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HomeMy WebLinkAbout10153-AH-GP71340-060718❑Modification ❑Complete Reissue ❑Partial Reissue As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ❑❑ 1 C � To 71 A B CC, D Previous permit # Date previous permit issued Applicant Name �% �rf' -c�tot �/ Project Location• County Address V Phone #) e Authorized Agent Affected ❑ CW AEC(s): ❑ OEA ❑ PWS: ORW: vu/K State/U(, ZIP E-Mail PNA yes /�'no Type of Project/ Activity Pier (dock) length Fixed Platform(s) Floating Platform(s) Finger pier(s) Groin length number Bulkhead/ Riprap length avg distance offshore max distance offshore Basin Cchannel cubic yards /0 0 0 Boat ramp Boathouse/ Boatlift Beach Other Shoreline Length � ��� SAV: not sure yes Moratorium: n/a yes fa — Photos: yes In r Waiver Attached: yes 0 A building permit may be required by: ( Note Local Planning Jurisdictinn� Notes/ Special Conditigns Street Addrrss/State Road/oLot Subdivision City ❑ ES ❑ PTS Phone # ( ) ❑ UBA ❑ N/A Adj. Wtr. Body --A Closest Maj. Wtr. Body ZIP_ River Basin nz�61 C� t ��,�- ❑See note on back regarding River Basin rules. Agent or plicant Printed Na Permit F** Please read compliance statement on back o�rmit " Fee(s) Check #