77212_Danny Woolard_20200807

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t
' 'YCAMA/ 'DREDGE & FILL N° 77212 A B C D
GENERAL PERMIT Previous permit# /v )44,
eN-New Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued IN) \/�
As at1thorized by the State of North Carolina,Department of Environmental Quality
a the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC G"))i-) , //O Mules attached.
Applicant Name..27i41a/4 LJ bc>t-A4_29_._ Project Location: County re'r-4--4.-/ 1-- —_
Address /2-/ 0/4c./!_ _62-- :: 5.rn>>2 -> --P4 . Street Address/State Road/Lot#(s) O'er S"R 1'3+y g _.
City/✓114/4 r ?/, 7-) State G' ZIPZ'") S' �,? I Z I t-r 4.44 C)Z& }; 0R-e s 72 .A ,
Phone#(7 c2)) p33-- 296-Mail _. Subdivision pi,4 _ Gl&-Et2C..._S /t
Authorized Agent iJ s N( i r- _. City /.ti/_A.5_,4-7.0-4,/r7 r) _ ZIP 2 )ie k1 _—
�CW DEW ETA DES )&TS Phone# (_ _) ,-___-- River BasifirAsz-i tot.•iJ
Affected i7OEA DHHF OIH ❑UBA ON/A
AEC(s): Adj.Wtr.Body _ _C_R. 7L, c (n /man /unkn)
� Closest Maj,Wtr.Body__._
ORW: yes 4 PNA yet`/ n
Type of Project/Activity ,,I 5- Ai.c =i Ic:,c'% ' pi )-- Lt t_g-3-k-r,h--)
(Scale: Ili c)
; 5f )
Pier(dock)length i - _- -
Fixed Platform(s) I j
Floating Platform(s) i •- '- -
Finger pier(s) I i - ,
Groin length L.____._ . .__ _
number
i ,
`Bulkhead./-Kiprap length. ! a O t L� ;rr7r>t)
avg distance offshore e_>P j ""c".'C'c C,-)' -,' S ) '� • i
max distance offshore O 'i '— `_ .
I
Basin,channel i +
cubic yards
Boat ramp )N T11.4 _i v`'� ._ n_ ' - i --'- 4
. •
. 1 t•tb ti'�ty) Tq-.•a ra.,
Boathouse/Boatift I I
gr,Kc-irk- c,
i , j
i •
Beach Bulldozing_
i , .n n t 14-t, t f sip y ,p .��P_.._ 1_ } ' 1 -•-i .
Other - V 7 t^e 04, i I
. - -- — id- .�- And , I __i. 1 i . _ _.
Shoreline length r/Od .________ T�'X _ _ 1 _ gT� _ _
SAV: not sure Yes ® V57 a..t.0lLIp i trtJ"r i j
Moratorium: n/a yes ftiI f -
•
Photos: yes )'`�cx
+ .P,� - .
Waiver Attached'i ����...yes no ' '
A building permit maybe required by: L�i=fh9 '7' e-o See note on back regarding River Basin rules.`�
(Note Local Planning Jurisdiction)
Notes/Special Conditions J.a'i 1 L, ,-1,t z ---re4.1.41 sttD L-' 14.
•
CY\IS'WCT'(.-'i"' 'O t� Sav
Agent o plican rinted Name rmitO er's Printed Name
Signature **Please read compliance statement on back of permit*'s Signatur
v i '“o g- , -7 • 2.-KZ-J !Z."7• 2_0'1- .)
Application Fee(s) Check# Issuing Date Expiration Date

