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HomeMy WebLinkAbout77222_Roy Henderson_20200909I � 5 dcAMA/ O DREDGE & FILL -- �' I • 0/g N9 77222 d C D GENERAL PERMIT Previous permit# New OModification ❑Complete Reissue OPartial Reissue Date previous permit issued A/41— As authorized by the State of North Carolina,Department of Environmental Quality 7/ /�0 and the Coastal Resources Commission in an area of environmental concern pursuant to ISA NCAC 7 /_ ff [Rubs attached. Applicant Name ?C� _/7 C�e,'S(9,7 -------_-- Project Location: County gm„ _ Address 6, 3 L. _ Street Address/State Road/Lot#(s)92zs' X; City Y/ Ul` State PleSi ZIP 2°6 3-7 77)c-,'V,c_ (A' s$Q /3//) Phone#(50) 4,121 g30<f E-Mail L'�` _99^- c U*'•;3 t•Nc 4'Subdivision i. +C1 r �.. 4 '7 �+'h4-1 _ ZIP Z. g-57/ Authorized Agent ____- _ _.. City , / Affected 0 CW f,PTA C ES OPTS Phone# 2)��IV_2 9 2P-a River Basin / �� AEC s : 0 OEA 0 HHF 0 IH ❑UBA O WA Adj.Wtr. Body6 res.n G' � ( ) 0 PWS: C�'w` /unkn ORW: yes , no PNA yes no Closest Maj.Wtr.Body �!C•u Type of Project/Activity Ao, 4 e6)J �Gpiod�cs 740 5'0 0 /3X/3' 4.414 4 / X 2,121 A'^ Pi:e r / &-oy-e_ :S4y'r1 b. / 4L (Scale: /f 30 ) Pier(dock)length_ Fixed Platform(s) Roaring Platform() T -' _t�-f' ' ! �; ' f { 1 .r' Finger pier(s) S 2-0 ' a ' !14 • la i. i. :O 6 ,/ / i.,,;', : , hl Groin ' � , /� + i �" ! i length — { L t nn ,e 4 _ - number _ ',' Bulkhead/ — (__. _--- t-1 ._ . i ° Riprap length ` • 1 avg distance offshore i- _ 1 ; iPa i max distance offshore 2 ' . a Basin,channel ' ' K A cubic yards__ P.*�� / _._ L Boat ramp y -- ,_. .� ` Boathouse/Boadift n/3 I i ii .1 I Bead,Buiiaozin i i � i I. -f- J aOther L--4_ , { i - _ -Bray..." - -i- i ' 0 • ' ; Shoreline Length !. SAV: Yes no ._ 1- -_ ' -i . _j.. , /��,7 e , Moratorium: n/a yes • 1 o p it• Photos: yes i 1 1 { asp Waiver Attached: yes - -- -, -__-:-. •._ ____ - _--- -_ _-- _-- --- _ W... A building permit may be required by: ��A e_496,, 7a ?:f See note on back regarding River Basin rules. (Note Local Planning jurisdiction) / / Notes/Special Conditions Ai//S 4/o/ mod' 4.t.Jti• - Af le �'-„''/ 12! 5 "` lo a49 250 ,c - o P plaf wL. Age t i+M Z tag Permit Officer' Pe Signatu **'ease read compliance statement o back of permit** Signat e d - -- 0 •'e°7)/' 0-9 Oa ,,t• 9 zo 2_0 , q 2 v 2-4 Application Fee(s) Check# Issuing Date Expiration Date r 1 XCAMA / DREDGE & FILL N9 77222 A ' C D GENERAL PERMIT Previous permit# �/.� ��—= v New Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued f(/, As authorized by the State of North Carolina, Department of Environmental Quality �/J �� and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC i ,/ 'Rules attached. Applicant Name ?