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HomeMy WebLinkAbout77852D - Atkinson R•2.z0Zd DCAA/ 0 DREDGE a FILL. N� 77852 FILL. c 3ENERAL PERMIT Previous permit# A VNew 0Modification ❑Complete Reissue DPartial Reissue Dateprevious permit issued Prized by the State of North Carolina,Department of Environmental Quality �M Zoastal Resources Commission in an area of environmental concern pursuant to I SA NCACMik_2 SCO j'''� pp 5 ❑Pules attached. it Name r r 7^& Ak VA nn�/� Project Location: County_ ./.n 5.,...ire w _ p � it s QI gc>, skfq Street Address/State Road/Lot#(s) Cl Su State1JL ZIP ZSgit2- C.Je-�1OQi 4 S �) � 6.514 E-Mail Subdivision -_-- - _ -- ized Agent ,d1c\M__ - - City SO%) _ ZIP2a Lf Z. d PCW DEW A ❑ES OPTS Phone# (-_-) River Basin " ❑OEA 0 HHF IH 0 URA NIA . CIAdj.Wtr.Body �j(jli�f.c,ueaS Rt El PWS: yes I PHA yes G. Closest Maj.Wtr.Body ( "A, of Project!Activity I `. <kw'►�t -L< \(\ _'� S�n-e gi n ('L\S Ski PINt p G9 b On (Scale: !J t S Jock)length 14 iia• -- I � r IS tII l � rtg Ptarrorn(s) 6` 1 . , _ : _t i— 4 r pier(s) -- t r -,---- [ __ _----,_ I number ` t� 1 , 1 wy a + _ i , ilil �;, 1 - - avg desta�+re offshore _ . 11 A l( �- E 4 channel I` - . r _ - - - cubic yards ^ --!" house/BwtfR d, 1 d+Bulldozing. + ' J f } per . , l , I .. 'reline l ei'---�_.'_— f 1 . _ ; :_t___________ i ,_ . `s. _ v: not sure Yes Q 1 ' L. ' a' r�', 1 +lI, watoriium: nh Y� - • _ - . e ,: _ i ik{ V river Attached. re n° c rray be required br \ ,f t i 1�...OF- c ❑See note on back regarding River Basin rules. wilding permitll../{ 1 ._.i,,...1 Pinning Jurisdiction) -- t ri t 1 .+ I L..4 4- _. r .l.,_- . . , ._t , _ Cp►MA/ ❑DREDGE & FILL (\c/ A_ ii7NO 77852 ;ENERAL PERMIT Previous permit# iNew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued -ized by the State of North Carolina,Department of Environmental Quality M :oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC ( - Sop �-�' ❑Rules attached. t Name r c.�`C POt�,nc,\)l1 Project Location: County �/JrtS�..t c k_ qW (�Q,v). S Q I S V . Street Address/State Road/Lot#(ss) S-1(1- State ZIP -2., , /2 L.7Qf1Qe; ..) k)4- V S ( ) ii 0521 E-Mail d CA‘ Q t �,I�o.cUM- ion Subdivis ed Agent f)f p i IACAQ-(1 City J..t�V(t.) ZIP 2 31(,' VtCW ❑EW egPITA ❑ES ❑PTS Phone# ( ) River Basin Lu,„b, ❑OEA ❑HHF q IH ❑UBA ❑WA Adj.Wtr. Body L 06, i-,u o S (--zi II s C nat ❑PWS: A mjyes / no J PNA yes Closest Maj.Wtr. Body r+` 'Project/Activity �Q v• 1 ci C\j,J`iv...? C c IL I) _C c.c t 1\ ,1 S._et-� �z)c 1f r\S (e ' ,0t nn l o C ti h on J (Scale: • 0 :k)length L- i yQ itform(s) a situ ..oNt ref i �0 Platforms) (� y2D { Vie 1P i 1() ier(s) I ngth } i/Ri ra - 1 Rip rap length gt -}_ _. i ;distance offshore —! R tIt` -.___._.._ x distance offshor= cannel i �' I >ic yards , I 9LIIIILL__... i ._. i_ e-se/Boatlift IT f 'iI.. —----- - - - - JIldozing f Length el 0 1 -�ob.. 1j I ^` not sure yes no ,�/�<- R� — wm: n/a yes .. 1'. t 9 b , n` r�dYes .... t, i tttached: yes - . ig permit may be required by: (,1 A ,,,i t` L 0'u K\?1 . I See note on back regarding River Basin r Local Planning Jurisdiction) , AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: Fix .Cam- P k ,n S�'r� Mailing Address: 11 b 0-ev v ?1- veply p ,e_ 16.2, Phone Number: Email Address: I certify that I have authorized (3iec Agent/ Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: - C.e y Leal Li y (: lr'N w\ / R fD e -fit, c ,4, Da m a-) e•. at my property located at 94/ cey 2,L t'J :1;.i pp f y n C_ 7 rti4,2, in &i f,/ . County. I 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 the aforementioned lands in connection with evaluating information related to this permit application. Property Owner Information: Sign ture Print or Type Name Title /4 Lec (,t)e)(71 4-1(y cepott /z1w -\0c)( 1 6,-F° .." _ itb gefiDe5 °Pet Y e- a te6, ,L(e).5•1 ( ePkcl"