20190271 Ver 1_CAMA Permit_20190304

�'�' CAMA 1'��REOGE & FILl. No. 72567 A B C D
� �7� 1'� E RAL P E R M I T Previous permit #
'� ew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued �--
As authorized by the State of Nor-th Carolina, Department of Environmental Qualiry �2
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC _ �7� � d��� __
❑ Rules attached.
Applicant Name �LDO� Project Location: �ounty j]�{ZF
_ --.
Address_ G I� ,4�� Pn�T� .��..� �jv� �.DD Street Address/ State Road/ Lot #(s)�Lt��t� �.,�s_��'�+���
City _ FDFp-►'�If State �G ZIp -4����-� � - ° � �� S°`�'� � �u� $F.d�'I �W�` �. _
Phone #. �a�' ��5�_ E-Mail . +''�j_"u!s ,G`� "! . Subdivision "
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Authorized Agent ��Ji. J ty � ZIP�
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Affected � Cw f�W ❑ PTA ❑ ES ❑ PTS Phone #( )__� _ River Basin pgS A�7`f�ll�� _
AEC(s): '' oea ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Bady�t• +' C�° s�1, ��1"'D
i... PWS: � '4["T'� . {nat ma ..Junknj
ORW: yes 1 n❑ PNA yes / no Closest Maj. Wtr. Body �'�-�°�'r��'v�'_.�?_
Type of Project/Activity�+�Gf�� �CoS'�,�L, �i�,In►��j}y�l{���" u.��� 1,1�'r,,� �7��C (�03�'��{j C1��',�` �l•1 EXI�N�
%�I GsNM�1 � , �1_�' l�Fi S��S �! p �....�,�y,_rl' �JS `�� �, �li � �craS � � Uu i LZ $ F (Scale: Aie� )
Pier (dock) length � �J.-iZ�y� r��? �Y1�+sVFL� �'� � �C� %�rY+,�G��'t
Fixed Platform(s) � i � +
Floating Platform(s) P' i ; I ,
Finger pier(sj � I � {� .� �—�; r� .�'�
Groin length --�' _ 1��� ������' 1 �� � O f'�. ��7 'J. Fi�j . �...N 1 e7 ��G ��1�. � . i .
number � _ � I
Bulkheaclf R�p,tengtlti �'�o- — J+' j I �1�� �a��� �r4�i�� '�er�'. ��:� � �,� I � I
avg dkstanre oifshore �� — — i � �r �
— — �. _�
max distance offshore �� {
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Basin�channel —,� I . —.`.` —l��i— —l_.!_ .�. .._���iJ�.L.L.l�l�.l �_..l—�I— — --.— _�
cubic yards "'_
Boat ramp "_ __
Boathouse/ Boatlift �
Beach Bulldozing
r7 i� r
Other � �C � X� �d ���/�-
1
— — I I _.1— — —�—
Shoreline Length ��
SAV: not sure yes � , _ . _ _ _
Moratorium: n/a yes no i
Photos: ye no , I � _ —
Waiver Attached: yes �
i
A building permit may be required by: �%��
( Note Local Planning Ju+•isdic[' n
Notes/ Special Conditions��G�- ��.�1� jl�y�� �� ��B+��IF,t� ►irl
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t',,��L �t
Agent or lapplic,�r
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Signature `�� #'leas rea comp
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Application Fee(s)
B� ����� aN
F �a ���
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on back of permit ��
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Check#
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❑ See note on back regarding River Basin rules.
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PermitOfficer's Printed f�fame
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Signature _ _� — —
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fssui �ate ExpiraCior Date
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