79034_Joseph D. White_20210122

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MCAMA/ J DREDGE & FILLS �� A ® C D
GENERAL PERMIT C Previous permit#/ Zed 4 $
ew Modiftation Complete Reissue :Partial Reissue NDate previous permit issued rlit°i Ze240)
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 ISA NCAC 125 1-ut , 2aoD •
Rules attached.
Applicant Name 5c35e=e __--V_ 1<Jl.1h v __-. Project Location: County _Ypea...� o ir''r_-- _._
Address \110 RSbu,c R 3 .. Street Address/State Road/Lot#(s)
City G'[`eGYtitli\\e. State OC. ZIP 12 5S Zt I a C;-e k l.6+n .irtl
Phone#(25Z) 114•-. 5'loZ_E-Mail—._m• Subdivision A..1/14_
Authorized Agent -r- _,5g 4,A✓✓'j-1 i ettpt$ Clty J f}?'t __ ZIP o g
Affected i7Cw DEW filrA DES OPTS Phone# (�) If-I'+•I_. jaZ. River Basin r: P•ry)
00EA DHHF LIN DUBA ON/A
AEC(,): Adj.Wtr.Body_. kn .,C'e k_ ,_ tintman /unkp)
J PINS;
ORW: yes ! no PNA yes /t::' Closest Maj.Wtr.Body---124M 1(s� �'�1 _r__._._..___
Type of Project/Activity rzinspot.i97, 6 r x ibo' pits, k)/id,Pse i 12! ['�tsar-< 1-- Le*2 IA r,,1
S` 7tt11G1 -�tlo,t,a.•-, Iv\C+k.-- ,..''Y►'1 qY,./s. t3'X S'ra'' beoa t\;4A (Scale: )
Pier(dock)length 4 x �__._ ._. �. �.__..__. _-- ____ ._.____
Fixed Platform(,) I�r l i i - - tI
Floating Ptatfonn(s) —`
Finger pier(,)_ 1LX_I�
Groin length ( _ (1 �1 _ J - .r�.fir*$ -6e _ i`3i ,• _� < i $ {
: :
number i 1 , j !
Bulkhead!Riprap length . 1 -i I, . ._ __t%. fsi.4p�7J+., /,,, (fO . ;__. i.._i.
avg distance offshore ; ' i
w '
i
max distance offshore 1 ; '...'{',� i 9.ill)._f_
l
Basin,channel ._.._. _._} _ j ___. .. i
ice ' ( , • I. I f ,
cubic yards � _ ._ _ � e __ .._.
Boat ramp { 1 ' _. _
Boathouse/Boatlift i +�+•"� " -- •i ',,(%‘,4t4,..:1....„_.-1._ , ` -. i
,
I i ... i I ,
f
Beach Bulldozing ai --,---i- _ ;---i---i_-�...-° t ___1 .-- __,.._ _ I i i
Other --T-__--, ._i_.....I__ _; 7-4--4•--•1_-,4 i - ..:,_,-, i ' I ; ,. 4 f
i i �.�
Shoreline Length ill l , , - ; : , i i i i ,,...,.:,_..1joc
SAV: not sure yes o i. I {
—_
Moratorium nta yes . i
Photos: yes € i I 1 :
Waiver Attached: yes G�:�V -- . '_.... __. _b.__
A building permit may be required by: tq,� op f� i See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction r e~
Notes/Special Conditions d`f /S main uq•t� _/4y11i Jjj. -IA Le L.( .9)1 611‘ ,
A ret6 'RAC('. L.-'v, es c -"i' Zc.n'i1, t_®.,,,,i{I 14 CC elf44-61 Id*
Z
Ij {.,‘ -0-1-6- 6-(C1,--j-- A f
14 g al y
o A minted Name Pan• O.ic_r's Printed N
LC
di-612W D //
Signature Please read compliance statement on back of permit' Signatu -/ •�-
Application Fee(s) Check# Issuing Date Expiration Date

ROY COOPER
Governor
4gt MICHAEL S. REGAN
Secretary
Coastal Management BRAXTON DAVIS
ENVIRON14ENYAL QUALITY Dir rft
�~ BUFFER AUTHORIZATION CERTIFICATE
FOR PIER AND DOCKING FACILITIES ACCESS WAY
A riparian buffer authorization is required for pier and docking facilities access ways through the Tar-Pamlico &
Neuse River Riparian buffer per Division of Water Resources(DWR) regulations 15A NCAC 02B.0233 & .0259. The
Division of Coastal Management(DCM), through a Memorandum of Understanding with the Division of Water
Resources (DWR) has reviewed your project proposal and has determined that the project as proposed complies
with the aforementioned regulations.
