77578D - John's

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0• CAMA/ - 'DREDGE&FILL � � A B C
Er�ERAL PERMIT Previous permit#
New Modification Complete Reissue :.'Partial Reissue Date previous permit issued
As authorized by the State of North Carolina.Department of Environmental Quality y� •
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC • e l! des attached.
Applicant Name jeliA iS Cee-e,(t--31.14te ur5 its St►eac•t?f)'k Project Location;'County_Ye, / EV%_ef- - ._. "--- -
Address_T.p_"50,3,- jE 3-6 -Street Address/State Road/Lot#(s)_ �- {
Ci�'._lS0t('Q. a,.. State:4:..,-ZIP _� '. ag ____ I�ee.iatrk;tr �f !:.-._--- --_---
Phone#(�(c o).41-1 .�f)P, E-Mail'1Yt i h!f1R6'1az,r LL�^'S Subdivision L,_.1 11:5 CEf k_:-____�-�" -- -`
Authorized Agent ?LPp'II M't r�� as
CW 3 EW :�i PTA Es PTs Phone# (-_.__) ,-_ River Basin, f/v+?`_.:_.
Affected t—�'�-�ll na ../man[unkn)
AEC(s); OEA HHF i'IH UBA L NIA Adj.Wtr.Body j W 'i/ -
1 PWS: ile MO'
ORW: es / no PNA Closest Maj.Wtr,Body. -Lr ---- -- --. .
/ no
Type of Project/Activity r)id / '/r ' f JO[f i! 7//X'�h- 1.4.• id4/a
(Scale: WTS )
Fixed Platforms) _ �- • —-_ -
•
Roaring Platfo (s)&a4Gu______ . . ---- ... . ^n S e eek . A._ _ R.
Al_ow
I. . - (j.
Finger pier(s]f F 'T 1rA t •teoj . -: -,-.--•--• ---• - - ---' - ----- -•_ .��-._ � � --
Groin length - -- lAiz ,. _ -
_
Bulkhead!Ri ra Ien ..` - -i = - - -
P
avg distance offshore.' l .. -
_.. . _ _ .. --
max distance offshore .
-'Basin.channel -
cubic yards_ _-------1 .-- , .. __A -- .. --.- . _. O.A.UAVe S . -
Boat ramp _ --"`"" _
BoathousclBoadfc_� _ _ �.
E
.260° �.
Beach Bulldozing- ___._______ ---. - /(-4,,-t.;0.�6a rch,,t - - -- _ . - - f'eE ;/r.`. -
r
Other _ : -�__:_--- --- ; F'�=_ _ _., ..._,. __ - -_.._ :___ 396_ -"-._ . . ., . .. - -
----Clip- 6X. 6 a iC-i'a a I. • -_-- • 'r' - - . 3-;`? ` : e,sShoreline Length-_ —; _9-Uzi re% eYs.. _ :- -
SAV: __ _ . _.
Moratorium n/a yes 0 ; _.- • - .. •. ,- -- i• - - - - ._ . . . . , • ..
Photos: Yam .:
Waiver Attached: yes no . .._._ - - -- - -- - -- __•._ ----_ _--- -. ._
' A building permit may be required by: i/P//f/ zi4e r t/1-1if'!�7 ,_i See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Spec/ial Conditions /� PS 7�l �� Op!!([°Q 'rtCLE v t�r C S /jij
,1r—,rnresjs
i/r flan y e •
__. _��� 04-1.Cg.....,_ftr_ito
Agent or plicantPrin ftOfficers Printed Name- - - - _- -
• Signaiure c ease read pancestatementonbackofpermitx* Signature
-
Check issuin Date E
Application Fees) • fi
Expiration Date

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N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date 62 I e Z2?C
Name f Property Owner Applying for Permit:
_.) 0 S ( &?e -- ?( ie CJtvwet'S S CXX-4-' I CA/
Mailing Address:
`B 0?( / 7 6
A34 t3�c C'VN2
I certify that I have authorized (agent) 1 ( A to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct(activity) ID k k Rem
at(my property located at) .� {�� ti5 CR Q e 0 \Go '.
This eery-taint) ' alid thru (date) Ot /n.A.&k 20.21
- (// Dec ,24240
Property Owner Signature Date