1
• CAMA
/ ❑DREDGE & FILL N°
GENERAL PERMIT No
Previous e�it# A �71A.D
ANew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued 1v 1/4.
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 ) ?t-) , t/00 .
Mitules attached.
Applicant Name 7J�/-4,>, L.->bvLA2.__0 Project Location: County �z4-4.-trfitspz 'r—
Address /2/ 014e.k G,0,,C -4 S?iZf'' 'Rot • Street Address/State Road/Lot#(s) bf-F- SR /3 rg
City`a- 3J--,1-r1-)i'-r-a r) State h- ZiP2'7 €1. c-.' /2 / 'D Li 444 6?2A-- --g Saode-e 3 72 A ,
Phone#(Z 5-2) p33-- 29°' -Mail Subdivision Pt-, 14 GILEk:. S/4 t
Authorized Agent ' 7 2 S M( /1 City -co /}->„-.Jh-T- 7,0 ZIP 2')-A-9
Affected ElCW ElEW 2ApTA ❑ES , lT�
TS Phone# ( ) River Basir - n7c. J r'.
AEC(s): ❑O� ❑HHF ❑IH ❑UIBA ❑WA Adj.Wtr. Body D1 iG k G man /unkn)
❑ PWS:
ORW: yes no PNA y / no Closest Maj.Wtr. Body �' 'l<7 �i uA-yL.
Type of Project/Activity t r`1 5-.t--c =� 100 Or i3u L>-'-3.4. A.--)
(Scale: 1ir: ?jbi )
Pier(dock)length c.,` i
Fixed Platform(s)
Floating Platform(s) 1 1 i
Finger pier(s) _.+_.. : ,, i : . -4---i-i
1
Groin length { 1
number —_ . . - . . i 1- t
I 1
I I
`Bulkhe prap length ( O v r 1 ,g.r.7,. ` 1 : ____-
5 II''r_ll avg distance offshore v. en. L T S I _
I I
max distance offshore D I i 11
Basin,channel r
i i
cubic yards 7 I i i
I I________
Boat ramp )'rl S T/kz L _a ( CD c) C 3 r- —�.
i i
Boathouse/Boatlift
lT°�i� � rA t
� /Yc-.4ytJn'1ialy 1 1 I
Beach Bulldozing - i - —. ___4 1—_._ 1s;-+�r I l j
Other . II 1 .4.77P-#.L77 0,1/4 PitIP.V...4. , %
, - �
, � / `\ CLJ/,/y,' \ ,\ • U
Shoreline Length "/Qd Al !! _ I
LAP / �^.- 1, i Lti- -- p......... _._1_�_ ± r
SAV: not sure yes (p .. -I- I .�T�o w -t..-.-.-
Moratorium: n/a yes ��) _
-- — -- i•
Photos: yes } iN- :)_-- "I "' - . 1 ' 1 . . .1 —._._
Waiver Attached: yes no i
L. r
A building permit may required by:�ji1•iJ cO • . See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions /.,i i /1, M/a-7 t4-,rs4-1 ii-revue LA-2h->4
Fut, Se►t,;<`7
Agent or Applicant Printed Name ermit0 cer's Printed Name
Signature **Please read compliance statement on back of permit** Signatur
Application Fee(s) Check# Issuing Date Expiration Date

V
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

0 CAMA/ ❑DREDGE & FILL N° 77212 A B`) C D
GENERAL PERMIT Previous permit# - ?.l 1is.
1New _Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued ‘..\ 1/Ak,
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 • .
QRules attached.
Applicant Name 0,.-=4.r•'?, G..'e_w>;A f Project Location: County
Address / 2/ v7t.-�. G• C.%mac- -Af 3- :>rl --> i-,F Street Address/State Road/Lot#(s) ,�->;-T •,, r'3 7., ys
City /, ,-?/,-r -) State '') C, ZIP-2'p 'j' ; " '-.--' , e--i i:.}r .r xi, :,t_2 -c c '? ->
Phone# ( ) ,? ;3- L'• -' t-Mail Subdivision ?;.• ,',/ ,-_-',/_r 1/ 5 f4-77t * 5
Authorized Agent I j s /1Af 2,.- City (-� 5,-.J>,�*jr ZIP -2`7�!<c'j
Affected ❑CW ElEW PTA ❑ES TS Phone# ( ) River Basin`?-,r , a7I-- I-42
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
AEC(s): Adj.Wtr. Body 7t - !l ,01,-�--4> (: (n ;/man /unkn)
❑ PWS:
ORW: yes / no PNA yes / no Closest Maj.Wtr. Body F`?1"rc ' -/.) -A'vt-")'
Type of Project/Activity ear ,y t 4 :. ;-c-_A
(Scale: ) - •-t) )
Pier(dock)length i'7
Fixed Platform(s)
Floating Platforms) III,,,, ,,,, _ ,
Finger pier(s) f .....f
Groin length
number ......{.. .. :......... _ , - -
Bulkhead/Riprap length I Q v
-__:_ C _ __ ■N NM
avg distance offshore c> 111■GEi®a® s _IMF.11111 11111111111111I 1 =MINI 1111E11
max distance offshore O / I 1 I I }
Basin,channel 1 1 I i 1
I 1
1111
•
cubic yards IIIIIEOI IIMaa IIIIIIII I I __.I MIMI MEM
Boat rampIIII v a>I O r i
Boathouse/ IU tiC
- I - �-_
•
III
Beach Bulldozingilli — iik: -,' .,b ■■
lip 1
Other
\ SirillA-1. 1111
1 ili 4-1'H• NNii?-3—iiiimMINI11111111115 - 1 -: .- '' I I
7 .1 , , ,
Shoreline Length /e)d -- Ill 1 : k tilliiil
{ }}
, ce.r.r
SAV: not sure yes nod 14! � ----
Moratorium: n/a yes no i
t
Photos: yes --no Us.,?..• ! A y
Waiver Attached: yes') no ' I I I ,
A building permit maybe required by: .'Efi�'F • T 7"d , . See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions /2-, i'--'/I7,-iTr4-r1- y t/-Lu t1
-- a t S Li E- I
Agent or Applicant Printed Name ermitOficer's Printed Name
Signature **Please read compliance statement on back of permit** Signature
6- v 1k..- 41 4"0 v /3 ‘c— • .7 , 2=.r2. /=-',• 2.0 2 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 1 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(9 I 0-796-7215)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