Those activities covered by your Coastal Area Management Act(CAMA) permit have received Buffer Authorization
provided the project is constructed in a manner that continues to meet ail of the conditions listed below. Failure to
comply with this Buffer Authorization may subject the property owner and the party(contractor) performing the
construction and/or land clearing to a civil penalty by DWR of up to$25,000 per day per violation.
t. Crossing is Perpendicular: Pier and docking facility access way must cross the 50 ft. riparian buffer
perpendicularly(which is defined as between 75 and 105 degrees)unless otherwise approved by DCM.The
alignment shall minimize the removal of woody vegetation to the greatest extent practicable.
2. Pervious Materials:All reasonable measures shall be taken to ensure the access way is made of pervious
materials like open-slatted wood or composite, mulch, or grass to meet the intent of the rules to the
maximum extent practicable.
3. Access Width:The width of the pier or docking facility access way shall be limited to six(6) feet.
4. Project Drawing:The drawing on the CAMA General Permit is considered the project drawing of your
property indicating the relative location of the pier or docking facility and any requested access way. This
drawing will be used to aid in compliance and monitoring efforts..J
o Pre project site conditions: Lb ! /fl4g-7 Ai /440,7 .
By your signature below you agree to be held responsible for meeting all of the conditions listed above and verify
tl} info/info ation provided omplet :a�ndOccurate.
o Ap•cant Prin e Na - Permit cer' igna re.
AA t list ink l loti
Agenii r Applicant Signature I Ise Date
CAMA GENERAL PERMIT#: 7103`f `&
State of North Carolina `Environmental Quality I Coastal Management
Washington Office 1943 Washington Square Mail Washington_NC27889 l 252-94h-6481
Wilmington Office 1127 Cardinal Drive Ext.Wilmington.NC 28405-3 45I 410-796-7215
Morehead City Office i 400 Commerce Avenue Morehead City.NC 28557 1 252-808-2808

1
0 SCAMA / ❑DREDGE & FILL No 79034 A
GENERAL PERMIT Previous permit# ® 24/C D g
��= ew .'.Modification OtComplete Reissue ❑Partial Reissue Date previous permit issued liter Zozo
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 65 (4 . 2-000 .
A Rules attached.
Applicant Name �c3se0(1 ` 7. (A vk . Project Location: County i3)coo-kfc-ov-k
Address \1j0 A5buyry R . Street Address/State Road/Lot#(s)
City Gre_e`,nd1\12 State IAC ZIP a $SS 221 ac fib, Greek 6g ,ci r
Phone#(25Z. 714-iv3L2 E-Mail n Subdivision lull} J
Authorized Agent 1 .. % 6„, .e. Cbn 1. City BATH ZIP a 7-50 S
Affected ❑CW ❑EW [ T!!A ❑ES ❑PTS Phone# (2.5Z) l'l- 33(0 Z River Basin T-4R/FAry)
OEA IDHHF ❑IH ❑UBA ❑N/A
AECs : Adj.Wtr. Body %c 41't.- Cce2
( ) ❑ PWS: T /man /unkn)
ORW: yes IC PNA yes / no Closest Maj.Wtr. Body ?4YyI I)LPgiae`'-
Type of Project/Activity PROP o SE9 to'X 100- pk" k)/a.ex 16 o Ge tl4,-<, "1- 1.ta i)trml
Alb' S+-e- c v-• ID\°A-- ►^w1 orA, I3r x N3' book\i4,-. (Scale: )
Pier(dock)length (y it ID( .
