HomeMy WebLinkAbout77665D - Reed •
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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
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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