77211_Larry Brown_20200807

iz l4-S
�` _ CAMA / 1 DREDGE & FILL ��(�p N O 772 1 1 A Le> C D
r� 00
GENERAL PERMIT Previous permit# N 1_112
1(New Modification • Complete Reissue OPartial Reissue Date previous permit issued ,y l,t.
As authorized by the State of North Carolina,Department of Environmental Quality
ana the Coastal Resources Commission in an area of environmental concern pursuant to I5A NCAC e)7/-•) • f)00
p Rules attached.
Applicant Name_Li412-12+ 11 tsi/..) Project Location: County_$EY1•1 Fo/2 T- lC) ,
Address 7Z4" V N7-7-D72-' 'r l04.10--T Street Address/State Road/Lot#(s)_,c! SR_ 135-R
City_Pr(47 viLLE' State.'- ZIP 2 gs,delU r� )19 ' t,G,rc- 642-e ..a�M0✓L 7td •-----
Phone#(26'2} '7/7, '4'3 7 E-Mail _ _ _ Subdivision t+e-/e- e"4 -e.
I i
Authorized Agent --I-77 S MA2,7ri _ City_f J 4idar iJ ZIP 277 y g i
Affected Li CW DEW kfTA ❑ES pIPTS Phone# (__) River Basin 1 -P+wt L.r'v
tl OEA U HHF 0 IN O UBA Cl WA
AEC(s): Adj.Wtr. Body-'Z?uG>G Cif e�7 . ( tn. /unkn)
PWS:
ORW: yes /no � PNA yes no Closest Maj.Wtr. Body_ f t) 2?11 VL
i
Type of Project/Activity 0-1„A-L-_ [4 o'F + kk,K,r•.1-c`+'1C7
(Scale: ) -- 3 o )
Pier(dock)length
Fixed Platform(s) + '
Floating Platfonn(s) I 41[> rly I
Finger pier(s)— • G r,1 T• •�_•.,.) . 1
Groin length _
number 1p►4 GiC. '.!.! . . , ,_ ' i `' _ ..
Bulkhead/Riprap length i CC) - '� • • - 1
avg distance offshore a ;
max distance offshore )' ' ;
Basin.channel A .
-- t td 9T t t 4. rJ
CUBIC yards._ 1 . _ _ _.. _ ��r 'irk'1.a_ti'1G.-
Boat ramp I
tlik t .- - . {
•
Boathouse/Boa I i '.�_1—` _•+-j- -'1_T---,.�-_
Beach Bulldozi } I ® ? ~ i ! i r
Other- / 1_._ _`- 1�
I i_
Shoreline Length*_LGZ_cZ._ I CA°^ r - I
SAY: C not yes no ��upj. 1
Moratorium: n/a yes rya ex., -„r.,)� , I 11
•
Photos: yes ye m iI I j i)?�M-P ! 9'0.
Waiver Attached: t _ - --__. -_.;__ ---_i_--!_._ , _1_.i__-
A building permit may be required by: 1 RA-A-A-FtYt C O • . ',':? See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions 1,47 )3 n-Afu,t- 't Jci r-\-b.) LA r`,1
Agent or oilcan Printed Name Permit° scer's Printed Name
r
Signature **Please read compliance statement on back of permit** ignature
-pe, 6:-.7k- t7` c /3S"4:.43—-- . -7 ' Z°2.c) /-2-- -7 - Zo 20
Application Fee(s) Chock# Issuing Date Expiration Date

