64404_Katherine L. taylor_20190613

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• yious•permit# '1v1" ' . . ., ; " • ,' ' "::
,LI Modification'.' Li Complete lieiSsUe :..El Pariial keiSsue . 1 ' . Date preyious permit issued Al Iii. , . 7 ' 1 •1'.7
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As authorized by the State of North Carolina;Department of Environmental Quality, . .:.
and tl-i6.Coastal Resources Commission in an area ofenvironmhtalcOncern pursUahtto 15A,NCAC 0 7 Ii•.1 L 0 0 ., . - • •
,,--
•, , 1 0 Rules attiched. ' ', - • '
Applicant Name eA 77)..Eti<JE . 'L. ,'TAY'46 g - , Project Location: County WAS H h1/6,73fi
Address '41,-/". At iz 1E-11 AZ.-' grACI-1 ,I tZ ) .
Street Address!State Road!Lot#(s) i?97 ACIEM ARCE...•
City-RD Prfe ' ::.:.• : ' State Ak ZIP•P9 70 l3CAci! . 11) :, 0 r F. Ak3-z- -a '193z.... ..
Phone#(257:) qq3...--..89 1.? E-Mail - ' ' - -' ..Subdivision A 1PRLi4.. , 0 E Ac II
Authorized Agent ',••; ' .•-• - „ . . City gb PCiZ = ' • ZIP oi 717°
• . ,
• - -- 'Affected 1.?
, 0,cw .pEw, . OTA' . $ES ViTS Phone# (IR.;')g09 '2 P-IF 'River Basin PA S QU'4A•Ai.K ,,,
AEC(s):' 0 0EA 0 HHF 0 IH . 0 I=1 UBA N/A
' -: Adj.Wtr. Body ALEPIAPLE so(A 14) 1141,1/man lunkn)
PWS:
Closest Maj.Wtr. ALE Body -
• 1771ALEI ..:50(A/ )r)
ORW: yes /0 PNA ' yes 0 , :
• ,.
Type of Project/Activity AIAINOlat-0 )( 'Y)1( FLATiodetil S119 4/ ST):„)2170VjAll (16 'XI ' FiUz..
1// /
• , • . . (Scale:/-;36 ,
Pier(dock)length 90'Xt
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• Fixed Platform(s) It,Xil I 3 1)i• irk liti t 13EJA A kLk e“ • -,
Floating Platform(s) - I '-----o •
• Finger pier(s)
Groin length ' --' P ,•
,
number - . .
I ,
. ,
Bulkhead/Riprap length - •
.
,
avg distance offshore
max distance offshore -"' I I
Basin,channel -
- •- r -
.; -,L
- i(1.1'M I`f• u.c.t aft"'cubic yards ,..
••• -tF, I
' Boat ramp *-- • I '( I
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• -'Boathouse/Boatlift —
.
---- . ''-Alt- dnfo--'
• Beach Bulldozing -..' •
i 1 S I i /01- I .
Other --- . IS4 ‘1 l#••'Ml AvilV7A1' -
......_ ---5-11-LI . ;
7-s--f
Shoreline Lengt
\ , '' ,1 C."''' 1.1"--1
- =
SAV: not sure yes no •
) A
Moratorium: n/a yes' (no ( i.1 w, 121, , --vozo'f-o
. Photos: yes R vi26, fP 91-sir- rile
Waiver Attached: /2. 62") (ape.,
A building permit may be required by: /ASH IJCIP/ C NAnn\I . I I See note on back regarding River Basin rules. . .•',
(Note Local Planning Jurisdiction)._ :.....
Notes/Special Conditions Q" 071-1,mo 0 Prit..m rr roll/ /DO A/Li, AA Vo gat P ZZFIT-2-0 f . -
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Agent or Applicant Printed Name Permit Officer's Printed Name)z,„
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SignSture **Please-lead cotroplianCe statement on back of permit" Signature .
, 4LOO:00 litoCi • 13 31.01L 20M /3' GI Cr ti9
Application Fee(s) S ' ' ,Check# Issuing Date Expiration Date..
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Applicant: �A ' C�lio 'C 17YL0g
•
Date: ;RA/0C ZOI
General Permit#: 7 3trt t(-13
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 andlor temp restoration or temp impact
temp impacts) impact amount) temp impacts) amount)
OT WA1 Dredge❑ Fill 0 Both 0 Other c32 i z 5-3 21 2
Dredge❑ Fill❑ Both 0 Other 0
Dredge❑ Fill❑ Both 0 Other 0
Dredge❑ Fin❑ Both 0 Other ❑
Dredge❑ Fill❑ Both 0 Other 0
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other 0
Dredge 0 Fill❑ Both 0 Other 0 ;+
Dredge❑ Fill❑ Both 0 Other 0
Ii
Dredge 0 Fill 0 Both ❑ Other 0
Dredge 0 Fill 0 Both 0 Other ❑
• - i
Dredge❑ Fill❑ Both 0 Other ❑
Dredge❑ Fill❑ Both 0 Other 0
Dredge❑ Fill 0 Both 0 Other ❑
•
•
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