80118D - Itzaina

0 11 CAMA I ❑DREDGE & FILL S 15/t,4 , NO 80118 A B C ,0
GENERAL PERMIT Previous permit#
>' ❑New '❑Modification -Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina,Department of Environmental Quality r�//
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC i f7, a S CC
❑Rules attached.
Applicant Name S 110 iii'CYl ilEailiQ Project Location: County p/?,,r(IA,, ( /(
Address a-3 2,; ('owvi PG 'of Pact r 7 Street Address/State Road/Lot#(s)
City 1` 4(( +"7c1 c JQ State (A ZIP 7. ax? 14 3 Man ' i�
Phone#(7hC) 4) 6 1 i l E-Mail '`Ili t ii i I 1- .o it- '' Subdivision
t ��l( r
Authorized Agent El ,( 14((,r - City f-k- ldQfl /ZC Z ZIP ,2 46 0�
Affected ❑CW 0 EW El PTA ❑ES ❑PTS Phone# ( ) River Basin 1.-1-11(4.-1',-
AEC(s): ❑0EA ❑HHF ❑IH 0 UBA ❑N/A Adj.Wtr. Body /. 4. nat
❑ PWS: lei 4. ( f /unk
r
Closest Maj.Wtr. Body /(( It-
ORW: yes / no PNA yes / no
Type of Project/Activity , fy /(, i ,„--,.
e (Scale: NI S )
Pier(dock)length
Fixed Platform(s) I ; 1 1
Floating Platform(s) '"1 >> _
Finger pier(s) —
r r
Groin length — '
1 fr
number — j............ .... ._._.._ (. 11 .
— ; _ _....
Bulkhead/Riprap length1'C j/ 4('
_ 1
avg distance offshore I I _- kc S ' A S-
max distance offshore ' I f I
i , ,,. (
, I at ' '
Basin,channel
cubic yards I I l
{ 116
I
Boat ramp i t ft0\D iv , f I C
G
Boathouse/Boatlift __.... .- _ _—_ ,_O _—_ ...._-. i-
1
Beach Bulldozing F - C'� l Lt"'� 3 k4---c
Other l (. -(''
— r A/
�f, eI
Shoreline Length _
SAV: not sure yes ey j �1 j
___ _._ .ex07 1 , „ ,
Moratorium: n/a yes rro I
- i
Photos: yes no I _ —I ❑—.. .. ., !—
Waiver Attached: yes
A building permit may be required by: T, r 7 - / /, t 4-7-itilnt 4 . I See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions -a ' IC /`r' /
4t ,( k �i
Agent or Applicant Pri Permit Officer's Printed Name
Signature **Please read compliance statement on back of permit** Signature

S
LICAMA/ ❑DREDGE & FILL (�o J 15Rr4.S No 801 1 8 A B C 6
GENERAL PERMIT YYJJ Previous permit#
��. Li New LIModification ❑Complete Reissue LiPartial Reissue Date previous permit issued
As authorized by the State of North Carolina,Department of Environmental Quality . ,��-,�V
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC �aS'
��'L-X=-t] Rules attached.
Applicant Name_+� IloY1 (ff . Project Location: County `,c
Address o3_ISpc Ci W4It Po`rtt Ply Street Address/State Road/Lot#(s)_
City rottily do State e1 ZIP V O 2/ J43—M171'`Vl 1>r
Phone#(764 42 0 MI-Email /_ O2y ' Subdivision -
E
�;n M< ..t t?'A'► ZIP � �o�
Authorized Agent_ ft /KC-Cam City f�/
O CW NEW 1PTA ❑ES ❑PTS Phone# ( ) River Basin yj
Affected L OEA n HHF U IH ❑UBA ❑N/A
AEC(s): Adj.Wtr. Body ( _ (nat /Ea /unkn)
❑PWS: n
ORW: yes //(i PNA yes /� Closest Maj.Wtr. Body K-lI4' Z—
v / l
Type of Project/Activity fripi ivaim, /1 pk ' t. d „,..„,„,
)7 J,t`ti / er1? S (Scale: NI S )
Pier(dock)length_ •i f -. ,
Fixed Platform(s) X 121 i
Floating Platform(s) �''Z_
Finger pier(s) ; , i 1 1 , '
Groin length _1 ;- - - }
number i 1 (f.( OC-
Gt� .gip i
Bulkhead/Riprap length ..._ i (',GI,
, I
avg distance offshore 6 +Q.Cs
max distance offshore — l./ (..?/,011.
Basin,channel — + '
pooc46-.4"zew
cubic yards_
Boat ramp - - 1‹,r;r-„en
Boathouse/Boatlift e<K 5 �,a ,
O i
Beach Bulldozing . ��9 r I i &r C
,1 ,
Other ,kip 0" I , rt,bd' lyitty\. 1 1
—/ / .F '
( f �/ 6 0
Shoreline Length 54 i _ , - i
SAV: not sure yes bhp 1 __?-- ,
es
`3tt't I i I
Moratorium: n/a yes co /� i i I4t� , I �l S
Photos: yes r� �1 i }-I �l
, I 1 1
Waiver Attached: yes +� 9 q/°� ---.1-----:-__:
A building permit may be required by: 1 -7.--/? ,'gg �`3��""„ • Ll See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) !/ 7/� �JJ Are /� /C�/� ,�-
Notes/Special Conditions `(�i t S /r/rGII�"`'+ ,PZ a �!`�Oi C
# r tayS
.i_.Ap 1 t fed t�\ 1 PerFartriCh
cer's Printed Name
7a,(W d.rt ire/
Signature **Please read compliance statement on back of permit'"* Signature
intmo. . ►Arr1:,m.A ce Isata 5 N/A ‘/17b. T Is 21

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rtecess..; ,� t;e i7i, wn, pr+>p,,sed d"ve��E�mei
at rbyrpi perty located at._..- �=
irc__; { rant perm'sssion_t,
` � `, _-_County, and dta o faC g
,arrt, arc! their agents to entf
J `i°therar7ore r:ertif Mat 1 nrrt c; rthonzetr to 9 permit off,
©iGisr' �` staff, fh Loyal i inform
related to t
cata of Coastal Manager en, evalcretin.
on the eforerrtentionecl lands in connection vi
Permit application.
ProPertY Owner lnforrnationm
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- \--' 5,, hiture
!ter inn cr Type Name
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