CAMA / DREDGE & FILL N° 77210 A © C D
GENERAL PERMIT Previous permit# tJ l,q.
>�-=• .-''New :-'Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued nl 1
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 15A NCAC i 1/-1 ' I t aco
Mules attached.
Applicant Name-Po 13ge r Al. /4 e, 4/A.)"/t Y Project Location: County - T
Address 2 it-1 V 4G G Gee-e-, 7zof . Street Address/State Road/Lot#(s) pry . j /3-5-$
City Zi/ ill-rJ.146'r-0,Q Stated L ZIP 2-7 r q e /2 5- 1),4&le, z, . v)(
Phone# (2r'-) 64 ' 2 44 E-Mail Subdivision ' 7ei G.le----
Authorized Agent TS S /t1/4 04 e-z=^)Sr'• City li,r`ith 104-ram h! ZIP-2.--7Ersq
Affected ElCw ❑EW ,PTA ❑ES ,IbPTS Phone# ( ) River Basirf-7 e-ay- L. e v
❑OEA 0 HHF ❑IH ❑UBA ❑N/A G2
AEC(s): Adj.Wtr. Body 7L e..,e 'e,� 4 /man /unkn)
❑ PWS:
Closest Maj.Wtr. Body Pq/v1 t,,Lp i i
ORW: yes /4:10 PNA yes /
Type of Project/Activity t rl S t- I 4_70 ' I,f 1314 L,e.3-r.4
(Scale: / -3v I )
Pier(dock)length ) ,
Fixed Platform(s) « I -
Floating Platform(s) I ' ptate t �
-I- I * I
Finger pier(s) i i G �
Groin length ! i \`J E- EX`S"'J 4, i I + ,
number _ _ ! i---. 9' /40!ot�t tO ....._.L _
ulkhea¢)Riprap length/0 0 -I -i N r
/ - J� +1
avg distance offshore
I
max distance offshore ) ' 1 1
1 •
Basin,channel I « i
l 1 i
cubic yards l 1 i f
I �-� —
Boat ramp
Boathouse/Boatlift -.._ _.
..... I I- -
i ! Pas,?n s t= Tv 1
Beach Bulldozing Ti+z c
'f/OJ i_ I I
Other OF gPi L44,4-E/40 / _
i r i c�Vr,R 5'l: r-
i
Shoreline Length - I b p u q rov'‘►«a
- nzlc —
SAV: not sure yes 3T2!/u�AJ'--- P �, c \ ���L _\ \ \ "\ L1Y7__.._._�
Moratorium: n/a yes p ` `— ‘ h� , 1-��?lJ--. _ Y
_4 ri/14%1 t- r4L i
- II il 4
Photos: yes -___2' c p I _ -
Waiver Attached: 1p no
L },
A building permit may be required by: -40-2-r•Fci-tz- Co - . See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions sd/.--/,- _.5^7-u.i-,p3 ,e..) 33 1 L- t-}- 4 , -/a,7�k zN
1/8
Agent or Applicant Printed Name Permit Ificer's Printed Name
/e- -gSignature **Please read compliance statement on back of permit** Signatu ` C
pd G�� Ir e /35'- g • -7 - zv� 12 - -7• Zd2-c)
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 252-946-6481
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

