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Home My WebLink AboutLive Oak HOA C/o Tom Jasinski 78837C11 4Ni; A / ❑DREDGE &FILL 9 788.) -, A B D NERAL PERMIT Previous permit# ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commissi n in an area of environmental concern pursuant to 15A NCAC M XRules attached. Applicant Name �1 O S i S Project Location: County Address Li f�_I_r?Ldl P, Street Address/ State Road/ Lot #(s) City �7/15 (`� State ZIP Phone # E-Mail Subdivision Authorized Agent P t` L- �/1 ST _ Affected ❑ CW '� _EW ' A ❑ ES ❑ PTS AEC(s): ElOEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ORW: yes / no PNA qe/ no r, cubic yards Boat ramp Boathou e/ Boat Beach Bulldozing �i- Other Shoreline Length 11 U SAV: not sure yes no i- ..... ...i Moratorium: n/a yes Photos: yes n.. ...... i..... Waiver Attached: es no I A building permit may be required by:n� LiA ( Note Local Planning Jurisdiction Note / Special Conditions e r nt Printed Name Sig . re Please read compliance statement on backof permit Application Fee(s) Check # City ZIP Phone # ( ) River Basin ►AY/n i CP L 1L Adj. Wtr. Body tk l n an /unkn) .4 Closest Maj. Wtr. Body `^ —a, - — ❑ See note on back regarding River Basin rules. �n Permit Officer's r' ame Signat re Issuihg Dat Expirat n Date 11 4Ni; A / ❑DREDGE &FILL 9 788.) -, A B D NERAL PERMIT Previous permit# ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commissi n in an area of environmental concern pursuant to 15A NCAC M XRules attached. Applicant Name �1 O S i S Project Location: County Address Li f�_I_r?Ldl P, Street Address/ State Road/ Lot #(s) City �7/15 (`� State ZIP Phone # E-Mail Subdivision Authorized Agent P t` L- �/1 ST _ Affected ❑ CW '� _EW ' A ❑ ES ❑ PTS AEC(s): ElOEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ORW: yes / no PNA qe/ no r, cubic yards Boat ramp Boathou e/ Boat Beach Bulldozing �i- Other Shoreline Length 11 U SAV: not sure yes no i- ..... ...i Moratorium: n/a yes Photos: yes n.. ...... i..... Waiver Attached: es no I A building permit may be required by:n� LiA ( Note Local Planning Jurisdiction Note / Special Conditions e r nt Printed Name Sig . re Please read compliance statement on backof permit Application Fee(s) Check # City ZIP Phone # ( ) River Basin ►AY/n i CP L 1L Adj. Wtr. Body tk l n an /unkn) .4 Closest Maj. Wtr. Body `^ —a, - — ❑ See note on back regarding River Basin rules. �n Permit Officer's r' ame Signat re Issuihg Dat Expirat n Date