84504C - Creech, Tim

°"0e'"art®LAMA ❑ CSRWGE & FILL No 84604 A B O D
GENERAL mit
PERMIT Dtepre io spermitissued
❑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 r' L! ram!. b(, ❑ mules attached. dGeneral Permit Rules available at the following link: wwwdeq.nagov/CAMA ules
Applicant Name/ -- f o r/? cl= aw
Address 4>40 /iL��V/✓) '!_
City l/dBnl Sf>�r/7 State /W ZIP S) L
Phone # Z9) J 0 ;t - 77' a-
Emall �f.G�ti''Jls')i),t/��il(i�hArt,. r('Grrt
Authorized Agent I n rr 4, le-
Project Location (County):
Street Address/State Road/Lot#(s)
4>/2/fJ/IAr)/-41J-6 l
Subdivision 114�)'VD-7 C!!�!'K
City.✓S�Or d - i�G/!aa ZIP
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body PA � �V e l &ell �- (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Mrwaj. wtr. Body /% 1 It, Jul4 Pl caG:/
ORW: yes \o PNA: yes/no,
Type of Project/ Activity Pr a Pig
(Scale:N7 f )
EVEN
FingerINS
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Total Platform areaI'
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Max distance/ length
Basin, channel
Cubic yards
Other-
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SAV observed: yes
Site Photos:
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A building permit/zoning perAitbiW eVre1q,4d'byw�f
oor.ntt rnndifl� ie% AP Rd It 7/O
Agent or Applicant PRINTED Name
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Permit Officer's PRINTED Name
Signature '*Please read compliance statement on back of permit"
Application Feels) Check p/Money Order
Signatures
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Issuing Date' Expiration Dat4

(jO
AMA ❑DREDGE & FILL N° 84604 A B i'c D
Previous permit
E N E RAL 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:
ISA NCAC Y- ��f' ❑Rules attached. Fl.� General Permit Rules available at the following link: wwwdet.nc.gov/CAMArules
Applicant Name
1 ! AO ( i(t_i. L /-/
Address
City
State /(,/I-- ZIP
Phone #Z-
Email
Authorized
Project Location (County):
Street Address/State Road/Lot #(s) r ! z— /.
Subdivision / (�^ '51.%
City sdr' t ; - !'�j ZIP
Affected ❑CW REW U`PTA ❑ES ❑PTS Adj. Wtr•Body. < (nat/man/unk)
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AEC(s): OEA ❑IHA /❑UW SPIMA ❑PWS Closest Maj. Wtc Body
ORW: yes/nol PNIA: yes/,no
Type of Project/ Activity �f � Fi p > •P (r> •n /r l `jF""1-1 Z I) .T
(Scale: ci i)
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A building permit/zoning permit may be required by:
❑ TARMAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
1 AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please
Agent or Applicant PRINTED Name - Permit Officer's PRINTED Name
Signature *'Please read compliance statement on back of permit" Signature -7
Application Feels) Check #/Money Order Issuing Date Expiration Date