0 ❑CAMA/ _.- DREDGE & FILL N° 77212 A BCD
GENERAL PERMIT Previous permit#
)G tilNew ❑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
i I Rules attached.
Applicant Name Project Location: County
Address 2 c A r > '-' ( . Street Address/State Road/Lot#(s) ✓
City State ` ZIP r`) - ,) ` - „a: r ,
Phone#( ) E-Mail Subdivision
Authorized Agent --- -. City ZIP '
Affected ❑CW ❑EW ElPTA ❑ES fl PTS Phone# ( ) River Basin
AEC(s): ❑()EA ❑HHF ElIH ❑UBA El N/A Adj.Wtr. Body (n4 /man /unkn)
❑ PWS: -
ORW: yes / no PNA yes / no > Closest Maj.Wtr. Body
Type of Project/Activity
(Scale: )
Pier(dock)length
j i I
Fixed Platform(s)
i 1I I
Floating Platform(s) '
Finger pier(s)
Groin length I {__ i
number i , I
Bulkhead/Riprap length I c> ._) ___ _7. , .., ..-4.___— -- -- -- I .... -..— _. _. -._. _--_-__.._—
i
avg distance offshore <' --,/ I j 1--- > T
max distance offshore I { I I
Basin,channel j l -
cubic yards
Boat ramp �i , :-1 .i ''' '! , o f r 1 ! I
Boathouse/Boatlift f 1 I ",i.. _.,z i___- , . ,,......_^� {——1 —
t f. l . f __ -_�. --
Beach Bulldozing / I — -- --- r' —
�( + i I -. .n;,''a ), A 1y /� �7 Ip ev+
Other V�
Shoreline Length i I I A- --r A-.j.
I " ` c�� ��i �f"t Yt
SAV: not sure yes no 4•-?c '•-V4. LiCaa,-1a.` -
n-r'
Moratorium: n/a yes no 1 I 11 I 1 I
Photos: yes no ' G _ IL;,- - l�r s
. 6 '::. 1 1 i
I I
Waiver Attached: yes no —
A building permit may be required by: > r '-:3 , . T-See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions - ' }- > f4,f.-u 0 .
Agent or Applicant Printed Name Permit Officer's Printed Name
/
T ~�
Signature **Please read compliance statement on back of permit** Signature i . �
it._ , - ;1=..> / j ion . _, , ._, 1 , .;. ,) ,_,,
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:
(N.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

Autho?ized_Agei t Consent.Ag;?eengek e,
I, lnny h . L lccl rd ; herby authorize'Tobin Jay Tetterton of
J(Property Owner(s))
TJ's Marine Construction, LLC to act on 'my behalf In obtaining CAMA permits for
tise location listed below.
PROPERTY ADDRESS:
11 buck ere e k. 5hoc_e s_ d
L LCI,11 n NC A-7W1
PROPERTY OWNER'S MAILING ADDRESS:
Jai i l,ccic (' re e . -.4-irAr"e, -Rok
i r \r, NC ai gt 9
Phone No. 2
PROPERTY OWNER'S SIGNATURE: . :v-kN.
i. K to cys-Q.zoN\
AUTHORIZED AGENT SIGNATURE:
1'&-'fjA
TOBIN TETTERTON
DATE 1 ! 2026
W/Authorized Agent Consent Agree.

