55858D - Whitcomb

CAMA / DREDGE & FILLS
" E N E RAL 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 ^/7 12 OU
-oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC j
/ / [SKIlies attached.
it Name Slev e U'/>1h, ?�C'�JM G Project Location: County 9RU�.SW1C/(
C � /C / 4 4 �Z Strr�eetAddress/ State Road/ Lot #(s) 1%% SCp7CL
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C W Ef ew ❑ PTW [4ES ❑ PTS
OEA ❑ HHF ❑ IH C UBA ❑ N/A
PWS: ❑FC:
yes / no PNA es /
Subdivision
® e Crit Hab / no
City�oblip-✓ ea9c,4 ZIP 2 Q;
Phone # ( ) nn River Basin L W'O"
Adj. Wtr. Body (0,d A 1 D1'4 �1 AV k) (nat
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(Scale:
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length camber -
!ad/ Riprap length
vg distance offshore
nax distance offshore
channel
ubic yards
imp
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ne Length S d
ling permit maybe required by: Ao Lalo'. gC /�
❑ See note on back regarding River Basin i

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icant: S� P v1 0 ` r C Permit #: L �/
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 final
disturbance.
Excludes any
restoration and/c
temp impact
amount
rn/
Dredge ❑ Fill ❑ Both ❑ Other ❑
S 2
C
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 ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑

HOLDEN DOCK & BULKHEADS
GREGORY A & DOROTHY HOLDEN
910-842-9732 HIS NCDL 4576438 HERS 5202642
1502 STONE CHIMNEY RD SW
SUPPLY, NC 28462
0 Itt' V'VL
wunu.warcomuwbnnk.com ��
TWACCAMAW
BANK
S -
1:053 L 12 L5 21:80 0 L57530110
Herlantl Clarke
3716
fi6-1215/531
840
0 34 dL6
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