77241_Lewis Jones_20200903

r-2 les
c ANAE/ ❑DREDGE & FILLi-1:1.11
�p ��(y¢� _ N? 772p A C D
RAL PERMIT �S Ol(J Previous permit# 1...i. ,
IJ I
New OModification CI Complete Reissue ❑Partial Reissue Date previous permit issued M/4,
As authorized by the State of North Carolina,Department of Environmental Quality 7Dbv
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC D kg. 1 * ,
�^ Rules attached.
Applicant Name LEUMS J o(JE$ _ Project Location: County Se/u,4_,p r•A'
Address 112 o /1i 4 oft 540fer 1e _ Street Address/State Road/Lot#(s) b
City W I1 y1 ,StateNG ZIP Aifs q g fZ 1 06
Phone#(:0Z) wZ-cvl(•�E-Mail
/ - Subdivision 117?D54 ,, ySh f
Authorized Agent Ss !`WY t M ��!!< t�.or1.444 ijusvi City N C- ZIP -4-$5 4
O CW [(EW qhA ❑ES OPTS Phone# Z i got- r�'Ss% '� /p14�
Affected ( ) River Basin
s D OEA 0 HHF ❑IH 0 UBA ❑N/A
AEC :
( ) PWS: Adj.Wtr.Body FAirj/l Lb R. na /mai /unkn)
ORW: yes / p� PNA yes / it Closest Maj.Wtr, Body RIM�1 Cb 2i t1 e,
Type of Project/Activity X.-e/Aate.vni_K-� c a (p ' A !-- ZZf)' 7FR_
(Scale: f"—3c ' )
Pier(dock)length } 220' _-- ,
11
Fixed Platforms) -. [S'F i I '- , L I riI 1 -I.. :. 1 --l----
Floating Platform(s) H.ri„s,.,, ,._,_iy_ i._' z 1 I-. -I_i. .s.t1, i } }
Finger piers) i,. T1 4,„ ; . I 1-1-
-; I .�(,p i �' !
Groin length 11-. I I 1 - I �-i ; T.....- - I
number _ , 1._ 1 1 I'-'---•P Si,1J6 l a' _.I j 1
Bulkhead/Riprap length j�., i 1 j . , •: I i _ 1 ; �_ I . I 1- 1
F'Ro14 D l
avg distance offshore f s u -
max distance offshore iti r _ . _ : i-.
— - -ram(- -� -:-- - -. ��- .__- � ' 3 i
Basin,channel '� � .- I . - ! - - - -f - -
I •
1 101 /S� t
cubic yards / ? ct�i' ; li -3t t -_f -.. __ �__!-
Boat ram I - -
i
Boathouse/Boadih iiy. 4 E S 11 r' ;,a i , I 1 `-_
1
Beach Bulldozingt . r , , , `► _ 1j I - t�i L
— 1 1 j t .-1 i I �-
ff ,
Other : � � 1 1 1 , -�- �.�-�--7- �
Shoreline Length t 701 j- i - -'
il j 11 i
$AV not sure no ' I i
I, I -_ , v NEs, 1 ,- �.
Moratorium: n/a yes i . , { 1 i ' } .._._
''
-
Photos: no f , 1 : i : 1 I j .. .i I --
Waiver Attached: no I`j I 1 - -L- I - - ` j___ - ! . 1 , _- -
A building permit may be required by: J eau ev r} Cr W 1 See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) L
Notes/Special Conditions I.eT / S (hen h'g/e2) law n
Agent or ii Printed N Permit Icer s Printed Name
.'_ ,C 4
Signature **Please read complia ce statement on back of permit** Ign t
P� Ctitik �'ao0 ills) y� //3 /2.61'2' I
Application Fee(s) Check# Issuing Date Expiration Date

er LiCAMA/ [❑DREDGE & FILL N° 77241
NERAL PERMIT Previous permit# �j Iry C D
)C .New Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued NI l fl,
As authorized by the State of North Carolina,Department of Environmental Quality ff 2 ' '
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC 1 R'' - Villow .
r [Mules attached.
