74148_Paul Fairbank_20190927

CAMA / DREDGE & FILL �!�p fCo.11 No. 74148 A 0 C D
OF GENERAL PERMIT ,b liI-tQb/ Previous permit#
>� VNew Modification _ Complete Reissue ❑Partial Reissue Date previous permit issued /A
As authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC ?// 2 - Rules attached.
Applicant Name / 4" I / ti ' r b‘N i Project Location: County r,/ 4
Address / j 0 8 1r✓it elRi Street Address/State Road/Lot#(s) //0 8 /rr /9f
/V( ZIP o2SS 7 / i I
City (�r,ly,iu State I
Phone# ( ) E-Mail Subdivision
Authorized Agent it//'Q City 0 r, e.r, 1 a ' ZIP v?O 5 7/
❑CW (EW ej 'TA AS C3PTS Phone # ( ) River Basin Aleid,re
Affected ❑OEA ❑HHF ❑IH ❑UBA ❑N/A � ( C �c na /man /unkn
AEC(s): Adj.Wtr. Body />!n� cer ) i
❑PWS: � // '
Closest Maj.Wtr. Body 'V(i+« rr.
ORW: yes /(no PNA es / no
Type of Project/Activity ! // a r/c r-/i,,c-t.,. ‘,/ ,--A-,r-1.j ,' , 00 l f,) ''
/ (Scale: /"=le 1 )
Pier(dock)length ?(� X
Fixed Platform(s) X T bl )i �
Floating Platform(s) I „,.,I Pi' 10 B
a
Finger pier(s)3(3r/U!) �W i r5,j i G� d
p _ t I
Groin length t p 1, i
• number ..
Bulkhead/Riprap length — O a1A X/(�
avg distance offshore I -, i" t
/1 �ia� E
max distance offshore I i ' ;; 4/',n C,'
--1 `Yi t
Basin,channel I I p� '^/v"���� i
+
f cubic yards _ —
Boat ramp
II
C Boathouse/Boatli ft
I I _ � �3'x!v' a
,pi r
1 . t.
I o
Beach Bulldozing
j I
Other /`l /'-),..;a,.}P.yi S. L
o f _
i
r}t 44 i ( i
Nil - . - - .
�
Shoreline Length / U { _ '
a..__....-..-
not sureyes no .
sAv: e� 5l k��I ki T -
I Moratorium: n/a yes 4. i
i
�. u �, t
Photos: yes no i 1-- _— i __ .
Waiver Attached: yes €% / '
A building permit may be required by: �,.,/ o -Oa n i% I ,See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions S-(,,, CP71/ &U) °d i a1/'or,,,e/ 10 S/?%
riitl sr -I t\-N\i K&' I/AF
-r
Agent or Applicant Printed Name PermitOffi 's Print Nine
Sign ure **Please read compliance statement on back of permit** ignature
27 .5(p7 l°1 ZO $CPi zozo
Application Fee(s)X e r to ✓Check# Issuing Date Expiration Date
_ . :

Dan Campbei'n Er gineenn 336-370-4980 p 1
AGEWT AL9T ORl2ATl N FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Dan O._Campbeli,Jr.
Mailing Address: 609 Scott Avenue
v sensnoro, N.C. 7,i- 3
Phone Number: L336)706-0113 I
Email Address: [e-mail]
I certify that I have authorized Fti:^kk Sprouse (Sprouse Marine Construction _
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CA' A permits
necessary for the followir g proposed development: RepairiReplacemen of dock facilities
at my property located at_ i'i0fJor ..Point Road.Qrien`ai. N.C. 28.571
in Pamlico 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 thei,, agents to enter
on the aforementioned !arid:: in connecrion wits`•, evaluating infenrratioh related to this
permit application. ,
i
Property Owner lnfr,rn Lion:
i Di 97
4 _ ...._, ......_
Dan 0.Carnpbrd Jr.
Prim or Type Name
Owner
09 126
Dale 2(l1:+
•
This certification is valid tnrough _06 l 30 m' 2`;2':i

Applicant: PA U A IR a ArJ
Date: � SEp 2oi
General Permit#: Li it 43,G
Describe below the HABITAT disturbances for the application. All values should snatch the name,and units of measurement
found in your Habitat code sheet
TOTAL Sq. Ft FINAL Sq.Ft. TOTAL Feet FINAL Feet
(Applied for. (Anticipated final (Applied for. (Anticipated final
DISTURB TYPE I Disturbance total disturbance. Disturbance disturbance.
Choose One includes any Excludes any total includes Excludes any
anticipated restoration any anticipated restoration and/or
restoration or and/or temp restoration or temp impact
temp impacts) impact amount) temp impacts) amount)
6960 L Alip, Dredge❑ Fill❑ Both ❑ Other 'I (1/01C I, 11/OF
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge El Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both 0 Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both 0 Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
1140
I I�
fig °
2a
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