Chris Essid 71757D

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• GAMAIL1DREDGE & FILL No 71757 A B C 6-`'
GENERAL PERMIT Previous permit# 7(i;1 I�
)C ZNew -Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued i 12-4/tf
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 I SA NCAC 01 1-1 • 7c700
{,� ❑Rules attached.
Applicant Name Ct 1 Y�� � 51V Project Location: County PeI16 Y
Address Zilik Via 0,illATIVi ACtie5 kd Street Address/State Road/Lot#(s) S f1(,•Q hi a Sl l- (1/10, v1"
City tIA_41i1 k)ci--P G d State kk, ZIP 71'1)14 L( - A lr C! IL Gt
Phone# ('O14) 3y -q i-14 E-Mail C kti is PSS i4@ comrQ 51.111Subdivision
Authorized Agent .)Lttl t Cape A,tt h va - tit L K Cal.l'(.t I(Alt t i City I 4 Mc)Cif a G( ZIP "Z (it-1 y
I, -26 4 q(p4a River Basin klft lir (i k
❑CWEW PTA ❑ES ❑PrS A�{VltPhone# (�11L )
Affected ❑OEA ❑HHF ❑IH ❑UBA ❑N/A
AEC(s): Adj.Wtr. Body TOTS GU I CM b1 vl ((2/man /unkn)
❑ PWS:
Closest Maj.Wtr. Body t ttiV)
ORW: es no PNA �y s / no
Type of Project/Activity 12 0 u t
.e. ,E 4-0(,.VA (\41 14(A (,th) ct(t t 1,\C(9{ G( to t"k U y l i (a 1-tk
jb hlc( -,/ (Scale: '!! tpo ' )IP- ,
Pier(dock)length I Li e l X
Fixed Platform(s) / Ni
(, ( ■■■■■■I1■■■■■■■■■■■■■��■■■■■■■■■■■1.i1■■■
Floating Platform(s) 11c V[F ■■■■■��,1��■■■■■■■■■■1■■■■■■■■■■■■��A■�■
Finger pier(s) ■■ �:� �■ ` ■ ■■■ ■■���+�i�®�
Groin length , n■ n■i■■ii■
■ ■11 . _
11 _
number 1 ■■�G���J■����■��■■■■■■■■■■■■■■■■■
Bulkhead/Riprap length ■■,1 ,14111 �■■■■■■■■■HHh11■■
avg distance offshore
max distance offshore ■■■■■illr�Ii■.7■■gilij IUr1 ri■■FIIII1■■■■■■■■■■■■■■■■
Basin,channel ■■■■■■h1FI■■■■EI11■i1■■■ESI■■■■■■■■■i■■■■■■■■
■■■�■■■■I4■■Ri�I II■II■■IIlnIIO7 ■■■■7TLIu■■ ■■■
cubic yards ^ _•-■ -Boat ramp `//Boathouse/ atlift 14 '�c(�, ,� 111111/1k10111111111111/11111111AP110111111111111
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1ti
■■■M��!111II■■6■■■!iH1 `ills.
Beach Bulldozing \ ■■ ^Ybi■■nI■■■N■■i�,II1■■■■■■�,�; ■■■■■■■■ ■■■■
Other NIA iiiiHiIP1rIIIiIIIIIIIIIMImiuI1HhII1III
■■■■■u■i1■■m■un■Iri■■mm■■■■■Iritimu■■■■■■■■
■®■■II MII■■lI■Ii■1IIIMIIIIIII■■■■urri Ernim ■■■■■■
Shoreline Length ^' l j1-7 11111111111111111111
■ (SAY: of sur yes no ■■,,,�+��,�� 11111111111
Moratorium: yes no 1111 11111111111111111111
Photos: no (++, _ \ i / l ' 1' ,'r IIII
Waiver Attached: yes no \ / / f
A building permit may be required by: -e,vld.( u Ohl' ( + �i(,j/l,(p 1(�Pd • I See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) r /
Notes/Special Conditions c-�M Z ci o 0 !A d (di l o (ci I ► 1k f e(� f P�(«L I I ?cp.(Q.f j ui i l tl.p l)I CJ _
X: A.41 wk. G. ,
Agent or Applicant Printed Name Permi fficer's Print Name
r --T�
Signature **Please read compliance statement on back of permit** Signature
Application Fee(s) Check# Issuing Date Expiration Date

Atot.ri 1 AU t rivr LA I run rvtc toPUIMA ?rr or wre
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Name of Property Owner Requesting Permit ()iris ss1ePl
Maims Address: ©?l7(0 w 6 l j -, AAA► Ld
ifu..issi.t at /JG !I$W3
Phone Number: -331- 7t-t Z`f
Email Address: chrss e,$5 (! c4c50.4--
I certify that I have authorized Eod . M ."C.;
Agent/Contractor
to act on my behalf,for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development i?e.b.,L 1 c}.c.i.
at my property located at =2-v7c• A--c, s tLaw�t tG p k•.plf AZ-1240
In ?Adder- County.
I furthermore certify that ( am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands In connection with evaluating information related to this
permit application.
Property Owner "),Z, ,e7`..
Signature
ru. el G. er si d
Part or Type Name
Title
10 I i ? i2410
Date
This certification is valid through t l _

Cc . ,,c_t_�5
Maps 2176 Washington Acres Rd
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