(T l `` e eD.A'7 Project Location: County s(t'CO� �� L Address (o 3q 3 G/b £' - Street Address/State Road/Lot#(s)92Z9 A4 r City vat 4- State 1-114 ZIP 206 37 ` ,'v / ' �R /3/i� Phone# (5 ) q2 3 8.ieW E-Mail l•'°`/99"-4-00-f-;3""-' Subdivision ?cte amerC n City27' '- ZIP Z Y-57/ Authorized Agent r��((E� ' / Affected ❑CW �"s"W 1 TA ❑ES ❑PTS Phone# f0)q29 re 7/River Basin N � ❑OEA ❑HHF ❑IH ❑UBA ❑N/A AEC(s): Adj.Wtr. Body /€._,...rt Ce'' ratan /unkn) ❑ PWS: .,, ORW: yes , no PNA yes no Closest Maj.Wtr. Body /V u �ic- Type of Project/Activity A°, 4 e`^` 6Co/00�s 740 4=•--5 -e, 0 /3)/ 3' .4..,i1/ 41 S X 2,e9' Av-, P,•-e r- (A o✓ - -5 44 1 b- /, N (Scale: / 3O ) Pier(dock)length __ Al Fixed Platform(s) ; Floating Platform(s,) i ' wo f a I Oi i CIII e o ' 1 1 1 I , NI Finger pier(s) SX 20 / rt -r3iN 3 ppl� �� Groin length I 1 7-1- / • • • 4- revrekA94 number _ _.......-..-e.----.. t — Bulkhead/Riprap length I _ .__._.-_� avg distance offshore max distance offshore l la� Basin,channel { X 7.- et-- - ii il I I kk, - cubic yards i j i I` T - Boat ramp I f i l i ; l /3xi 3 Boathouse Boatlik ___i___t--I Ai.......'..........: �-.._......__.._..............._....-------- -- -------.._.._.....__.._......................._-.....__..__.................._......_�_ ��..._._—T_.-._..... + 1 ! r I Beach Bulldozing I- j — Other i ;Pipe ; i Shoreline Length �S� 1444.,�s/Sov� i I. SAV. n r yes no -Tr iNf Moratorium: n/a yes G:67 Photos: yes no I" j _ I I re 'S Waiver Attached: yes o //ll -�,3 r� [��� ' , 1 , Pf may required by: lie...: 6 , r 3AJv1 0(U €1T"' A buildingpermit be re wired �� / �See note on back regardingRiver Basin rules. (Note Local Planning Jurisdiction) i Notes/Special Conditions /�/ /S etj 4 #'-c/ A4.1,-._ — 4?// `'• ,Pl'VO-e -- 5� 'e 250 4 of pia?- Agent or Applicant Printed Name Permit Officer' Pri -- Signature **"Please read compliance statement o back of permit** Signat e �� C 4 ( 20v ----- 'q°I . 9 / 2o7.-.0 y_4„ q/2-e 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: 1-4 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: 252-247-3330 Fax: 252-948-0478 (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: 910-395-3964 Fax: 252-264-3723 (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 0 _CAMA/ il DREDGE & FILL N° 77222 A 117 C D GENERAL PERMIT Previous permit# �� '-.New Modification ❑:Complete Reissue ❑Partial Reissue Date previous permit issued Li/g As authorized by the State of North Carolina,Department of Environmental Quality 7/ ', / 2 and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC _ // ❑I Rules attached. Applicant Name t7�i ��' i'/t, So Project Location: County i ? 1 Address 3 c�"- Street Address/State Road/Lot#(s) 72L-47 /4'r CC 31 City -,/�c S /� State m ZIP 2 , e l e.i Phone# ( ) �i2g ��O " E-Mail / r �•��''" e �u`. .3"' , �<4Subdivision s,; `/7.:,it.�- f y Authorized Agent City t ' i- / ZIP Z 5' 7/ Affected ❑CW AEW I TA ❑ES ❑PTS Phone# ( `�v)�2 9 /River Basin X"� ❑OEA 0 HHF 0 IH ❑UBA 0 WA AEC(s): Adj.Wtr. Body 7/c_.1 Cr Clz- (n t/man /unkn) ❑ PWS: ORW: yes I no PNA yes { no Closest Maj.Wtr. Body ./.4-� x Type of Project/Activity i- i �� „,,,,/ �'z • r- f;-P f— ./\ - 1,-. " / (Scale: ,`30 ) Pier(dock)length �� j .,j t, �'r-� I i I Fixed Platform(s) 1 � Floating Platform(9 IY h o`ate o 04 0 Finger piers) x 2_ l .. - it- Groin length L_, i d number -�_—j---—. ...