Applicant Name LEVYX S J cDOES Project Location: County Se041.4.kp r A-
AddressIIll g 0 l;'tlo't 540/Cd R Street Address/State Road/Lot#(s) (pa mi yyic5r SAawJ'El
City 14. 11rC147)N State/VG ZIP S S 1L 1Z✓0(4 L L
Phone#(2 2-) WI-S L, E-Mail Subdivision ffl?YLy N
AU/ ,, F5h�l
Authorized Agent 7 MCir' ( (,0p1f1'rz a Jr City GOttAin 4)t, G ZIP,9:4-514/
Affected ❑CW VEW VPTA ❑ES ❑PTS Phone# (2522 ) 'S{07 5Vit, River Basin-art./NM
AEC(s): ❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body P?A?Pi Lb l 99� .$4, ,elt/man /unkn)
❑ PWS:
ORW: yes /� PNA yes / rt Closest Maj.Wtr. BodyP47))/co �u�
Type of Project/Activity he'(lGt Le.VY1Lv_t c - Gk. tO i A {— ZZo' TZ___
(Scale: f" —3b' )
Pier(dock)length_ ; 2.2,c2
Fixed Platform(s) ' i t (o ( p'TI�dr Gam`E �CS Floating Platform(s) ‘` 0 i I
I { ��1r D
!
Finger pier(s) tf
'1; } i
dGroin length i G
number I 1 1 1 1. _... .—._l-! !IP •4_ 1.� +. 13 b i— I
Bulkhead/Riprap length �D - =
I�Rc:'P 1 — — _._ I I -._
avg distance offshore ( d�T° t(L S r ' -' ' _
max distance offshore �' T' Qr • 6 i• I
Basin,channel f asiPrE� '^ i
i I - : • ' • 4, -)R,Ps, 4 Is,i i3' {
cubic yards I. + "► I I Da4 1 P4'
-.--, :._
,, ,
Boat ramp t.'`�S') ., i JBoathouse/Boatlift r ]t I I — 1
,,
ifs
s Beach Bulldozing --- �►
Other I I I i ' • 'S e
rri
F •"A lioi4es
,,
i
1
I
Shoreline Length * 0 I i
SAV: not sure 0 no ° I 171Z9C I I
Moratorium: n/a yes no � � --` —
Photos: itk no ; i ; -_ --
Waiver Attached: CIP no
A building permit may be required by: JeauCv r 1 Cll w')llT . I See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions o't L ' / S Mal N zy 1a w n
4LL 6Pide
Agent or Applicant Printed Name Permit icer's Printed Name
Signature **Please read compliance statement on back of permit**` ign t
1' • �ecik Itvo te' 11453 y' 3/2-e-vz-_.> //3 lzot2- l
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(9 I 0-796-72 1 5)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

1 f
0 Q°CAMA/ ❑DREDGE & FILL N° 77241 A B�" C D
GENERAL PERMIT Previous permit# r4lit
>�—> C(New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued 14/4
As authorized by the State of North Carolina,Department of Environmental Quality 2000
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC IN. mow .
Y1 ules attached.
