63976_Karin Hilenbrand_20190320

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5 C-/A•'-;M/--'A- -',/:E DREDGE t'iFILL
- • -''• : - •:':: . ' • L , .• N_ O.- 72.. 9-79 LA1 (.':B-'7'/ c x4 GENERAL "PERMIT'‘: :-----2-74'1.''.. ' -',4f.'t-,- 01/(a ' 'Oievious permit# - • • 'is. • s';,/ '/A • ''•'*-''''''''''i?"4.
.'-C-L Modification OCOmplete•ReiSsOe bOirtial Reissue'' - • --., -Date previous permit issued' L;;:1://1=--
t''',,t-,,'.W.:`"...; ;-,-.-. • • -•L.,,-. . . ' -.-, , • . . -- • -.L..- . . , .•
As authorized 1-.0,the State of North Carolina Department of'EnVirohrnental'QUality
:..e!?-;'-'-`-',•and the',Coastal Resources Commission in an,area of environmental concern pursuant to I 5ArNCAC 217.1 : '-' 57-4-'0.' -' -- -• : •• - , .:
r• ', •-• - yel Rules attached: • . . ; ..„ .;_;?,
'f,-,.- •,Applicant Name-..:A i.;•;/. -•/ ic.i. 7:167:,_---I-17--L'39 , - . Project Location Cot.intY-
Address 71,./-4:74 ;17-7.----'75.>-.4k,/' e;06 Z-X•4-7•14-a'-. '.,: , ' Street Address!State Road!Lot#(s): 1(,---S-l.
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-~,CiP /V;i-L .":: . " '. State /G,-ZIP "2.-72(4-<",;/° 'e /2 -7"-...''A - 2--',k--tz:.17-:>/, ''a'...
--, Phone# (2,--;-?_)7/I/ -.-2,... 4,--•' 2.:E:t:Igii,• . " '- ' - • Subdivision /---'-e- 0.%.A.-;‘../1/..!(-). .. - / .---/..i:.)` . ' .
. . . .
Authorized Agen ---7-t- 7-7-' A.14-e.--?,--4-4- • citd3A-4--,--, .. 1' ZIP
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,. _ Affected p cw "JEW 1PTA . 'LIES L]PTS Phone# ( • ) .. River Basin-12172--F4m-&/ -".(..),.
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lilbEA Ei H H F IH . UBA N/A
AEC(s): 0 0 0 Adj.Wtr. Body '//7/--1/1-72--/ef"c.) "?.-21.VG:---1-- 17 /man /unkn) s,
0 PWS: , • , 7- ,....---, ,
' ' • Closest Maj.-Wtr. Body
ORW:. yes f ni: PNA yes / -
,.
_ ' . . ,.
Type of Project/Activiti/.2-6 :"Iicri;--c- -i VD .),- 6-, , '/-----3 E-7:e- . . ' . • .,
,.. „ ,... ,
, .
(Scale: 1., -.----7,-)
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Pier(dock)lerigtl/Ve) ),"(.0 -.. •
Fixed Platform(s) 0. _ _1 .. _L, i
1 ,
, 1
, .
1 1 ;
FI:os'aing Platforn(s) 5 x e,..7 ,-1 4, e_'"-c-••i.."..1...,:-.-,e.,-.-.1-^r4 . •
e......._ 0
• ,Finger pier(s)' • . P6,--A-r-,-----i.-.P/"A •I .
•
Groin length , • . I .
number . , - •
. ,•
Bulkhead!Riprap length • , i — . . ..:
, ..__ ",,....--2- ,.. /4: 1 .A-----'1 9 6---•L --.) •
-_.;•°'
avg distance offshore :2----71::-/7/ la:&- _I---)-/,Y. ,7 Y (
I .
•
• max distance offshore /P./7.--- i
•
./,
/• •.4.<", Z
Basi•channel r- .--: • ,) -------- . . -..
kl • .
i
• . .
. .
'cubic yards• . -- P . . .
,,...
Boat ramp ' • -
Boathouse/Boat*.
Beach Bulldozing
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. : Other • \,• __„...1.7. ., Li_ ----.....-.. , . ,
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, • .- .
• • .
Shoreline Length --- q 0•-7- ,
SAV: ;-:---riot sure...„,)yes no . /.),.,-,!..'..77-4/.;31'," tssf.') ' •
----7--- 136e)....C1 - •
.'
Moratorium: n/a yes co) 2---7.6•, I
,i
'. . Photos: yes
IL• • . , ,
1....
. .
, .Waiver Attached: ye no I , .•
• ' A building permit may be required by: --A1--- -(--/-4----On--7. 7) , . j See note on back regarding River Basin rules.
. (Note Local Planning Jurisdiction)
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Notes/Special Conditions Z-0-r- i" A-'' ,r•I 7'n ,I-)--a-y--) /...-4.--4-'''7,-) .
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,- - ..i 7F- ./..Z-%2 -)?/-11:f:- . • '
Agent or App kant tinted Name / Permit Officee-sirinted Name . :-
. • .
,
r 7 C----, is/ ."-://e/27--,0 ,, - . . .
, ......- ...-
Pleas
Signature ** e read compliance statement on back of permit,* Signatur --
--- 7'--7.-- )
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'.: -4- -:-/-4--. ..k/(-). /Vt.=0 ' . ..' : ..•I'A)/A-- ----.7 e9 .,"-',‘ z,-.1 ' c..)/-----i .. "2_G" , 5-17-77" .r,%1
..,.. , .Application Fee(s) ; Check# Issuing Date , . • Expiration Date,
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47 /5 d
Authorized Agent ConsentAgreetnent
I, livurCn ` ,rOactnd,herby authorize Tobin Jay Tetterton of
(Property Owners)
TJ's Marine Construction,LLC to act on my behalf in obtaining CAMA permits for
the location listed below.
PROPERTY ADDRESS:
t 2: _Aik.tei Rd
PROPERTY OWNER'S MAILING ADDRESS:
340° (LUO C.�
C ee+nket t le. iQ c. 2,1 8 sg
Phone No.'2-5 2-) -1 t('t '-1 3 57_
PROPERTY OWNER'S SIGNATURE:
AUTHORIZED AGENT SIGNATURE:
TOBIN TETT TON
DATE: 31/ 20ff
W/Authorized Agent Consent Agee.

Applicant F- 4 i N 1-1 1 L LS 4$P 9-ip
Date: .2 d AA&a- -/4- / 9
general Permit# ,Z 9 —7 9 _
Describe below the HABITAT disturbances for the application. Ail 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 blame 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)
OPe-nt
1.vAi , Dredge❑ Fill❑ Both ❑ Other /2i) .W
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other El
Dredge❑ Fill❑ Both ❑ Other.❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑ -
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑ I
•
Dredge❑ -Fill❑ Both ❑ Other ❑ j
Dredge❑ Fill p Both ❑ .Other El
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
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