-._._ ,..___ �._..... e-,___ ..._..-..-_�.-../ _ __ , - Bulkhead!Riprap length j .__�_ _...-.- --.._..avg distance offshore 1 f I I max distance offshore1F c" i Basin,channel j 1 t 4 ' ' , - cubic yards Pi jet Boat ramp i } I I. I Boathouse/Boatlift / X/ } F - - ..................._ �._._._.__._......._... - ; Beach Bulldozing 7 �/ . Other ; `7 — 4p(I.Ao i',04- Shoreline Length /S1 I YA S G✓� � /' SAV: not sure yes no I �"�I Moratorium: n/a yes no' 1 1 1 Photos: yes now- I I l G!' `� I I , 1.-1) Waiver Attached: yes ,no/ / I � ��� A building permit may be required by: P ''�(c) , 77A00 t)( f E''t - ' 1 See note on back regarding River Basin rules. I. (Note Local Planning Jurisdiction) / Notes/Special Conditions r f / iJ 7 i 1,-, ( , �/1,-( /l� / ) '/ Agent or Applicant Printed Name Permit Officer' Pri ante Signature **Please read compliance statement on back of permit Signature mot/ r( �,,�< .1-7 �v y Boa = ,i f • 9 , Zo — ( , q,2 v 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(910-796-7215)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: 252-247-3330 Fax: 252-948-0478 (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: 910-395-3964 Fax: 252-264-3723 (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 4111CAMA / DREDGE & FILL N9 77222 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 15A NCAC ❑Rules attached. Applicant Name Project Location: County : . Address Street Address/State Road/Lot#(s) City State ZIP Phone# ( ) E-Mail Subdivision Authorized Agent City ZIP Affected ElCW El.,EW QPTA ❑ES ❑PTS Phone# ( ) River Basin AEC(s): ❑OEA ❑HHF E IH ❑UBA El N/A Adj.Wtr. Body (nat /man /unkn) ❑ PWS: ORW: yes / no PNA yes / no Closest Maj.Wtr. Body Type of Project/Activity (Scale: ) Pier(dock)length Fixed Platform(s) ' - ?r Floating Platform(s) {, .i / C' •_-: i f , ; - Finger pier(s) k ;,yh. f +� k_' 1/ __.__ _. /r Groin length -r-4. ` i ! . :r .+� i i number ._......... __ a } I Bulkhead/Ri ra length iI - - - d_..... N t - -;- — P P gt 7t - avg distance offshore I j max distance offshore I I // • i �) ' C� j Basin,channel f • Eii f cubic yards V / i Boat ramp r ' i 1 I 1 i Boathouse/Boatlift -_-. ._ _..,.__..____.... .._ } 1 ' I __I --� __ 1 4 , -.1-4 - - Beach Bulldozing ,-; ' // - I - - I ` Other I I 1 1 Shoreline Length 1 i , { l 7, y - il SAV: not sure yes no - t r , I /f�j II / F' Moratorium: n/a yes no ; i �^ } II Photos: yes no _ _ 1 _ ; -- i Waiver Attached: yes no i / -;\ / A building permit may be required by: if- . P See note on back regarding River Basin rules. (Note Local Planning Jurisdiction) Notes/Special Conditions • k Agent or Applicant Printed Name Permit Officer's Printed Name Signature **Please read compliance statement on back of permit** Signature ..