63984_Vincent Stout_20190319

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'Nii?...72981:-. ,-. -;:, d :,,-, :-::...,,,
GEERAN
L PERMIT ',--, ---:'- :' ir_ittto ' eLf -i' . , Previous kermjt#' .. -.:- : :-., _-_,-'411,4:1.' : -,,•
)"------- '-`.(a6,.s.;;, 7-:,Jko-iiifietibh,-.'__ 11165i4leie'iiii6 0 Parti'al Reissue •. - • •': 'Date previous permit issued ,C).'/:-/.61-''
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;AS•"4thOrized,bithe,Sfate of North Carolina;Department of'Environmental Quality
',-,'and the Coastal Resources Commission-in an area of environmental concern pursuant to I 5A NCAC, /27/4 ,'72 5-12?P ,'"'. r-,• -,'' .. ='-.:-,...--ri,:1:.
Rules attached
-4; Apklicani-IV -ne :, ,,,I,...:::-.,„)i---- Project Location: County, ••—•--Gf...:4 ''(1512 .7.-. -,-
.--,. Addre ,:20:,c-7'..' V:Di.j.,/ ,-----://:: "G'7,4- ..5/_...1./.)72.- 7-2CI•. Street Address/State Road!Lot 'r
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, ,.City ;-: ::', '•- #-11 1 ' 7-:) • StaierlSi 6 ZIP —2.----72<e<1 .2
•-•'. Phonelf,(cY2. 2—`g/2--e-)'E-Mail - ' ' ' • ' ' , :Subdivision /7442:te.;
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:Auiho(izedAgent- i -. . i.--..5 (.1(44-:-/ - •':::- '' City hiA ,,:-:,1 1,,j47-2).;',2 :. ' • , ,'.-:',ZIP_ -2...•-;-7 s.e ,.7
Affected °FIN
DEWy_13:TA- ' DES '` 0 PTS. - Phone# ( ) ' • River Basir77/1/2.---PAPA'lli
LJf'.• :'".
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OEA• 0 HHF _ .0 IN , `E WM 0 N/A ''
AEC(s): . . r • Adj.Wtr. Body 1--)td. ,,i.'-'--' e .---„,------ ---E - .(6-a-6/nnan•/uPkri):.••-•
r: .
• 0 PWS: •
.,.. . . Closest Maj.Wtr. Body •?A-'4-7 1---7/t•--',
ORW: yes- / rCi PNA yes /..._,r- •
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. , • •..•..4 •Type.of Project/Activityq;74A7,-_-_E 21-i 4 'N,- -7... 7...r.) -1---/--IF"elt D. , . . . . . .•
- .
..
. ,
-(SCale:/ c-_34::, )
,. .
•*,,. Pier(dock)length 1 , . . , ._ •
.22 . r f • I
Fixed Platform(s)./ ) >'(f2."4.> . ,..." I' l ."C.,,Z.-. e (- -- -.. "
,
•.'.. Floating Platform(s) • . . - —-r _..., ,
.Finger pier(s) ' '''''' . . .
'...* : I
•; Groin length ') I •
numbei -
, .
-, • - -
..•-•' I
Bulkhead/Riprap length I , .
.
. ,. ..,
,
ta
avg distance offshore ' f
E-X/•"(re-')11 i 3 r/3
'-- -- - max distance offshore • - , i . :z a
_ ,,7 ,r...
" ---' Basin channel, ,
. • - I -I
• ,
„
cubic yard • ' . .„
'
Boat ramp 1 ez-,,,,vE- -7,, v /4.,
-
Boathouse/Boatlift
, .' Beach Bulldozing .
' • <-,,... k'X/ f.iii .
'Other ' , • lil/..`,1r7046) . . .
.-.
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61/67-/2.4--- P„ , , ' I
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-----)./ .
I
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Shoreline.Length — /./C .-,-.1 Oc.1 -----1 --t-171 :-----.------".'. '"
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,:'I. • SAV: sL"----.ir"--7-e yes„,-' no _ . _ ,
- Moratorium: n/a yes no C ---k
I I ; -, ,I . ' '•'•',
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Photos: , yes ilip -,--7.7 r ' '0,''' . : .?:
,... ' '
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Waiver Attached: ' yes 6-x2,
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',,...- 'A building permit may be required by:era..4-4-fro/2.7 ' e-_-__"‘.1 "./leee note on back regarding River Basin ruies:--
-(Note Local Planning Jurisdiction) • . , . 0 , .
' Notes!Special Conditions /a-7- /5 /1.4.4-1;47717 7-4-7-0 /_..,4_44..1 1.1 . A 724---/ __)7 -:-P 47,-OL>‹-,,.. .
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Agen or pplicant Ptinted Name__ PermitOfficer' nted Name •
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il /C//e 0 i,t, 1.-..-,-. .. _..- .,: .,
-Signature ', *le,PleAe read comPliance statement on back of permit** . 'Sign ture .-.-- , .
0
": 4.14/ '// L . /? 44-p_zt/:2-,/9 7 , 14 4-y 24'f.
Application Fee(s) - Check# Issuing Date Expiration Date
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bOGg'ij
Authorized Agent Conn itt.A,greement
S. o( _ . ,herby swam dze Tobin Jay Tetterton of •
'Yrollert7 Ovine* )
TJ's. Marine Construction,LLC to act on my behalf ix obtaining CAM(pezmits.for
the➢ocation listed below.
PROPERTY ADDRESS:
.20 'Dock akeek Snndrrec V -1 .
i U1 Q f4 la
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C-- 4 •
PROPERTY OWNER'S MAILING•ADDRESS;
p10 11 �•
Phone No. a te a. 31 al::)
12
PROPERTY OWNER'S SIGNATURE:
AUTHORIZED AGENT SIGNATURE: L�
TOBIN 1`E'f RTON
DATE:' /0/4"-- 2fig.
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W/Authorized Age l•Conscnt Agree. •

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Applicant:Yh10E KT 5r - r
Date: /9 ,ey/A. /a 20 9
-General Permit*:
$l_j3
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Describe below the HABITAT disturbances for the application. All values should match the name,and units of measurement
found in your Habitat code sheet
TOTAL Sq.Ft. FINAL Sq.Ft. TOTAL Feet FINAL Feet `
(Applied for. (Anticipated final (Applied for. (Anticipated final
DISTURB TYPE Disturbance total • disturbance. Disturbance disturbance.
Habitat Hanle Choose One includes any • Excludes any total includes Excludes any
anticipated restoration ^ any anticipated restoration and/or
restoration or and/or temp restoration or temp impact
temp impacts) impact amount) temp impacts) amount)
b0't7-/
ii/ "N. Dredge❑ Fill❑ Both 0 Other pa �Q
Dredge 0 Fill ID Both El Other 0 J
Dredge❑ Fill❑ Both 0 Other 0
Dredge❑ Fill 0 Both El Other ❑
Dredge❑ Fiil'❑ Both 0 Other 0
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge 0 Fill❑ Both ❑ Other 0
Dredge❑ Fill 0 Both-❑ Other 0
Dredge 0 Fill 0 Both ❑ Other 0
Dredge❑ Fill b Both 0 Other ❑
Dredge❑ Fill❑ Both 0 Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑ _
Dredge 0 Fill 0 Both 0 Other ❑
Dredge❑ Fill❑ Both ❑ Other 0
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