63616_Josef Kosic_20190124

.. ,. -, -• - _- - . 0 LAT27172. ,c,..,A--ri:N.-_--
'.., -: -C4MA j-ppRp9E't FILL , '• , .... --.,..„1,..., •:.) 4,E- -'; : ' " No. 72447
1 GENERAL .PERMIT Previous'rperMit..-. ,-- :..:' -: '. -2-' '...<61 ,, 4C-: c ---o
# ; •'•; ' •: 1...1 14--lobi co •'' .
.': ,>---:---•---- NIS-16W .EIMOcifiCatiOn ECPMplete-Ileigef. E 3
Partial Reissue • - Date previous permit issued -: •••'NJ- 7 A--
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Aiauihorized by the State of North Carolina; Department,of Environmental,puality
',•• and the Coastal Resources ComMissior'i in an area of environmental concern pursuant to 15A NCAC 61 1-1 ',, 2 51c),, -,, ; :•- . : • , -,- : ..-',--:,
X Rules attached. " - ` • •"'", - 2,I.
Applicant Name • c)..S 't Er,•5-1 6,...
• - - '• ,;T.' '' ''r ' . • / f • ,
- Project Location County 1::;-:e 4...i..rre„,A..-17..---;-:c.c..), .. ,•. , ,'''' .
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Address '6v 2 la t.:4 61 Lea" ' E-A 0 P -----adi-. , - , • Street Address!State Road/Lot#6 •-* ;- r- ' * ':.. :‘, -: ' :, ,
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City WA-4)1;4 r.'D P-: , - .State I---‘C- ZIP'277 V q•9 ' " 1. -1.--C.:0 ' /_-,-(46/7 it--', ',KA•A P '12:-/9' .. -'`
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',•.;: Phone#(-1'...s-z44..-7 -i:Di 2,- E-Mail ' -.. • ,,. • ' •' ':-Subdivision CA e.;c—c--:,;2:_ •KA/s;P '-':•„ ,-.'- ., '' :-. • ;cr.• :-:,..
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City 1.A.,)A4;4;/-1, .-i-i,Pri , • - ZIP 2-7 cSiil Authorized Agent 1,44 A-42.1 4-) ' '-igb -0' " ' .
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Affected _,
•,,:'•,': ', " „,-, .
0 CW . 1'EW PTA EES . EI PTS i " . Phone#-('-- ' ' ) : ' .River BasiFiTA12:-'944,,, ,
AEC(s) ...--• ,,
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-, 0 CoEit 'El HH ..10 IH 0 UBA O N/A
''• : - - Adj.Wtr. Body "-PAsvt 1.;/i'0 ----- t v -/C--• (nat /man /Unkn). .
Closest;.: Maj.Wtr. Body ?A''''L''6a q2"I" "f••-- *
ORW: yes /411, ' Pts1A• ' yes ' r_. • . .,
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Type of Project/Activity- e-i- ) '7--s( Y. PI Er- , ) 6 y. 110 --1--7 rfC 47 , /-2- • L., ',` I-2- 1,,,, .
Lo ti e-er .-0 1"). C.,61,0T1,1 I'1--- : (Scale: ) 'se,, ,) ;,i.,.:
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Pier(dock).length I QM- .,t 4, -
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' Fixed PIatform(i) if-. )e ) (...., i -If 1 kpr_e-
• - -41 f?
/ ) kel. 1 V I td,
Floating Platform(s) ..,. ri 6,' 1,1 M. 4, .< . ' 7r.- ,_,
#4 P
N Arb '
r, . E.,rl/4.20i tat-D , I
4 , Finger pier(s) \
r.- I 'C.— • 414t-'11.41 ZZ,--' i 1.7. t..
Groin length • -- - I •-•-•.--:---l---*"' . i ,z.., . , _ I •
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number" - " - •
I`.-- ,.-- 1 _-•, I' ,i_ l
-rzErptA7._t., )-1,--t-f i-.).-t. • N
Qulkh_rea)Riprap length i -4--
"--' avg distance offshore I r :._
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--:-- • max distance offshoi-e
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Basin,channel
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''i.;,II• - . , . •
cubic yards ,12AhArkz..t.t-,.0
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Boat ramp P`1.1 -t:--)p.1./-, I f'2•It„,i f...4/.1-i-, /N .
tv-IpttA.Z/V3 71i=• - .