-- . . ,i< ;: / C (•.,, . CI,2 e) 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 (252-946-648 I) 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: 252-247-3330 Fax: 252-948-0478 (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: 910-395-3964 Fax: 252-264-3723 (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 i CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY} OWNER NOTIFICATION/WAIVER FORM Name of PropertyOwner: Ro Q f ict Re 1"l[ 1 6/1/' Address of Property: L61 1 0 ►�'� Vientril 1 (Lot or Street#, Street or Road, City & County) fr1 I i Cc CE LI..3,1 Agent's Name#: Mailing Address: Agent's phone#: I hereby certify that I own property adjacent to the above referenced property. The individual applying for this permit has described to me as shown on the attached drawing the development they are proposing. A description or drawino, with dimensions• must be provided with this letter. , ' I have no objections to this proposal. I have objections to this proposal. If you have objections to what is being proposed,you must notify the Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is available at http://www.nccoastalmanagement.net'web/cmistaff-listing or by calling 1-888-4RCOAST. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift 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 do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. ope Owne ,Informal' n (Rip Property Ow r Information) Si tree Signature clier55/0.1 Print r Type Narfe Print or Type Name / c t-WA,t- DI4C411411 �aaa J - ,? _ Mailing res do Mailin ddress c_t t IskiC XSeW (e' z17:3-77 City/State/Zip l i City/S ate/Zip ' c(t ' 83CY r1 �- 9i9. 9 - �1/ Telephone N ber/E ail Ad r ss ,yr� iie Telephone Number/Email Address ' U ; /d/Za Date I Dale (Revised Aug. 2014) 4q�9 �� � Via_ 4 4 9 7tltt�t?ill, `tt RD AC DIVISION OP COASTAL.MAN* i~O fPARIA#tt PROPERTY' tf OWNER NC "tt tC,AT NVIVE- 1 el 1 ti3rTle Of ProPertY C.)%vrtml ( 0 te4 "T, . il iLif-i,... 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DOUBLE PULL TRIPLE PULL 5K 24K LIFTS 5K- 16K LIFTS 5K - 7K LIFTS 10K- 16K LIFTS 20K- 24K LIFTS CIi' A °1 Q _�Q 0.0 G� MOUNT HARDWARE:5/8'X j11111 PILING DIA,DETERMINED BYii t I . (Al)2X 1/2"SS LAG BOLT CONTRACTOR 2X I/2'X 2 SS ; 2'MIN.LENGTH HEX BOLT W/ LOCKS AND �`\ I (B1)2X I12'S5 HEX NUT NUTS o I � U ri1 'tea ....... _ ., I -. A,, , , �� iw� �� NOTE:LOAD SHOULD BE EVENLY . ," DISTRIBUTED BY POS TONING THE CENTER `%' �y . OF GRAVITY DIRECTLY IN THE CENTER OF THE LIFTING BEAMS AS SHOWN IN THE ILLUSTRATION ,e - (A) 4 (g) 4 PILING BOAT LIFT SPECIFICATION SHEET CRADLE BEAM BUNKS DRIVE DRIVE MINIMUM 2018 TOP BEAM (A) (B) (C) CABLE SIZE( D) (E) N.P.MOTOR(F) SHAFT PILING (SIZE& QTY,) 4 PILING BOAT LIFT PILING SPACING 5,000 LB. 5"CHANNEL X 12'6" 4"X 6"X 10' 5/16"SS 7/19 3/4 H.P.(QTY.2) (.313) SINGLE 220V4.9AEACH (A)BOW TO (B)PORT TO FOUR PILING 7,000 LB. 6"CHANNEL X 12'6" 4"X 6"X 12'6" PULL 1 H.P.(QTY.2) LIFTS STERN STARBOARD 220V 6.8A EACH (OUTSIDES) (CENTERS) 3/4 H.P.