1 h' I b' i I
Fixed Platform(s) Jt � f � , _` I
T--
II 1
Floating Platform(s) I I , I I
I I I
Finger pier(s) D x 16 __ _. I I _._..__._
Groin lengthIII4-
number I - )*_.L_ __
Bulkhead/Riprap length ! -..._ ?ery..y_ � I `'lD _.__.^. __.
avg distance offshore 1
Q�
max distance offshore_ 166/,,(Et ! C)v` 1 118 i 24:3 }
Basin,channel 1 1 11 1
cubic yards ar
y TREF:WO 1 �QW�>�G pll
Boat ramp
CaiVCBoathouse/Boatlift �_.elk �+ _.... ,
j
/ ; ,
( ; , li
Beach Bulldozing I I - i
Other I I
•
I 1 i ` } 1
Shoreline Length l i�o,� l� j i j
SAY: not sure yes C1- 1 - 1 i — }
1 ___ I
Moratorium: n/a yes 1
Photos: yes n 1 —.._._ - __. '
® i 1 r—� t i
I i . I� .
Waiver Attached: yes L:y
A building permit may be required by:47;jkl ofyP 730c4 . 14 See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction tt �L
Notes/Special Conditions 87- /5 mq/rJ7� we ) /4` lG(J1) ,_ %/1 /s an e5U S7�
,i,.,:,re� t<-K'. �o �� o� 'c --L �Y1i+-� 60*".— 9/Pr L.CC q' ' �icQ�.
Q 5
%shy gm,7 y
Agent or Applicant Printed Name Pe 0 i r's Printed Nam
Signature **Please read compliance statement on back of permit** Signatur
-hi 7'el 4'2A) mom— Z.2_- 'Sac, -_2O I — ZZ- ► y-Lot-1
Application Fee(s) Check# Issuing Date Expiration Date

Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become
null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The
applicant certifies by signing this permit that I)prior to undertaking any activities authorized by this permit,the applicant will
confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian
landowner(s).
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief,certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar-Pamlico River Basin Buffer Rules Other:
Neuse River Basin Buffer Rules
If indicated on front of permit,your project is subject to the Environmental Management Commission's Buffer Rules for the
River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of
Water Resources. Contact the Division of Water Resources at the Washington Regional Office (252-946-648 I) or the
Wilmington Regional Office(910-796-72 1 5)for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave 943 Washington Square Mall
Morehead City, NC 28557 Washington, NC 27889
252-808-2808/ I-888-4RCOAST 252-946-648 I
Fax: [phone] Fax: [phone]
(Serves:Carteret,Craven,Onslow- (Serves: Beaufort, Bertie, Hertford, Hyde,
North of New River Inlet-and Pamlico Tyrrell and Washington Counties)
Counties)
Elizabeth City District Wilmington District
401 S. Griffin St. 127 Cardinal Drive Ext.
Ste. 300 Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax: [phone]
Fax: [phone] (Serves: Brunswick, New Hanover,
(Serves:Camden,Chowan,Currituck, Onslow-South of New River Inlet-
Dare,Gates, Pasquotank and Perquimans and Pender Counties)
Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/17

CAMA / ❑DREDGE & FILL N9 79034 A
GENERAL PERMIT Previous permit# ®42y6 8
��-% New ❑Modification . (Complete Reissue ❑Partial Reissue Date previous permit issued 41, coo/Zoe"
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 15A NCAC (Z)- e; . 2 DUG%
A Rules attached.
Applicant Name 3-‘).5€On T2. n\`}'e. Project Location: County Btc_....,4-'n,
Address \\f p A 5 VO uY.r 12 • Street Address/State Road/Lot#(s)
City Greey)v‘' \1e State NC ZIP lg5s Z7- r3Gc' 1:.(--c'ek (-a - e)l"9
Phone#(257,) 714--531.0Z E-Mail 1 Subdivision /4,9
Authorized Agent -r--5-4 4,.,,�.e Cw1ST. City OATH ZIP 7$OCS
Affected ❑CW ❑EW KiPTA IIIES ❑PTS Phone# (Z5Z) I'-I - 33(02. River Basin ?"'i4 R/T74 ry,
❑OEA ❑HHF ❑IH ❑UBA ❑N/A AEC(s): Adj.Wtr. Body 7-x4 -\-1 Csce-t k„. n at)/man /unkn)
❑ PWS:
ORW: yes /ono`) PNA yes / Closest Maj.Wtr. Body r y►1 I►C'' R I der.