Boathouse.,17 r . .... 1t-nri-,1'-z•1 . • , .
L4 14 GAO 0-e-_-17.- . .
' ' — `-' \---.- , •Beach Bulldozing
I-•"„ , I -
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Other ' - 4
I .f 1,
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1 I .. _ . 2_
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.,,, • - ' ..,4r,..-, - • ,,staii ,__, , vim. . _....1.- I ..... ,
.• Shoreline Length ; -I 04) ---....., --/Th I I • i,. , 1
—9II SAV: (not surD yes no . _ ,-7.--- -'"c...,.... ----7' . '-'..-------- ...,• --..-e_•••'-' ?,
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4.,.
. Moratorium: " n/a yes 411;10 4— - 1/.-4, 1 (.., .
: - Photqs: yes --no _ I I S
.
. Waiver Attached: yes n• '
- , . . - ,
A building permit may be required by: 7:4SAI-1fc:›12--T- e.:!) . . I>c See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
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•,'•, - Notes/Special Conditions 1—.0-r A ,-, 1--4 A"7 1-41-Pm rdil.-\--) Litk-A- -,'N1 ce- i--e2.LA 6 A.)il--t- 4.-5,7- -1-- ,
"Li•-• ' t-1 L. A..a.„..C., b.)%-- •-r-v_l_AA.....1 "9 it,....N.) t 0 t.,c i t.--1 `p.4 k cs-r.,-.1.4_ I.
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, .,..,_,Agent Applicant Prini,d,N e.
Printed Name
::"';';•'<- a%--I-P- -1
-., Sign u're **Please i-ead ompliance statement on back of permit** Signature
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6 1./r- -2-9 LTAirk--2.-c-D15
• '---1-0 Seart-ivita Q;1,..-2 1 q • ' .:
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'.. -Application Fee(s) • ' Check# Issuing Date, • Expiration Date,.,
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AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: J S e,, 11 o SI c
Mailing Address: (p ep Kcto'Pk Ka,/l'tp /Qr1
)Qi /Ofrt) A'd . 07-7ee9
Phone Number: 0 5.2 -6/P2 7 -- /O /./_
Email Address: dI certify that I have authorized 44/7'R lAl g6 ,
Agent/tontractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: A e R- 86, 04eqd
at my property located at 46) 4 / ea A, y iv
in ge.,44,27' County.
I furthermore certify that I 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 Information:
Signature
j:66 e-2 ko s i'e-
Print or Type Name i
®w1111C/_
Title
I 1/ 10?6/1
Date
This certification is valid through I /

•
Applicant dos F-06;
Date: 2 Li' -M LA N2 Lj - - 1 S .
-General Permit#:-27-14- -i S
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 Name 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)
Dredge❑ Fill❑ Both 0 Other 5 lD d"� •• i OO i r1`
I
LA .t . Dredge 0 Fill 0 Both 0 Others 1 , 6b 0 -1- ) t0bO,i fi 2
S l R LLD t,J ,Z 2
rbv -Zn\ Dredge❑ Fill Both ❑ Other ❑ 2-c a 12 - 20 O
OPT) z 2
( ESL Dredge❑ Fill 0 Both ❑ Other ) 2 iv
Dredge❑ Fill❑ Both 0 Other 0
Dredge❑ Fill❑ Both 0 Other ❑
Dredge 0 Fill❑ Both ❑ Other ❑
•
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill 0 Both 0 Other ❑
Dredge 0 Fill❑ Both 0 Other •
❑
Dredge❑ Fill❑ Both 0 Other ❑
Dredge❑ Fill 0 Both ❑ Other 0 _
Dredge❑ Fill 0 Both ❑ Other ❑
Dredge❑ Fill❑ Both 0 Other 0