(QTY.2) _ 8"(QTY 4) 5,000 LB. 10,000 LB. co 10 FT w 220V 4.9A EACH 7"CHANNEL X 12'6" 5"X 8"X 12'6" 5/16"SS 7/19 � = 7,000 LB. 13,000 LB. (.313)DOUBLE 0 c3 1 H.P.(QTY.2) v PULL N 10,000 LB. 12 FT 6 IN 12 FT 6 IN 16,000 LB. 8"CHANNEL X 12'6" 6"X 10"X 14' ix 220V 6.8A EACH ,i r, 13,000 LB. 2 20,000 LB. 6"X 10"X 15' 3/4 H.P.(QTY.2) 16,000 LB. < 5/16"SS 7/19 220V 4.9A EACH 10"(QTY.4) 14 FT 9"CHANNEL 14'6" o� (.313)TRIPPLE 1 H P (QTY 2) 20,000 LB. 15 FT 24,000 LB. 7"X 12"X 16' PULL 14 FT 6 IN 220V 6.8A EACH 24,000 LB. 16 FT IFNGINEERING SFAI.AFFIXED HERETO VALIDATES STRUCTURAL DESIGN AS TITLE: PH:800-325-1116 ;SHOWN ONLY.USE OF THIS SPECIFICATION BY CONTRACTOR,et.al. ENGINEERS SEAL FAX:252-747-4377 IIDEMNIFIES&SAVES HARMLESS THIS ENGINEER FOR ALL COST&DAMAGES 5K-24K 4 POLE BOAT LIFT TII AI p 0,BOX 1I 18 iFABRICATION.SYSTEM INCLUDING LEGAL EECTIONL&CONSTRUCTION PRAATE FEB RESULTING CTICES BEM YOND . ENGINEERING SHEET SNOW HILL NC 28580 THAT WHICH IS CALLED FOR BY LOCAL.STATE,&FEDERAL CODES&FORM DEVIATIONS OF THIS PLAN,EXCEPT AS EXPRESSLY PROVIDED IN HEREIN.NO PROPRIETARY AND CERTIFICATION OR AFFIRMATIONS ARE INTENDED. CONFIDENTIAL PAUL WELCH,INC.HAS NOT VISITED THIS JOB SITE.INFORMATION CONTAINEI SIZE DWG. NO. REV HEREIN IS BASED ON CONTRACTOR SUPPLIED DATA AND MEASUREMENTS. THE 4,.012A441101s COraA=.EL%,4 PAUL WELCH,INC.SHALL NOT BE HELD RESPONSIBLE OR LIABLE IN ANY WAY A 1 po,Pcc rOf NETO FOR ERRORNEOUS OR INACCURATE DATA OR MEASUREMENTS.WORK SHALL ENGINEERING DUS-R'ES.ANY'EPK*VC Ot"° BE VERIFIED PRIOR TO CONSTRUCTION.PAUL WELCH.INC.SHALL BE NOTIFIEDPAREVI Ai A WHOLE Wt1. R , WPRi Fr;PERMsS!ONOF1IDE'AUEc AND GIVEN AN OPPORTUNITY TO REEVALUATE OUR WORK UPON DISCOVERY RAWN BY DATE: a..'.TIiStRffS,S PROW ED. OF ANY INACCURATE INFORMATION PRIOR TO MODIFICATION OF EXISTING sc:ntr: AS NOTED ID �, , , �SHFFT i CIF 1 .,.,„-.....-,.,,..,,. ..,.,..,...,....—, ,,,..,. „,„..,,,. L� ;saw a of Coastal Mgr. Habitat Impact Computer Si eeT Applicant: ?CI �e-ir Date: �'l� o�Z� General Jemiit escrbe celow:he -0.317AT "iisturbarces tr:he application-. All values snouid match be lame, and units of measurement found in your Habitat;ode sheet TOTAL Sq. Ft FINAL So. `t. TOTAL Feet FINAL Feet "Apoiied icr. a.nticioatedrmal poiied oc ,Anticipated inai DISTURB TYPE Disturbance total iisturoarce. Disturbance iisturbance. Habitat Marne nciuds anyChoose One Irv :oral rc;udes =:a des any anticipated -estcratir any anticipated "esteraticn and/or :estcration or and/or amp -estoraticn ar :erne,mpact :emc'mpactsl mcact amcuit'- erne'reacts; arncunt -edge_ =11_ Seth _ Other 9 Zo 9 _ _. recg =;Ii 3 •�.. e� ��tr Other -, Dredge 11BOG Other rec - - - -•i -a�n � 1 'i i _,edge l_ Seth t-er 'Dredge =`il _u ether _ Dredge _ =:I _ ?etc _ ether _ Dredge -'il 7.7d' :7,t.rer recce_ :'ii T 3cti' Other _ .Dredge _ "il_ 3cil _ Other _ 'Dredge_ =it _ 36:17 _ `er _.edge_ =it _ Seth _ Other _recge -11 3cm _ _ter trecge_ F iI _ _ci- Ott-er _