Type of Project/Activity 17f2b?u Sev 6' ' too- p!<✓ kJ//6'1 )sa' ten 1.14-,-* 1 - Le4 ?) -ar»rii
i' xlir.: S1-eS5bow,, 1.--,1�T vw, G' 1.2ix \'3• boc.?s \,gNi- • (Scale: )
Pier(dock)length �ji I X IDb
Ii' IL i Fixed Platform(s) 9 I ; �
1
Floating Platform(s) "� � 1 1 1 1 I ;
Finger pier(s) 9 i X I�
Groin length J + Gs. `. So ��77
h,
number : �_. . . ... - 4 . _ t.. }
Bulkhead/Riprap length i ---- `> e-V),\1 4—.1 4-?9� a 13 I 1 - . — ---
avg distance offshore j ' �- 7 f� 1
max distance offshore •
f.J►t ] ,��Q `-' r
Basin,channel - I 1
cubic yards ►j,
Boat ramp f�� i�� j ,C +�{ f
Boathouse/Boatlift .. ,,,.. ;.. . ......._... i
Beach Bulldozing - -
Other I
4
' 1111 1
Shoreline Length 1 I r sG
SAV: not sure yes Cy L I T__---:.-._ _-' ----...___..
I '.
Moratorium: n/a yes a) 1111 I
L.
Photos: yes no 1 I 'Waiver Attached: yes 051 1 — i ,#r1
A building permit may be required by: c,;,, /& ►1 . X See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) 1 LL
Notes/Special Conditions /_n"/ /.S f fl fr a 'IA►vl�e) /.Q )/7 . I f /.S Qki /s-T775
4-
M )/ %raiy
Agent or Applicant Printed Name Permit0 leer's Printed Nam —
r
Signature **Please read compliance statement on back of permit Signatures -
_ ;%1 mod 'ZDO, <==- 17- - -3 - -, - 2-6Z1 - aZ- ► y — ZozI
Application Fee(s) Check# Issuing Date Expiration Date

Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become
null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The
applicant certifies by signing this permit that I)prior to undertaking any activities authorized by this permit,the applicant will
confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian
landowner(s).
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief,certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar-Pamlico River Basin Buffer Rules Other:
Neuse River Basin Buffer Rules
If indicated on front of permit,your project is subject to the Environmental Management Commission's Buffer Rules for the
River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of
Water Resources. Contact the Division of Water Resources at the Washington Regional Office (252-946-648 I) or the
Wilmington Regional Office(9 I 0-796-72 15)for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave 943 Washington Square Mall
Morehead City, NC 28557 Washington, NC 27889
252-808-2808/ I-888-4RCOAST 252-946-648 I
Fax: [phone] Fax: [phone]
(Serves:Carteret,Craven,Onslow- (Serves: Beaufort, Bertie, Hertford, Hyde,
North of New River Inlet-and Pamlico Tyrrell and Washington Counties)
Counties)
Elizabeth City District Wilmington District
401 S. Griffin St. 127 Cardinal Drive Ext.
Ste. 300 Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax: [phone]
Fax: [phone] (Serves: Brunswick, New Hanover,
(Serves:Camden,Chowan,Currituck, Onslow-South of New River Inlet-
Dare,Gates, Pasquotank and Perquimans and Pender Counties)
Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/17

LICAMA/ ❑DREDGE & FILL N° 79034
GENERAL PERMIT Previous permit# e:to ®}2 ! D g
��-% *New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued ape 3//°/ 7c7
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 '-L
©Rules attached.