121),.JACEN a RIPAPJA 3 PROF a`u:,`,' akftlikiER S E A EME 7
I hereby certify that I own property adjacent to S:j- nrnsw...0 2 , 's
)?..
a Property Owner
property located at G�k 51�e:)a, Oh ,� % J
o ess, Lot, flock, ad,eta
on ).�1.,c_N1` , In rL , U.C.
-Jtlaterbod
ti y) (City!`r®v2+ aad!®r County)
Th applicant has described to me, as shown below, the development proposed at the above
0n�
1 1 have no objection to this proposal.
- i have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in descry stros:?:1-:-2c7: °7;or ac a site drawing)
j_46-A-// iffil7/ f. 4 1//A'°Q)/f
WAIVER SECTION
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
- you wish to waive the setback, you must Initial the appropriate blank below.)
I do wish to waive the 15'setback requirement.
_ e::?wish to waive the 15'setback requirement.
^y _ ' aZor Liana) '"acant Property Owner Ira motion)
. i"cn.N4AAN.I.A 1(- 0(141.11.:
) 1 is Pi itt c ,5.. 1./ 'Itz
Sic'nature �I uture,
J)0nr)t I� u 66 ect. ,cc le-He. `). 1,.) o\t&
Print or Tpple Name Print or Type Name
%Ai f)11C/C O kc�fL ,5N . Pis VA ` bt,1/4.---k) �Lk
MailingAddress Mail' Addres °
L�.' \N-/Ai -Ton) Ale- A-agei 1� iGa 'n /_� (_, )-1( ,'�i
rrt�Sta p C at p
aS-5. 33-.25r 5,1 -ciLrs-01 a q d
T I email address Telephone Number/email address
1 /'` ),() Yl S i k} P `'Y\G I I ' l,G h'1
Dote Date }� ' ` .� �
1 00
(Revised Aug.2014)
Valid for one calendar year after signature-

ai JACH E' RIPARIAN PROP! _":OM ER ER a`A EIi ENT
I Hereby cerilly that I own property adjacent to ,, k ( ,,,,,t. <\ 'a
property Located at (".I F�
c%
� " (\ (Address,, Lot,/►@;alo 1hr N.C.
, qa • :•.c
on 5)t CS�A 9�^--- , in 6.ya , .C.
w a'erbody) (CityiTe' .a andior County)
The applicant has described to me, as shown below, the development proposed at the above
i� oc�3ion.
�'/ € have no objection to this proposal.
-••L•L I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposingproposinc development must fill f..)'escription below or attach a site drawing)
: --T-4`St6'l'i Ut yl 21/fAt94,
_ WAIVER SECTION
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 wish to waive the setback, you must initial the appropriate blank below.)
.�i,.. I do wish to waive the 15'setback requirement.
€ de not wish to waive the 15'setback requirement.
(Property Owner Inffrmataora)) (Adjacent Property Owner InforinVjlon)
r.
Si e Si a •e m �/�
nn k i,c c)/ar,4 ?rr lt/h,hr4/.gr 4,Jr.
Print or typeiName Print or Ty Name
l)--1 Obi( LlefFIC_ ...SiJ. 26 7.2i /40/- Goa rf
Mlailin Address MaNna Address.
1 5ili r.� n Nc � 79g1 h i ri //,>.1/6 2 7,0
City/State/Zip City/State/Zip
5 - 8'3?)-,:qcCDg .c..2- -7/7 71.3a
Tel one umber;email address Telephone um /email address
� o 7 0,26
Date Dater
(Revised Aug. 2014)
=Valid for one calendar year after signature-

�Gr!
V.
1
1

14C DiNision of Coastal Mgt. Habitat Impact 'Comp-titer S4ie'�t
Applicant. Di(2vrl*)L, Lx>vo L
Date: . '-1 • 2 c - O
General Permit#:
13,
Describe below the HABITAT disturbances for the application. All values should match lie name,and units of measurement
found in your Habitat code sheet.
TOTAL Sq. Ft FINAL Sq. Ft j TOTAL Feet i FINAL Feet
I (Applied for. (Anticipated Final ! (Applied for. ' (Anticipated anal
DISTURB TYPE ! Disturbance total disturbance. Disturbance disturbance.
Habitat barns Choose One ndudes any j Excludes lily total includes Excludes any
anticipated restoration any anticipated i restoration and/or
restoration or and/or.em p restoration or temp impact
temp impacts) impact am cunt) temp impacts) ' amount)
• 3
vfLtL, Dredge❑ FiII❑ Both ❑ Other 1 t�, 1 p©
1-4)40
6,12ok,, j Dredge❑ Fill I] Bath ❑ Other'p 1 600 ii . i 1, ©o
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill Both E. Other ❑
Dredge Ci Fill"❑ Bath ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
I j
Dredge iJ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑ !
i
Dredge❑ Fill❑ Both ❑ Other ❑
•
Dredge❑ Fill❑ Both ❑ Other
•
•
I I
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Dredge❑ RR Both ❑ Other ❑ j
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Dredge❑ HI 0 Both ❑ Other ❑
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Dredge❑ Fill❑ Bath ❑ Other ❑ I ! j