Applicant Name L iE Ua S ScDNE S Project Location: County eau r k
Address1lp C) 14 ry)o6• 54o/er R� Street Address/State Road/Lot#(s) 1420 Mi,or o$4. 5A1 aCity Wi,11Q4►Iry4N State NC- ZIP A.7.r6111 421? i;u(
Phone#(2-) 90Z -5c 1 L E-Mail SubdivisionI i WY/t t5hcN•-j
Authorized Agent 75 {�if�.rr'rt (..orts c,.dr.✓+ City WC74)YICJ +V' C. ZIP a.4-5i4
Affected ❑CW i iw TA ❑ES ❑PTS Phone# (Z52 ) NO Z." 4 % River Basin�111Z/P4.`n❑OEA ❑HHF ❑IH ❑UBA ❑N/A AEC(s): Adj.Wtr. Body 7 0P4 f G b g•;uv Hall/man /unkn)
❑ PWS:
ORW: yes /•i n9% PNA yes / rt3 Closest Maj.Wtr. Body ram b(d R t fie✓'
Type of Project/Activity 'Rep1A c e Vy,c ii.fi oc- c to ' A ± 22 0' P TZ_
(Sce• 1 " - 3c) )
Pier(dock)length i ZZC
Fixed Platform(s) ) `l t Si T� 1
FloatingPlatform(s) I !oti tO . I { j AWILICO �Z I
Finger pier(s) ` j 1`t.: �t.10-r A1' , P I _ I: _�_
Groin length �t 1 i I
l ,.}
number ' ' . A. 14> pl f _
Bulkhead/Riprap length — • ? I — gym.
IRv Pc6r 0 1 ,
avg distance offshore I QE po(cnik 1- - .k �K f i p,.lb (p'�(a 4
��I
max distance offshore 44 47 it :.240, �. , 6), r .bt '�.t , r
Basin,channel I I ; c rE R ^" ' ' r
i i
4 'i CA 57 N�1 IS,tiS `,
cubic yards i 1 R� 11 '(-4/0
f E , 'f+ ;« ,l/ 7
Boat ramp i j 1 I.
1 . i
l�S:
lr, d �.�.:rr
Boathouse/Boatlift ---�T>� v+J'' � 7f f!l` `�'�
L�,
't
Beach Bulldozing } I F /
�n
! Le-le I I i 11
•
Other 1 1 1 I JIII
y/y, � � t�� Spy BAtt WA;Yet!-T�' '
Shoreline Length 7)v I 1'
SAV: not sure c no ! s 'fi7Q0`�
To i
_
Moratorium: n/a yes no ; 1
Photos: no I 1
--.. ...._....__._..i ..__.....---..__.... _...__--..._...._..___... .
Waiver Attached: y no I (� '
A building permit may be required by: 3PQhf eV r 1l Cil UnT1 y . See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions Lo�' / S Ma,IA422;kmeU ia wY)
4L.G..y 'P/vim f
Agent or Applicant Printed Name Permit Officer's Printed Name
•
Signature *Please read compliance statement on back of permit i�
P� • C)AecK laoO ,y% Y 5 3 q 3/2.0,.....> //3 /z('Z (
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 (252-946-648I) or the
Wilmington Regional Office(9 I 0-796-72 1 5)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

4111D❑CAMA / ❑DREDGE & FILL NO 77241
GENERAL PERMIT Previouspermit# h1 c D 14-
>( ❑New ❑Modification CI Complete Reissue El Partial Reissue Date previous permit issued N/ 4
As authorized by the State of North Carolina,Department of Environmental Quality ii �4a
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC 1 1-i- .
/ ©Rules attached.
