215)for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave 943 Washington Square Mall
Morehead City, NC 28557 Washington, NC 27889
252-808-2808/ I-888-4RCOAST 252-946-6481
Fax: [phone] Fax: [phone]
(Serves:Carteret,Craven,Onslow- (Serves: Beaufort, Bertie, Hertford,Hyde,
North of New River Inlet-and Pamlico Tyrrell and Washington Counties)
Counties)
Elizabeth City District Wilmington District
401 S. Griffin St. 127 Cardinal Drive Ext.
Ste. 300 Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax: [phone]
Fax: [phone] (Serves: Brunswick, New Hanover,
(Serves:Camden,Chowan,Currituck, Onslow-South of New River Inlet-
Dare,Gates, Pasquotank and Perquimans and Pender Counties)
Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/17

Authorized Agent Consent Agreement
I' "^rry4'1rla/ rfe �)r• ,herby authorize Tobin Jay Tetterton of
(Pr perty Owners))
TJ's Marine Construction,LLC to act on my behalf in obtaining CAMA permits for
the location listed below.
PROPERTY ADDRESS:
/lLI(- (p4 Sharers X�
/t4A/'4 7'O4
PROPERTY OWNER'S MAILING ADDRESS:
7-16 r (��r ou�f
,/ 2'5 t
Phone No. 2 - 7/7 7q,3O
PROPERTY OWNER'S SIGNATURE:
AUTHORIZED AGENT SIGNATURE: 7a4
TOBIN TETTERTON
DATE: 3t,l,4y /q 20)6
W/Authorized Agent Consent Agree.

ADJ ENT g pARII „N lots T OWNER STATElvirarr
I hereby certify that i own property1 adjacent to Lit rev `�rLgl tin4/ i,1 iJ r. 's
property located at //r 4JUC,(� ((,f'E' k (NaSLjr e ofProP 51 t
n (Address, Lot, Block, Road, etc.)
on `Ja L C tt :e'< , in �cr4r 77 _ , N.C.
+,`Waterbodtf) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
locat
ion •
Adi; _ i have no objection to this proposal.
have objections to this proposal.
az::CR.3
DESCRIPTION ANDi?GR DRAWING OF PROPOSED DEVELOPMENT
(Individual propos 11c eev nei e must fill N.- 'escription below or e.ach a site drawing)
Z/4 / it/Ah
/ O '
'1 iisc.^ ? WAIVER S:CTIOI i
cpa-,r: I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set back a minimum distance of 15' from my area of riparian access unless waived by
Ei me. (If you wish to waive the setback, you m,astnittiai the appropriate blank below.)
kI
I do wish to waive the 15'setback requirement.
I do notT•wish to waive the 15'setback requirement.
(Property Owner Information) (Adjacent Proper r Owner irdonnation)
Signaere afar e r
L rrri ��!/mA, Brr /r� vr� /J 'r /1ieL'-r� e
Print or'ype Na Print or e Name
7Qz� � T Coro/t o?4( i arc tiCrcr� /-o
Mailing Address Wino Address ..
city ate✓Zip C. /State2rp
52 - 7l ? - 736 ,Jd- �o21
TelephoneAfum er/email address Telephone Number/email address
7/iy/,�c. 2 7- I (! - z—z
Date Date*
(Revised Aug.2014)
"Valid for one calendar year after signature"

r
ADJACENT RIPARIAN PROPERTY OWNER STATEIVIENT
I hereby certify that I own property adjacent to rr/ %4/f/),z,/ f' �r//I,�Jr 's
/� (Nam of P opaity,Ownpr)
property located at f/� Dic &7e Sfl4r/5 Ke4a Gf/sh/i,5 f' 'i �L
(Address,Lot,/ock, Road,.etc.)
on i*d d (leek , in .ccr Fvrf (0G(,77y , N.C.
(Waterbody) (City/Town andfor County)
The applicant has described to me, as shown below, the development proposed at the above
location.
w;;a ;)k Li l have no objection to this proposal.
Pro Psrq.;
CaL'AIW l have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill In description below or attach a site drawing)
0(.1 1
U�
/1ea �
_T/)c_S16///
l
° (1.\ 64/)
WAIVER SECTION
.., i understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
a w, must be set back a minimum distance of 15' from my area of riparian access unless waived by
me. (If you wish to waive the setback, you must initial the appropriate blank below.)
k I do wish to waive the 15' setback requirement.
I do not wish to waive the *15'setback requirement.
(Property Owner In orrnation) (Adjacent Property Owner i nbrrnatioa )
S gnature
a/ grakJA,-1 r. An,sv 1` la icji1L,ic- P C)
Print oriTy a Name Print or Type Apme
726 .5zt//r1 6u�f },r . .:�.�
M 'r Address Malting dares
�r'rviY7 /VC N .Q
C' /State2ip
t -7(7-7r30 " 9 0 9
Telephone N ber/email address Telephone Numr/email addressa c;
Date Date* f,
(Revised Aug.2014)
*Valid for one calendar year after signature

1
YJ
11 a

NC Division of Coastal Mgt, Habitat Impact Computer S4,eet
Applicant:LA^R fit/ w J
Date: , • 2 0 2 D
General Permit#:—7—)2)1
Describe below the HABITAT disturbances for the application. All values should match he name,and units of measurement
found in your Habitat code sheet
TOTAL Sq. Ft 1 FINAL Sq. Ft. ': TOTAL Feet FINAL Feet
(Applied for. (AnticipatedFrtal (Applied for. (Anticipated anal
DISTURB TYPE Disturbance total disturbance. Disturbance i disturbance.
Habitat Name Choose One ncludes any Excludes ry total includes i Excludes any
anticipated restoration any anticipated restoration and/or
restoration or i and/or em p restoration or i temp impact
temp impacts) impactamcunt) temp impacts) I amount)
a
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Dredge❑ Fll!❑ Both ❑ Other ❑ i !
Dredge❑ Fill❑ Both ❑ Other
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Dredge 0 Fill❑ Both ❑ Other ❑
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Dredge❑ Fill❑ Both ❑ Other ❑
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Dredge❑ Fill❑ Both ❑ Other ❑