63169_Replace 40' of Bulkhead destroyed by hurricane Florence_20181004

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PERMIT rmit # A'
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OENERAL;' Pre'vi'Ous pip'
eEModific ti,on 0 Complete Reissue, EPartia.1 Reissue, Date previous permit issued 01 S' North As. auih' r;zej'b' the tate of Caeolina,,Depahment of Environmental, Quality
and the CoastAfResource"s Commission in an area of environmental concernpursuant to I SA NCAC Cn 4
ZI Rules attached.
Project Location: C_un�ty.'R;EA-1-1-T--6Y4JF--
Applicant Name �Js�* ' I-J ► lJ F_-) L -ie
Address4`1_,4- L.eit�I_-5 Street Addres's/ StAe Road/ Lot,#(s) -,oV-f 1'9Q1
City State 1-1 C_ ZIP
Phone # (�-J)_ q- --Z/W —I E-Mail
Authorized Agent t4
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AEC(s):
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E3'PWS:
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Subdivision_7A___-v13
ci "ZIP `2j 40,�,,
ty
Phone# River Basin -).A
Adj. Wtr. Body � U1 C v �11) 0—t— ((rf4 /man /unkn)':',''--,
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Agent,or A�plicant Printed -Name Perdik-6(fice,
Signature r Please read compliance statement on back of permit" Sig ­Rat_uiie_—
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Application Fee(s) Check# Issuing Date
Printed Name
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Expiration Date
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