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71890 - Henson
CAMA / ❑ DREDGE & FILL No 71890 A B iENERAL PERMIT Previous permit # New ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued_ zed by the State of North Carolina, Department of Environmental Quality Sv U oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC ❑ Rules attached. Name Project Location: County Street Address/ State Road/ Lot #(s) 5. --N t A State 4 ZIP 2 In l 1 O 3 i3 CE-MailZIP2 ^� �^ I I'�'' ' �" ` Subdivision �d Agent 1 < %L City �i L ZCW ❑ EW PTA ❑ ES ❑ PTS ❑ OEA ❑ HHF ❑ IH ❑ URA ❑ N/A ❑ PWS: yes / � PNA yes /(i �O�) Project/ Activity Phone # O River Basin Adj. Wtr. Body C (^ -(nat � Closest Maj. Wtr. Body / (w & S prc. 51"Or (Scale: N '( ■�■■■■■■■■■■■■■�■■rein. ��r���■■■■■■� .■...■■■■■■L O■■I.) •�...■..■■■■■■.■.� .■....■...■.■.�Nis ■..■.■........■1 ■■..■■■■■■■■■■■■I Elm ■.■■■■..■..■.■Nil ■■...■■.■■■■■.■■I Elm ■...■..■.■■..■_■1 .■..■..........•.i MIN l..■....■.... ■1 �i.�ii■■■%w■■ ■■liiiii■iii■i■ii �■�.i 1�i�ii .bic yards ■■■■■���/�i�■■1■'■■■■■.■■■■■■■■■I .npi■■■■■■�l■■■■■r■i■■' ■■■�■■ia■■ii■■■1 ������■■�■��■Ili■I�IIT■C■'I������■■�E1 ■■�■■■■■■■�■■e■ ■.���.■■0■■■■■■■■■1101 ■■■■■■■■■■■�1■■■ ■.■■■�■■■®■■■■■■■1 ■■■■■■■li■■■■■■■ ■.■■■■NNE ■■■■©■■■1 ■�■■■■■■■■■�R11!j■■ �■i�■■■�FIRM ■■■■I ■■■■not ■ii'i■■■■■■■■■■■■■�■■■�I��f��■■■■� OKI sure yes Ell NO r�'���`�■■K �iii■imee MI ff ■■i■�■ii u� MEN yes n,�111Til��Jl�l.NWNN■■■■■■■■■■■■■■■■■■■■■■■■■I ling permit maybe required by: Oce' n `�`� 2�c ❑ See note on back regarding River Basin AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property � k Owner Requesting Permit: : ��G• .�'n� Mailing Address: 7/ G o&• - Z (-,( U, --�'�- �cs� .lt/" 7-Fynr Phone Number: 910 " — 3 7 :2 y Email Address: 1 certify that I have authorized Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: at my property located at in County. 3?J-:cIII-S 1 furthermore certify that I am authorized to grant, and do in fact grant permission to Division of Coastal Management staff, the Local Permit Officer and their agents to enter on Me aforementioned lands in connection with evaluating information related to this permit application. Signature C'Q fix Print or Type Name Tide S- I r < 1 Zo 1-p rivpwLy ICIA%,aiva 2020 Tax Card 2019 Tax Card rt 2018 Tax Card 4 2017 Tax Card 73 2016 Tax Card 'y Parcel Information r. Parcel ID: 244PCO3001 Parcel PIN: 107513234187' Calc. Acreage: 0.13 r'"_. Legal Description :. L-47&48 B-14 S-B&C PLAT 6/1 r,2 »' Owner Information Owner Name: HENSON JOHN L ETUX CYNTHIA R Mailing Address: u: 71 CONCORD STREET OCEAN ISLE BEACH, NC 28469 4 �! Deed and Plat References