85502D - Cantoni (2)

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dt°"tt` CAMA �I.
El DREDGE 8t FILL previous permit
a Date p rmit issued
:.ENV E RAL PERMIT ,�� previous pe
Corn lete Reissue —]Partial Reissue
New Modification P Pursuant to
As authorsVdbythe
o o No h Carolina Department of Environmental Quality and the Coastal Resources Commission to an area of environmental concern C{1MArulgn
I SA NCAC ❑ Rules attached General Permit Rules available at the following link: tL+ww� -_ --
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k\ 4 ` G. r� r1 -- Authorized Agent 1. "k
Applicant Name 1 Project Location (County): I f
Address _ kf�G��_\! `L
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ZIP �, at�` 1'a Street Address/State Road/Lot M(s)
City Sic �W �_ State _
Phone tJ �L7j�\ J 1 -i.
Subdnision C
Email �,1, + _ 2
City •�:��c'`� CV` ZIP_
_ Adj. Wtr. Body
Affected �CW VEW PTA �ES �PTS
AEC(s): ❑ OEA IHA [JUW SPIMA ❑ PWS Closest Mai. Wir. Body _ J
ORW: vesho PNA: yes
Access Length x
Pier(dock)length _%
Fixed Platforms
Floating Platform(s)
Fingerpier(s), i
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1\1
Total Platform area_ ,m©k
Groin length/it
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp _
Boathouse) oat
Beach Bulldozing
Other
SAV observed: 4ay
Moratorium: n/a
Site Photos: Riparian Waiver AttachedA building permit/zoning per
Permit Condition%7cx(4 -.
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TAR/PAKNEUSE/BUFFER (circle one)
See note on back regarding River Basin rule!
❑ See additional notes/conditions on back
I AM AWARE OF STATUTEI CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REV iF MPLIANCE sTATEMEN1---Vlease initial)
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Agent or Applicant PRINTED N
IASTATJIII l�
S n tune "Please read compliance statement on back of permit' • ` - Signature
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Check #/Money Order Issuing oat Lf Expiration aZe
Ap L anon Fee(s) ivy\- `,�'(t\J f o
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