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HomeMy WebLinkAbout77665D - Reed • Cv"�vv 10 AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: Lt'ait..ft Reek Mailing Address: 152 Pc0 ' v' evV t1 r. r'eira.A tgl12._ Phone Number: ga.g-?)gii - g3 a3 Email Address: S►'Y r c c4-xr omai.j . C_0 I certify that I have authorized G-rcR Agent/Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: \‘1S-4u act t1b.) )Ck \(l�rfcci� • �1 at my property located at \55U3 Csl- nck\ C3r- , Syr‘ c431 in Vt rl-kr w‘C-k 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: c?iovuth accstex6Reek Signature �Rra�► t^4r rs II y Reel Print or Type Name $ f3t I 0 Dots This certification is valid through (pA CcI O tA-t 0 n kolLZ C'(19Z `' s`'`� _ g1ZRZ I v' ' 6vi)L z '‘,0 L"'-4 ' c)csra 4 _,e tC L) (1. f'.Cuw J/'L I r \ �s. } '' pCAMA/ ❑DREDGE & FILL ` N° 77665 0 GENERAL PERMIT �-_ A B . C Previous permit# �{I' � ry CtCo2`) > 0NeW ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued 3/1y(IY ,' lop;/c As authorized by the State of North Carolina, Department of Environmental Quality �f j� 4. and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC C) ► —` . ->��`-J Q ❑Rules attached. Applicant Name Ikr, JN\,-N T�'-1 > C76 Project Location: County r✓." \,_.., ,c_IL Address �(�y s r., . /IAa-"1 j 1 . Street Address/State Road/Lot#(s) ` iO3 City �A 5 ✓1 :.. .,1 W <...., State/UL ZIP 21-f v 1 CO,;,:v, 0 r. 'Q 'E-Mail 1> "r C.," r,- 7 Mµ.l•oM Subdivision Phone#(Vr ��( Authorized Agent C-t.JC",/-•&S V r t Cam,— City •- )A J 1- Re.,c L ZIP 2 S1 c#�f Affected ❑CW likEW jd PTA ❑ES ❑PTS Phone# ( ) River Basin L,,,,, -r ❑OEA ❑HHF ❑IH ❑UBA ❑WA AEC(s): Adj.Wtr. Body Cal ti I ( (nat Jrnan /unkn) ❑ PWS: Closest Maj.Wtr. Body 'n I r`,, C,f�c.l c— ORW: yes /& PNA yes n�:� Type of Project/Activity �-C 'DX.) k\c1 c.L• J c,11-- , S4. `- , o, -a .� c c_ ‘�. .,,N-<_ �,n....-"s1a-, ` .S e�c. SIU/M (Scale: pJ7S ) Pier(dock)length 1. X to L‘‘ Fixed Platform(s) 12•x i 2` tN: i , /\ y ! I• Floating Platforms)) U k I (,' ____+ j , „ „ j _ ---� , , Finger pier(s) I ...... — !__......_ i 1 , , Groin length i number Bulkhead/Riprap length - ----_..-._ i _._._, j ..__.....__� t avg distance offshore I I i ft1 I i max distance offshore i • _ Basin,channelp b I 1 - i f • cubic yards Boat ramp -1 t . tiN Boathouse/Boatlift 1..--t- 4 4- Beach Bulldozing ---- .- _ Other 1 I i it IAA.1 NUJ I I n Shoreline Length I SAV: not sure yes 4.9 9 �� -__..- ' I - Moratorium: n/a yes V� a^� - - y� A.. ._ -f!"..`.C`A_-_ _ . . -. _ l `[_Photos yes _._... i.... --.�_.. ......._.. ��- i� 1 l , , , Waiver Attached: yes no • I C 1 1 A building permit may be required by: 1U in S<k- R t c-c n See note on back regarding River Basin rules. (Note Local Planning Jurisdiction) ,. ` Notes/Special Conditions a �(i k. r1 ,,(,, ?i\ h.., (es.‘ , _. SL ;�„�-.i crc._tw, 1 A)(ASA4. be A.„---r . 3 tz,e...-. a.o...c. ,,-,8,,o, vs '‘c 64,-.<_" ....- .,--,,,, IL- Agent or Applicant Printed N e Permit tin ed Name c7.../ \_ _ I<-- Signature **Please read compliance statement on back of permit** Signature r. I;FA Ici io /2TIZ.UZO liri ZOL1 Application Fee(s) ' Check# Issuing Date Eion Date