Applicant Name 37c)S it:ih T2. LA.)h\-k-e, Project Location: County .., - ,- t
Address \ I Q (16 2Ua( j ER c� . Street Address/State Road/Lot#(s)
City 6 Cr'e tm i \\e State N C. ZIP l'gs 5S Z. I ,:�,1,t 4-, , .,,.c .Y 64,,(..) rA
Phone# (74 Z) 7 I 4 -3544Z E-Mail Subdivision N/ :9
Authorized Agent 75 4 /aif, ' L co 71. City 1,9,41 I j ZIP 4 SO S
Affected ❑CW ❑ENV RA ❑ES ❑PTS Phone# ("sZ) 1 4- (c 1rt f ^ 33 Z River Basin 112,1 Pf}m❑OEA ❑HHF ❑IH ❑UBA ❑N/A �; ! r nat•/man /unkn)
Adj.Wtr. Body A-Ir\-+ - : k.
❑ PWS:
ORW: yes / no PNA yes / no Closest Maj.Wtr. Body r ✓►i I1 C-`7' gI'l J`r
E
Type of Project/Activity Prz( (D' x 100- re. `1 /%;.',r ) ' t.04f,\ 1 -,)-./,- P.,.%.
FuC.ti v r ;: .1-'"'VV.% u.�� 1?''' N \2; O.-:::A} � `-'k- • (Scale: )
Pier(dock)length I x rob
111
Fixed Platform(s) /)1 I b 1 i
Floating Platform(s)
........-----
Finger pier(s) C{ X T ...... .
Groin length ( } CA.- I `' 1'JC' �? ``
number ( � 'S �..._ :.._1
Bulkhead/Riprap length — t?e —'—i T 4-A4i� 1 !3 T
avg distance offshore l ! 1
- i �I��1
max distance offshore i I J 14.44�' C n+1 1 )'V 1� o ` a
lit
Basin,channel I 1
i - iiti ^per, i
cubic yards `r . ' TO J/(21tt W 1.. : : ( -_
•Boat ramp ,�.�p ! ^�,
Boathouse/Boatlift .... 'T l�1;"#._ ._._....i _.1-.... 1 r )... * i
Beach Bulldozing I —
: Ill 1111
Other
Shoreline Length I 1 ESL } 1 I
I
SAV: not sure yes o°�i:`3 _1-.._._.._.. i i _ t—........ --
Moratorium: n a yes ' i '
Photos: yes no — i
Waiver Attached: yes C:Si' '
ter^"'
A building permit may be required by: - 'AI/I') . X See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction ..-7--
Notes/Special Conditions _(.71 /+5 /7 4 eA-64)4'rc) /am . / j i 1 % < ,1 ( \/)C?`?"lr
-, `<- . p b+.,b Cs -1 s?'- �„.N,r f ,..., /,- < �+_^,'/.
1
�.�i y ,j,'twi ly
Agent or Applicant Printed Name Permit Officer's Printed Nam.
Signature **Please,,read compliance statement on back of permit** Signature(
--'cl - 7.
'C(T;. • _. 3 c.r - z-Q Z- 1 — Z 2. - ►wry Z o 2 1
Application Fee(s) Check# Issuing Date Expiration Date

Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become
null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The
applicant certifies by signing this permit that I)prior to undertaking any activities authorized by this permit,the applicant will
confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian
landowner(s).
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief,certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar-Pamlico River Basin Buffer Rules Other:
Neuse River Basin Buffer Rules
If indicated on front of permit,your project is subject to the Environmental Management Commission's Buffer Rules for the
River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of
Water Resources. Contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the
Wilmington Regional Office(910-796-72 15)for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave 943 Washington Square Mall
Morehead City, NC 28557 Washington, NC 27889
252-808-2808/ I-888-4RCOAST 252-946-6481
Fax: [phone] Fax: [phone]
(Serves:Carteret,Craven,Onslow- (Serves: Beaufort, Bertie, Hertford, Hyde,
North of New River Inlet-and Pamlico Tyrrell and Washington Counties)
Counties)
Elizabeth City District Wilmington District
401 S. Griffin St. 127 Cardinal Drive Ext.
Ste. 300 Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax: [phone]
Fax: [phone] (Serves: Brunswick, New Hanover,
(Serves:Camden,Chowan,Currituck, Onslow-South of New River Inlet-
Dare,Gates, Pasquotank and Perquimans and Pender Counties)
Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/17

---g_,
t r
AMA/ ❑DREDGE & FILL '( ' (0(49 NQ 77246 A D
NERAL PERMIT Previous permit
pe mit# V-1111
Yam--° New OModification []Complete Reissue OPartiai Reissue Date previous permit issued IA S
As authorized by the State of North Carolina,Department of Environmental Quality ,f' 2.000
and the Coastal Resources Commission In an area of environmental concern pursuant to I SA NCAC 1{
[Pilules attached.
