64532_Mitchell Johnson_20190822

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No .'73098 ' r" ''''''-'GENERAL PERMIT':-::.- . • 1"-#'Co4P5.3. '''' - .,Previous 't*'' fjl.
ElModification .. 0 Complete Raissue' • 0 Partial Reissup' - ' ' : :.D4e preyiou-s,perrnit issued, 'ft iii/As :.
'AiauthOriZedIby the State of North Carolina,•Department of Environmental Quality
and the Coastal Resources Commission in an area environmental;Concern pursuant to 15A NCAC '0711:7 so
. . ... . . , . , . :,.-, ..,-• ' .: Rulei ettached.•r ;' ;,-.?:', ".•-: - .`,:!;, - •• ,.
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Applicant Name -14,/TT II c , ..-1-6 iloc.,,„ , : -Project Location: County :-FLA oreve.V.:,,..--"--: ',',r: . : ---.- :,,- •',;,,
. •
Address- -I,ez 0 -. .13i.0611 5'z tA g y •': iz)> 2. , Street Address!State Road/Lot#(t)".--7 g7..7.-.!.',.pi,;)t-e 14-s 7--7,
-City C..:' ,-f..t' (---, -,,-,;,,,,_, . :-- • :- State'i.jiC:.....2113 7(3. .':s , ' . .ri... -: 3.0"i 7?'.5- •-- ..::] '-- '• ' '' • : • :. , 2, - -::,,,- -.-.., :- •:1..,,,:,.
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Phone#(.- -' ) 9/6',-.47 I 3 E-Mail 2 ' '' , .
Subdivision
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•Authorized Agent --rzr,A 47!ril r -: :- . • - 2 • :. City RATN:•' . • .-- ZIP -780c(..
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Affected cw - ,,,,,„, _r CI A _ DES CI PTS ' Phone#_( '. ) , ;.------ River Basin 'TAR fAri
1=1
-. . .:- - " - • ._. 111
• - 0EA . - 0 HHF ' IH UBA N/A
AEC(s) • -- Adj.Wtr:Body pA,di t,(0 --ktur i? ,-, ",' :,' nat7hian /unkn)'.
- • 0 PWS: .
•
Closest Maj.Wtr. Body PA Ai 0 co •r P IV ilt.:-
oRw:- yes '/(4cD PNA es / icy
Type o,
f!reject/ /ivity F--1 hg rAi-( . AM 7110/2.
17 -(: l2tic4o p AT)"o. riti 4. /0_t X 5 •i.• ,if/
-. ig- i
(Scale:j 30
Pier(dock)length 410 ,rf , ' .''• ,,.',).'`••'' -?-°.,1
•
.• Fixed Platform(s) It"CV-'
• itiji • ' I ---=
Floating Platform(s) — . ' 4et. P4r"1,6fi® i?I tiCit s- .
Finger pier(s) — • - . V . ,<,
I ' -
Groin length — • I
.; .
- number ...---- -
.0 CO .
. ,..'
Bulkhead/Riprap length ---
izt4-‘4;
' . .•
avg distance offshore -.- I.Ni
t
max distance offshore — I /N4 11° tel , „.!ot ' •-,
kr "—.....0
Basin,channel, -- ' • N ';,..i,1, 1 -
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cubic yards
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Boat ramp .... • 41 '
ir (fi- ,•
A. (1''''' 1 ' • , <Boathouse./Bciatlift --'"' (viol/' ir
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`01),_'t- ?
. .Beach Bulldozing ----e • , I ,
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•,
'',• . • Other .:' •••••--
< ,
• , __ ,_ , ,:t2 I , "
•
• '.1e,ls'00/1110iii-S(-
,.., r . . . . . .
Shoreline Length /0'0 / V
' I
I
• SAV: Qat) yes no - )• ........
-„?
V-1\3$6: _
-,.. Moratorium: n/a yes 6...) ,
Photos: yes CD . fPr' . • , .
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Waiver Attached: yes no 6 . .
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A building permit may be required by: RFA!a rog-r- co c,A)7‘/ . El See note on bacAregarding River Bain.rules.
(Note Local Planning Jurisdiction) •
'• Notes/Special Conditions Sr.f 0 9 14 7.4—bc.cr. -.4 IA, ) 7 on cc-),on I poimi 5- • . , 2
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rAi zi(e
. t l)e o4 a .:. . ) PA •Agen o can Printed ame. PermitOfficer's Printed Na m-/*e.-Z
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. ._ .• ._.. ,, •.
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4 I00 al
Signatu Please .
•.-„,.,read compliance statement back of permit .*.* Signature • ,
J/ •
•; . .
. n4c 7. . 1 2017 • -
Application Fee(s) : Check# Issuing Date - r • 'Expiration Date
; , . . •- : .••• ',

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(TS r
AuthorizedAgent Consent Agreement
' herby authorize Tobin Jay Tetterton of
(ProPertY awntr(s)
TJ's Marine Construction,LLC to act OEM my behalf in obtaining CAM permits for •
the location listed below.
PROPERTY AD 4 RESS:
47 e 12
PROPERTY OWNER'S MAILING ADDRESS:
W r kei
- <ST
•
Phone No. -
PROPERTY OWNER'S SIGNATURE:
A UTHORIZED AGENT SIGNATURE:
TOBIN TErfERTON
•
DATE:
W/Autbortzed Agent Consent Agee..

Applicant: M J R Ngtr- N�sO�
Date: 2a 3L`l 21°i
-General Permit#: 7 3D9 ea-g
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
Habitat Name DISTURB TYPE
(Applied for. (Anticipated final (Applied for. (Anticipated final
Disturbance total disturbance. Disturbance disturbance.
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)
GPJ 1./Arrit Dredge 0 Fill 0 Both ❑ Other rd ticio rz—
Dredge 0 Fill 0 Both 0 Other ❑
Dredge❑ Fill❑ Both 0 Other ❑
Dredge❑ Fill 0 Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both 0 Other 0
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ FiII❑ Both 0 Other ❑
Dredge❑ Fill❑ Both ❑ Other 0
Dredge❑ Fill❑ Both 0 Other ❑
Dredge 0 Fill 0 Both 0 Other ❑
Dredge 0 Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both 0 Other 0