63117_Propose to replace pier and platform damaged by Hurricane Florence_20181002

A 70 'No., 724
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-PERMIT
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p GENERAL', Previous permit
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'-As.iutho I rized bythe State of North Carolina, -Deparfm6rit of.Environmental Quality
and the Coastal Resodr-ces -Commission in an, area of environmental concern pursuant to I SA NCAC
ules-attached.
Applicant N Project Location: County' A, wI
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Authorized Agent ConsentAgeement
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® OeV herb author
ize rize Tobin Jay Tetterton of
(Property Owners
TJ's Marine Construction, LLC to act on nay behalf in obtaining LAMA permits for
the location listed below.
PROPERTY ADDRESS:
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PROPERTY OWNER'S MAILING ADDRESS:
Via&
Phone No. A A�)— 113,3
PROPERTY OWNER'S SIGNATURE:
AUTHORIZED AGENT SIGNATURE:
T IN TETTERTON
a z ��
DATE:'
W/Authorized Agent Consent Agree.

NC Division of Coastal Mgt.
Mgt. Habitat Impact Computer Sheet
Applicant:
Date:
General Permit #: -7A `17
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet.
Habitat 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/or
temp impact
amount)
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 ❑
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revised: 02/03/10