Applicant Name -5"-o6Epl{ •P. ON t' C'ac.
Project Location: County t�rn r*
Address 11(9 )sbury 12,c• Street Address/State Road/Lot#(s) Z?i_ ., CC
City Cre./1UTAZ State NC ZIPI:ig% Crtp 4,470i05
Phone#[phone]•599i E-Mail Subdivision
Authorized Agent�$%5 -v c Cor4'1': City 1� \ ZIP a}cso g
Affected o cw ❑EW TA ❑ES ❑PTS Phone# (151-)11 y -33(a'L River Basin -rag m.
AEC s : 0 OEA 0 HHF 0 1H 0 UBA ❑N/A 1 n
( ) ❑PWS: Adj.Wtr. Body pA(n{� Creek na /ma /unkn)
inlu», Closest Maj.Wtr. Body__I aWI)1Lfl Pt Ote
ORW: yes no PNA �� no
Type of Project/Activity rrypo5ft) (p',/ICO' pi or W i'ri A 1(0p�)( ((01 C o V t•rc T- h+aJ 4
tPiref sir *8 7t1 11.' °bktpaow pl a} m Av 6 13'A I3' 13oa}1t r'r (Scale: ('; y ►' )
Pier(dock)length
Fixed Platform(s) 1� X / r. y._ T tit - r r -- -,
Floating Platform(s) i �✓ / 1 ' i—i - _,
Finger pier(s) t/� -i - ! s�` '' , ` �T L.. I i .; I
Groin length __:___I___!..1-- i 1 1.(0 i I.
!. ..:-tip 1 i l� -.
number ' i 1 j—1'! ,�► i t \ 111 i" 1 i .
Bulkhead/Riprap length i l 1_ 1 i _1,..�- J_.,i at_ i_i -.. 1_ i i — j { r
sty - i
avg distance offshore 4te a i 1 1 _. ,.__ _�
__ , , . _. . !. .> i1.4r
' fit. 7It
max distance offshore , )
Basin.channel _ ._ i -, t — 6
1: i
i
cubic yards ,.- __ rt- I
Boat rampI i T i i...__
' 7--- _, _,,_t_it....._t________+_e
Boathouse/Boatlift —1-1 l ,/e - ' ` - _._ '
Beach Bulldozing T-., 1 ` 1_(_1 i _
Other 1I j��_i ? 4. l — I _ I..
l i
I r }
t I } +
yr�/� f i --i , 1 ,i1 tfew- --
Shoreline Length , 1__ ... t ,• - I-. , t. !-- z ,-i. . I 1 �'' ,a,4� I--; -
SAY not surl WD i` . I ! spr-_,A ---./.. .71.4,_,
t f .W t-Tt 1
Moratorium: n/a yes n l 1. 2 . : I rw �L : 1 i -
Photos: yes n itt� + i Q i�C�"� ! G'" / . ._ _. f ¢l--_`` r-t
I
1
! ' L 4 (' 41
Waiver Attached: yes no L,_..__ __—I i i � I I i � i i t � l a _.i � [ i j
1
A building permit may be required by: l fa11fl p. Dom' . 1:itlee note on back regarding River Basin rules.
(Note Local Planning jurisdiction) -----
Notes/Special Conditions L.cot- {S Tno.iv1 lY%e a `atw1i, I t+: t .1 c aA \c)-11,
51�ar.t t �i�f`_ 1.
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A Cr i• '6 011) fi__. i j-a'7 . .Pi si a'1 _
Agent of Appli nt Printed Name Permit° cer's Printed Name ,
IC
Signature Please read complian tement on back of permit** Signatur�� V
Chx Ye. g ZOO.09 ► I-55 9/0/12.0- i/43Jw'2- /
Application Fee(s) Check# Issuing Date Expiration Date