Applicant Name L t.Via S Sc E S Project Location: County 7e'a,.c-QG r k
Address -lip L di),r1 r. , f/milt le Street Address/State Road/Lot#(s) 41,C) /nh Jo Usu 5)i-er lA
II`` 7CS/
City 1rNi��i;i��t-4 State NC ZIP � 72. -- :�--`S t-
Phone#( - , ) Z ,ti<:'i j, E-Mail SubdivisionAl if),.)544 5h:,s ej
Authorized Agent �S i)1 y#,-, ,Jr -'l.o,'s`fr - City J-J14ip+ijlf), kli. ZIP .- �`Di4
Affected ❑CW ❑EW ISAA ElES ❑PTS Phone# ( ) 'IC t' S 1-4b River Basin 1 1Z./p4'Y)
AEC(s): L]OEA ❑HHF III IN ❑UBA ❑N/A Adj.Wtr. Body i'i )1 L' ie'U t! nat:/man /unkn)
❑ PWS:
ORW: yes / no PNA yes / nn Closest Maj.Wtr. Body��n C U )1 V e'''
Type of Project/Activity -, • • , ,,-i..�t 'r cL ca ye,
r-- Z 2 7"-i 7 Z
( e: ) 3c, )
Pier(dock)length ZZG'
` 1 Fixed Platform(s) t I ct3 L. {
Floating Platform(s) t-1/0
� k �� t A 41/`)r(0 `�-�.! -61Z
_ 1 �
Finger pier(s) 1 1 e_ 1 LiZ l
R ; f ;
Groin length I a {
number '.. !�+ '* — a—
IIII
Bulkhead/Riprap length r. _ �_' i _ -- — -_._, —._
7 jd iT7t V ` I i r
avg distance offshore k�f t'l,�)(,/p t r.r�T { E ,,,S i j,+.I is �d x y
max distance offshore L, �i/ ;zz& r-4 , I Ili'-. b4 t 7�. := i I .
I
Basin,channel I !,1 �'" i } G {
' v. YyS1 4.ta� ig,r '
till
I t, �
cubic yards I "' ax )'4 j i
I ' t �r li
I
Boat ramp ._. I11'S 1
1.Boathouse/Boatlift - ,t i 4 4v3 —r— C r) J'. Z_y`'=�_v,�yf....
LI t
Beach Bulldozing b•( !
�}-,
Other ( .c*e` I
J/b !_ ( r4 Tle SA•01•, rncf i { 1 r-,9n eft /
Shoreline Length 7 J?' I 1
I
SAV: not sure ',rye) no - "'S"�)1.t s 1 7 ' 1 ! -I 4
�'
Moratorium: n/a yes n I 1
, 111
Photos: ye no I j — _ ......._ -- _... -- — ..._.._f { r f
Waiver Attached: ye no ....I COC t ---r t I I
A building permit may be required by: 13 fia k r k 4 11 h+y See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) l
Notes/Special Conditions Cot t 4 n'7010T,ame)
is bun
Agent or Applicant Printed Name PermitOffi a's Printed Name
----<--77.-_..5 -
Signature Please read compliance statement on back of permit** Clt A
11153 / -,/l-r-,=� // 3 0==49.2. i
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 (252-946-648I) 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

# PROP ,
T
#hereby certify that#avert
property adjacent to e
property to d at f Prer) s
on_ ,€ ( ddress, , ioc ,Road,etc.) -- --- _ —
(CI h own and/or County)The applicant has described to me, as shown below,
location. the development Proposed at the
momK I have no objection to this dove
�pe►tr proposal.
nwnar
mu I have objections to this proposal.
DESCRIPTION AND/OR DRAWIN
Watiduaii ;rgpdei deVaini arr'tWhist. n4ep OF
PROPOSEDDEVELOPMENT
,Qrort betoWro Eh
eez,o,a+,r r e11 /6IG*1-Poctl'3
i
1
��""" mooring
AIVER i
rro .y Iunderstand that a pier,dock, p SEcnc.LN i
oime{ must be set back a minimum distance of 15'frot ramp,breakwater, boathouse,lilt,or 1
la my area of riparianaccess low.) waived by
Initial
(If you wish to waive the setback,you must m tat a„� # the appropriate blank below,)
I do wish to waive the 15 setback requirement.
f do not wish to waive the 15'setback requirement
(Prot Owner Information) >
(Adjacertf Property Owner Information) i
s c — i
Print or Type ame pp c�Ph{�
'ling4 fry C� P �TYp !Name
+J ddress
C Ad
eizi
Tele one umber/erne ad dress I
Cj- Z
�Teie hone Nurer/ � ss
Date
Date• I
i
`Valid for one calendar ��
Year after signature*
loV
(Revised Aug 2014)'
1

•
r !!.
