HomeMy WebLinkAbout76473D - Futch 7 CAMA/ ❑DREDGE & FILL '"it N° 76473 A B
3ENERAL�{ PERMIT _:___: __.._._- Previous permit#
(New —Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
rized by the State of North Carolina,Department of Environmental Quality
:oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC •'2SUO
_ + Rules attached.
t Name /e,V\� . u-tc 4- CY0AAV.,Q �e YI((t\ Project Location: County JtApi klAVNOV-,v
Q is S. C}V1 A 141(VJ \ C\\AVC Street Address/State Road/Lot#(s) u 5 S.C(n c
(1)1^k \\Q. &IA On State N(.- ZIP a g 170
( ) E-Mail Subdivision j4V boy' I S 1G1,\S
ed Agent t-)AV\\U, ( evv e \-k 1 citye\),,yH+s\it \\.e V LAN ZIP oosci-Pa
E CW 1XEW YPTA ❑ES E PTS Phone# ( ) River Basin s '\\}t
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body Qje-u- S cAno v\v— +/1
❑ PWS: `W W
yes / PNA yes / no Closest Maj.Wtr. Body
Project/Activity 12etom`r o✓ Vr OALe cl'C (_ vv3 Stvuc...A1AYZc a lr WUtCS (AV it tt) hUYviIntel
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atform(ss X IS�^� �I/ T of L I0 S. � 1
Platform(s) 1?iX f I WV 1)i!. i
11
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ier(s) 11 `L[!_ i lF- i k..i' l 1 4 VJv�,Iv Sv+ll< Q c. I' — — — —
ngth\ I ! 1 , , /
mber ---+---- ' ' �.�' — - -----__. _......—_
d/Riprap length i --I-
distance offshore t 1 }
ix distance offshore ,J - -
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cannel I L ,
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ise/Boatlift \ � -. 1 .—_..
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not sure yes ® tT 7 i i
um: n/a yes rg y�
yes S Wf.C-V ;YI:GC “1ro--
4ttached: yes I I I i
ng permit may be required by:t(M)v a((r W v`(\'"AT vk11`` {e `Lti‘. ❑See note on back regarding River Basin r
Local Planning Jurisdiction)
. AGENT AUTHORIZATION FOR PER T APPliCATION
Name of Property Owner Requesting Permit '� ''/\ \[e__
Mai[ng Address: I (7) S A-N uVe_L-
Phone Number: ; 0— Co I o
Email Address: Pcii v,,.i11�J�.�1` r I�G 1r'�"c C_C) \
certify that l have authorized PG\n;e C 1 t.se%ti ervf5
Agent J Contractor
to act on my behalf, for the purpose of applying for and obtaining al CAMA permits
necessary for the following proposed development:
at my property located at I O r - h_ fi r• n c1 �1 f Lt} k, r
in iJ c!c J Cr 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:
L _ 3ZYA, •
Signature
~1ttn �iL ✓�� ?' } ��eh� T � L�
Print or Type Name
OLi
The
f�L/ I /tv 1 , �
Katharine B
n: Amico, Patrick J
Friday, August 7, 2020 2:15 PM
Elks, Katharine B
ect: discussion
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