55898D - Johnson

.-YCAMA / +-DREDGE & FILL
ENERAL PERMIT
Previous permit #
New . ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
rized by the State of North Carolina, Department of Environment and Natural Resources 17 U
Coastal Resources Commission in an area of environmental concern pursuant to 1 SA NCAC / /7 •
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[4RTes attached.
Project Location: County ,6Au .r j'4✓ iC'/C-
gName
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Street Address/ State Road/ Lot #(s)
yxlwC rL State ziP3 iv %G
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Flax # ( )
Subdivision
ized Agent �R �6 /7 o Lo�o�
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d ❑ CW E3M ❑ PTA ['jrs ❑ PTS
Phone # ( ),i River Basin Z-10O -1
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
Adj. Wtr. Body Aty w (nab
❑ PWS: ElFC:
yes /,>l = PNA yes /nIC) Crit.Hab. yes / no
Closest Maj. Wtr. Body
Df Project/ Activity K,plJ`A C. -Q 0
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lock) length . X S� ,
'm(s) CX'If Hwy
pier(s)
length
i
umber-
:ORiprap length
[�
vg distance offshore_ "�� _ '
Y, ✓J
nax distance offshore
channel
ubic yards
imp
)use/ Boatlift
Bulldozing (� 6(
ne Length
not sure yes CO }
4Ss: not sure yes
)riumD
: n/a yes STT1 `""'�"�'�' �� �'.."�..�"`
�� SQL
yes (50
Attached: yes (rod I / �N/h D/L. 112
ling permit may be required by: �OL �G.a ��q e- A u See note on back regarding River Basin
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Permit #: ) S— 7r F_ D
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
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 fina'
disturbance.
Excludes any
restoration and/c
temp impact
amount)
//
SL
Dredge ❑ Fill Both ❑ Other ❑
G
Dredge ❑ Fill ❑ Both ❑ Other
/S G�
/
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 ❑

DOCK & BULKHEADS
Y A & DOROTHY HOLDEN
W HIS NCDL 4576438 HERS 5202642
E CHIMNEY RD SW
28462
J
3770
66-1215531
840
ZC iMAW 1 F•�a nn
Becwul�
NK
'nk'ba.c6-1P5SSgF,-4rd
NP
L 2 L 5 2':8000 1 5 7 5 30n'A??
WILDLIFE PORTRAITS