0 E CAMA / ❑DREDGE & FILL No 77210 A _B�) C D
GENERAL PERMIT Previous permit# - ri '�
�� New —Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued , i
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 - " 4 • / 1 vv
I1,itules attached.
Applicant Name L?v3i-r /t /. /1.1 c. 4,,,,I tit c/ Project Location: County / - -,'1 c / `"
Address -; `f'/ ''c-..:-=t_ GAt -)( 7z'..o4 . Street Address/State Road/Lot#(s) ;yam'- 4;72 /3 i $
City rt/(4,5/-/-1P-/A-r-d^i State ,&) LZIP -7ii ,1 i:i / .� 1 /7: 2.rJ;1c
Phone#(zt"-) ‘;Ica- - 65{ E-Mail Subdivision 'J€,C t L/1 eZ;7L
Authorized Agent TIT s A4'd4'a,.-4- .o'1 -7- - City ,%vr14 r4,a 14-+-- A-i ZIP 2'7 ems'
Affected ❑CW IIIEW ,IgPTA ❑ES JJPTS Phone# ( ) River Basin' // - r+.< t.t -v
AEC(s): IIIOEA ❑HHF ❑IH ❑USA ❑N/A Adj.Wtr. Body LI :G ✓ Gg e X (nl)/man /unkn)
❑ PWS:
Closest Maj.Wtr. Body RO"' CO 2'`'a
ORW: yes / no PNA yes / no)
Type of Project/Activity /4,70 et F /,�.1_,- "
(Scale: / Se) )
Pier(dock)length
i ! I
Fixed Platform(s) I
Floating Platform(s) ( i D e.4 L e.. I j
Finger pier(s) " __.._ ------ , .
Groin length f �- y' `1
number ............ ./c P s!. is �._..
i Re--I Bulkhead/'Riprap length /o.c'] !—' �--;Ijire )�)— �_.. �.-
avg distance offshore .) ,
— I i'
max distance offshore 2) I 1 1 1 i
Basin,channel 1 1 1 I ! I
r
' I i it
cubic yards I i
Boat ramp I
Boathouse/Boatlift __ _--__.._ -- —
t
7
Beach Bulldozing I + 31-e-v-t G I 1
¢io0
Other I DF h 2.44.4f/4D I L
I f 1 An^A 7-1 Kt.--
I L_ \ !
Shoreline Length — o 0 I 1 , ( �<1.-- ilir
i 'at/ P Sry°c16f ICzk i 'L
SAV: not sure yes 3 q till \_ 'I \ N \ \ L✓� r7\ e-A
Moratorium: n/a yes n7 ' I
Photos: yes Win^ IP - - -;—I t —._.__..._.._.
Waiver Attached: yes) no 1 1 I ' '
A building permit may be required by: -rF-ca-r' /'a • . [-See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions , >.M e. ST v n-•p5 ,"..' 33 L-4 t-F/-4'2•")'D A-n it,r .7 c-A) i -
ykkiit,c y 'f''Ya 1.--7
Agent or Applicant Printed Name Perm f cer s Printed Name
Signature **Please read compliance statement on back of permit** Signatu2-4-1-.."- S..)
/n o, G h k r v '> 13 SL. -- g • -7 - �c�'z.a /2 - -7 . 2 a 2,>
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(910-796-72 15)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
252-264-390 I 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° 77210 A BCD
GENERAL PERMIT Previous permit#
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 Street Address/State Road/Lot#(s) •
City State _ZIP
Phone # ( ) E-Mail Subdivision
Authorized Agent r City ZIP '
Affected ❑CW ❑EW ❑PTA ❑ES ,E]PTS Phone # ( )_ River Basin
AEC(s): ❑OEA HHF ❑IH ❑UBA ❑WA Adj.Wtr. Body _ - (net'/man /unkn)
❑ PWS:
ORW: yes / no PNA yes / no Closest Maj.Wtr. Body '
Type of Project/Activity
(Scale: / ), )
Pier(dock)length I L
Fixed Platform(s) 1 I
Floating Platform(s)
Finger pier(s) —1 i- r t �' — .
Groin length 1 I I G Y
number 1 ` :.>.. �.. ` r
Bulkhead/Riprap length F,`r._._.. Y...�__T� i R _.-
1
avg distance offshore __
max distance offshore I
Basin,channel i 1
I I 1
cubic yards i 1
Boat ramp t L ( ,
i 1 ! i
Boathouse/Boatlift ii i _
I ( I /} .a�a y +r,a
Beach Bulldozing I ! { ► ----
Other \ . I i
ti !c,Y� t
•: i +
j
E - l 1 . _ I �{ 1_
Shoreline Length _- I c'Q I 1 I ,, ^� j
SAV: y ����(I.� i' ,'�yct , �`y.. t` I I ` '' J�+�i7 I
not sure eS n0 '� I f
Moratorium: n/a yes no
l;__ ,i a
Photos: yes no — —....._-.._......_.._......___ I ,
i
Waiver Attached: yes no 1 1 ' i '
A building permit may be required by: T . L See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions
Agent or Applicant Printed Name PermitOfficer's Printed Name
` ,i; z....e..,-.„,/,a-.,..„..... s.„
Signature **Please read compliance statement on back of permit** Signature
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(910-796-72 15)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

Authorized Agent Consent Agreement
I 11
, her y authorize Tobin Jay Tetterton
(Property Owner(s))
Tj's Marine Construction, LLC to act on ray behalf in obtaining CANIA. permits foi-
the location listed below.
PROPERTY ADDRESS:
D(,4 ree We,
PROPERTY OWNER'S MAILING ADDRESS:
Phone No.
PROPERTY OWNER'S SIGNATURE C A
AUTHORIZED AGENT SIGNATURE:
T BIN TETTERTON
2C4
W/Authorized Agent Consent Agree.

MAIER �G �i�i1i r
I hereby certify that i own property adjacent t lip 1,El e- - ' k n e`-' °s
(Name of Prolcer�ry Owner)
property located at L Deice c.5,C i 3j�265
(Address, Lot, [dote' Road,etc.)
on O 'cx c- i' , in a'ask,;., (30c+1r 4 ecx, / N.C.
(Waterbodv) ,City own and/or Count�y)�
The applicant has described to me, as shown below, the development proposed at the above
lac i n.
i have no objection to this proposal.
"= ! have objections to this proposal.
-- DESCRIP Y lWr M AND/OR DRAIIIiiNG ®c PROPOSED DE V EL` PE Ekii Y
(individual proposing development must fill in descr glo r G. site dr aw i.3 )
•
/ / / //Aa/
/11-5,1-61/
/6o /)
trifAINER fB ECT Otki
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
me. (if you is to waive the setback, you must initfat the appropriate blank below.)
do wish to waive the 15`setback requirement.
`< no•-wish to waive the 15`setback requirement
t7 •fir-% is Ir^:•,'r,�r.._ ", r - - -s.- er
"3-Yra)
(_ r iv�n�u'L�J_.Da atIo a1. (Adjacent 4 toe
(attire Signatu e
Print or type Name Print or T e am 71
flioif
Mailin ddre s C Mailing A s
LvaY`-gg,,A�, n r✓ ti � � � � O�!
S
�fSta /?rp City/St
T ele hone !tuber/email address Telephone,n! e / ress
Date Date*
,�
/ Y A d
(Revised Aug. 2014)
*Valid for one calendar year after signature*

