Falls, Charles 84119C

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1 c[�.CAMA ❑ DREDGE & FILL N9 84119 , A., B oo
y = GPrevious permit
GENERAL PERMIT
Date previous permit issued �
❑ New ❑ Modification � Complete Reissue ❑ Partial Reissue
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 07 P Rules attached. General Permit Rules available at the following link: www.deq_nc.gov/CAMArules
Applicant Name Authorized Agent
Address �` Project Location (County)'
City d State ZIP Street Address/State Road/Lot #(s)
Phone #) 1
Email Subdivision 1 -
City ZIP
Affected ❑ CW _RTW PTA ❑ ES ❑ PTS Adj. Wtr. Body k)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body L. L p�?` f �\
ORW: ye nog PNA ye no
Type of Project/ Activity. '"� -`-�, r
(Scale:
Shoreline Length /
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
i
Finger pier(s)
Total Platform area 'Z I � �� L " �` ✓ � / ' /"—'
Groin len th #
g /
01
Bulkhead/ Riprap length � �� I
Avg distance offshore ill P
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift T 0i 1 1
Beach Bulldo '9gt i
Other 1�
SAV observed: yes
Moratorium: n/a yes no
Site Photos: yes no
Riparian Waiver Attached: yes
A building permit/zoning permit y be required by:
TAR/PAM/NEUSE/BUFFER (circle one)
Permit Conditions
See note on back regarding River Basin rules
See additional notes/conditions on back
I AM AWARE OF STATUTES, )CRC RULE4 AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STA MENT. (Please Initial
sI 16-,- r
Ant or pp ant PRINTED Na e Permit Officer's PRINT Te
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kko-ature **Pleas ad compliance statement on back of permit" Signat u e
y �- �-
plication Fee(s) ehKk # Money Order Luirk Da Ex atio Date

Statement of Compliance and Consistency
This permit is subject to compliance with this application and permit 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: 1) 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 from the adjacent riparian property owner(s)
has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(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:
1-1 Tar - Pamlico River Basin Buffer Rules 1-1 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. If you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215).
Notes/Additional Permit Conditions:
Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
project area and disposed of in an appropriate upland location.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST Fax: [phone]
(Serves: Carteret, Craven — south of the Neuse River, Onslow
Counties)
Elizabeth City District
401 S. Griffin St. Ste. 300
Elizabeth City, NC 27909
252-264-3901
(Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford,
Pasquotank and Perquimans Counties)
Washington District
943 Washington Square Mall Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Craven — north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext. Wilmington, NC 28405-3845
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover and Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021