Thomas Perrone Application (10-24BC)

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GENERAL INFORMATION
LANDOW NER n Name -�YVJfYla-S ·Ye_rcone__Address cZ /o3.;2_ (Y/\.._Q J ,• (1 e( 's I){ /l'...,tr ._ _ _ Ci�ou-±hpor+ State NC-Zip�$l/(p/Phone C5<t6") IAo-;z__gQff
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AUTHORIZED AGENT Name C.aroL'ntL \-rtitb'Off5 Lwdx:ape--Ih.c -0/J/i.� "8rowtuAddress oL/f{o/}, vf5A.t le� ':5-/-rt,_� -Jc Ci�Sha}latte-Sta; KC Zipc�'lf7oPhone (910) 7�55 -le-4-1 IEmail ;{Jerrrv 'fs {J) ('a_n;/,' tta.L2JT!.a:i1 '017.:5. b ILiY
LOCATION OF PROJECT: (Address, street name and/or directions to site. If not oceanfront, what is the name of theadjacent waterbody. )d?/;3,;L 1l/::. I) 'd eri � ::&th,,. C.04 ,{,d Wc..-k� rm1;:rRIPTI� o�df��List{��<iseg��ru.ctit� �np l3r1d_disturbance.��rtGre-le.-P«.d %,�s� Ci(. Y\ rJ �nee... A/'4-�, "� a.rid 'f<{''{ '+-H-J h ;;J-• _SIZE 'rifLOT/PARCEL: .;l�a s le square fet:L • /pf acres / PROPOSED USE : Residential (Q/" (Single-family @/rv'Iulti-family O) Commercial/Industrial □ Other �
COMPLETE EITHER (1) OR (2) BELOW (Contact your Local Permit Officer if you are not sure whichAEC applies to your property):
(1)OCEAN HAZARD AECs: TOTAL FLOOR AREA OF PROPOSED STRUCTURE: __ square feet (includesair conditioned living space, parking elevated above ground level, non-conditioned space elevated above ground level but excluding non-load-bearing attic space)
(2)COASTAL SHORELINE AECs: SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILTUPON SURFACEsf5, '=, isuare feet (includes the area of the roof/drip line of all buildings, driveways, covered decks,concrete or masonry, m1tins! �-that are within the applicable AEC. Attach your calculations with the project drawing.)
STATE STORMWATER MANAGEMENT PERMIT: Is the project located in an area subject to a State StormwaterManagement Per�issued by the NC Division of Water Quality? YES NO If yes, list the total built upon area/impervious surface allowed for your lot or parcel: _____ square feet. RECEIVED JUN O 5 2024 JUNO 5 2DU