' I
I
Authorized Agent Consent Agreement
I, /eta's ~Jo ,
(Property Owner(s))
e herby authorize Tobin Jay Tetterton of
TJ's Marine Construction,LLC to act on my behalf in obtaining C AMA permits toy
the location listed below.
I
PROPERTY ADDRESS:
1
r 1
i
,
PROPERTY OWNER'S MAILING ADDRESS:
��CI M t� j f
Phone No. Qa 50 Lb
PROPERTY OWNER'S SIGNATURE:,
/k / - i
AUTRORIZED AGENT SIGNATURE:7
TOBIN TETTERTO` +
�- /ci
. 20Z +I
DATE:
1
we'A;ied A t COW&Agee.
.I 1
1

j
A NT P N 0 ERTY S E
I hereby certify that own Property adjacent to e
property to at me of Pro L —-----$
on .0 in(Address, loc Road,etc.) —--- —
(Waterbody)
(CI own and/or County) C'
The applicant has described to
location. me,as shown below, the development oPment proposes at the above
— 1 have no objection to this proposal.
Arnim
Owner
cheep o,,, --�_ 1 have objections to this proposal.
DESCRIPTION AND/OR DRAIN/NO OF PROPOSED D 1
�+dffvtdtyalprnpos�g devdto DEVELOPMENT Fmtebt must 011 in cleat:1106a iberow or'att'a'� cTi a sltb'fJra
/�
k
1
1
1
i
aals�c WAIVER SECTION
rropenY I understand that a pier, dock,
o rme�be set back a minimum distance of 15'from m area of breakwater, boathouse,lift, v dg n
�n an (Ifyou " h to waive the setback,you m t I riparianit b blow) waived b
ttal
One l the appropriate blank below.) 1 y
1 do wish to waive the 15'setback requirement.
!do not wish to waive the 15'setback requirement.
((Party Owner Information) '
��/ �/J�_ (Adjacent Prope Ow r M
i anon)
e d Signature* /
' S F/
Print or Type Name p . "
q t r S C� Print or Type N t
9 dd 5s 7 if f/ `w l
C 4 .� C Mar g Add ss
f l
TeleDh mbar/email godr ess S 5 / /,'l� 7�n
J7 elep� h°N Nu melt address
8 / r 9�zo
Date
Date*
(Revised Aug
2014)
'Valid for one calendar year after signature"'

NC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: LQru 1 J ?J1
Date: cit /245a0
General Permit#: 1,7?q)
Describe below the HABITAT disturbances for the application. All values should match tie name,and units of measurement
found in your Habitat code sheet
TOTAL Sq. Ft FINAL Sq. Ft. j TOTAL Feet I ANAL Feet I
(Applied for. (Anticipatedfirtal ! (Applied for. i (Anticipated anal
DISTURB TYPE ! Disturbance total disturbance. Disturbance disturbance.
Habitat Marne Choose One ncludes any Excludes ry total includes I Excludes any
anticipated restoration any anticipated j restoration and/or
restoration or and/or ern p restoration or temp impact
temp impacts) impact am cunt) temp impacts) amount)
64:1-
0 i I I
Dredge 0 RI 0 Both ❑ Other Nr i RD 1.7i 1.1
Dredge❑ Fill❑ Bath ❑ Other ❑
! I Dredge❑ RR❑ Bath ❑ Other ❑
j I I l
Dredge❑ RHO Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
I I I I
•
Dredge❑ Fill❑ Both ❑ Other ❑
ii
Dredge❑ Fill 7. Both 1 Other ❑
Dredge❑ Fill i j Both ❑ Other ❑
I ! 1
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
i !
Dredge❑ Fill❑ Both 0 Other 0
I i
Dredge❑ Fill❑ Both ❑ Other ❑ ! ! j
Dredge 0 Fill❑ Both ❑ Other ❑•
Dredge❑ Fill❑ Both ❑ Other ❑