iaJA. .Ni RIIPM. I .6 PROPERTY rfi..t qE :STATEMENT
' eby certify that own property adjacent t�l Akfr- ,4 �!4 t'`/ 's
;Marne e Proper ay O iney':
property located at/?S"Duck ckeQ* SA-a/264
(G"Mddr Yeas, Lot, Bloch, Road,etc.)
)
on 0 Uc-'' 6_1266,< , in Wa51,1,,... iA, , 6 a tcv,,j- ce , N.C.
(bbicierbody) ipityr,.own andd/o'Co",.6rzc,'y j
The applicant has described to me, as shown below; the development proposed at the above
locatio
'• have no objection to this proposal.
.- . ; have objections to this proposal.
DE CRIP T lON AND/OR DRAWING OF PROPOSED DEVELOPlifiENT
5s2c'ss { a r:•c cs nc-development must fill in description Lleiow or attach a site drawing)
7/
,__,7-—c5172-6//
0/ 5 /(/Q
kit AiV E e b C 51O1']
: ._..: 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
me. (If youL wish to waive the setback, you must initial the appropriate blank below.)
✓i— i✓,�" I do wish to waive the 15'setback requirement.
I do not wish to waive the 15'setback requirementi.
{P open'Ly timer information) (Adjacent Propertj Owner:krtio ac2o.F ,
`/'
cziur
SZ o n e ,.
►ter. f e 7 rr (cJA, ?4// l4.c//,,Q c,
Print or type Name Print or e Name �y
?y! e,c/e cee 6. ie-�J' 1 f'r Aa rck 6,4er/
Mailin Addr es Mailing*Oren / rr
Qty/State i City/State/Zip
OL Cal - /6r 2d Oat (2_52 —7/ 7— 71'30
Telephone Number/email address Telephone Number/email address
Date Date'
(Revised Aug. 2014)
*Valid for one calendar year after signature*

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Beaufort County, NC GPIN:663 - ZIP:27889 TOWNSHIP:07 :
91 DESC:1 LOT#6 DUCK MBL:66320031
NAME :MCKINNEY ROBERT E III CRE SHORES PIN_l:07015421
LAND_VAL:110000 DATE:11/6/2017
plgclne p DB PG:1944/00801
Reunion County online map access is provieet�.J.a{wd,dc service.as is,as � NAME2:MCKINNEY ALICF.MARHi BLDG_VAL:19701 _
available and without warranties.expressed or implied.Content published on j
TOT VAL:129701 STAMP$:76.00 1
this websile is for informational purposes only and is not inlcndod to constitute a
legal record am should it le scbrained for the advice:r aerv9acs of industry ADDRI:241 DUCK CREEK ROAD TAXABLE VA:129701 SALE_PRICE:38000.00
professionals.The County of Beaufort and the Website Provider disclaim all DEFR_VAL�0 REID I:33466
woeagrees
responsibility and I bat liability for the manned published on this wcl±sae.me PREV ASSES:116725
wee agrees that licxufon.County and its Assigvs shall he held harmless from all CITY:WASHINGTON _
actions,claim,damages or iodonsaas nosing out of Me use of Cexmty data. STATE:NC ACRES:0.39
beau folncnc a gd m aps.corn
10 to@ Jul le 1:5I6 20
Scale I:5 ADDR2:241 DUCK CREEK ROAD PROP_ADDR:125 DUCK CREEK
Ile ` SHORES RD

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NC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant��� r ),a
Date: - .• - • 2crz�
General Permit#:
Describe below the HABITAT disturbances for the application. All values should match the name,and units of measurement
found in your Habitat code sheet
TOTAL Sq. Ft FINAL Sq. Ft. j TOTAL Feet I FINAL Feet
lied for.(Applied (Anticipatedfiiral (Applied for. i (Anticipated anal
DISTURB TYPE ! Disturbance total disturbance Disturbance disturbance.
Habitat Mame Choose One ncludes any Excludes pry total includes I Excludes any
i I anticipated restoration any anticipated Testoration and/or
restoration or and/or etop restoration or temp impact
temp impacts) impact amount) I temp impacts) amount)
1 I !
41.4-007.41„e F Dredge❑ Fill❑ Both ❑ Other I i ,�?0 • 10c)
I. 14-4c.,N
Co4 9- ,rJ, Dredge❑ Fill❑ Both ❑ Other ia ( b b I ), 2 I `~
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