Atlantic Beach, Town of 87310C

❑CAMA ❑ DREDGE & FILL Nn 87310 A B C D
Previous permit
3 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 ❑ Rules attached. General Permit Rules available at the following link: wwwdeamc.gov/CAMArules
Applicant Name _
Address
City
Phone # (_ )
Email
Authorized Agent
Project Location (County):
State ZIP Street Address/State Road/Lot#(s)
Subdivision
City
Affected ❑ cW 1� EW PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk)
AEC(s): ❑OEA ❑IHA HUW ❑SPIMA ❑PWS Closest Mal. Wtr. Body
ORW: yes/no PNA: yes/po,
Type of Project/ Activity
(Scale:
Access Length
Pier (dock) length
Fixed Platform(s)
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Beach Bulldozing
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A building permit/zoning permit may be required
Permit Conditions -
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT, ((PleisRInitial)
Agent or Applicant PRINTED Name
Signature "Please read compliance statement on back of permit"
Iq i(�U
Application Feels) Check JI/Money Order
Permit Officer's PRINTED Name
Signature
Issuing Date Expiration bate

0te"74, ❑CAMA ❑ DREDGE & FILL N9 87310 A B C D
Previous 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 ❑ Rules attached. ❑ General Permit Rules available at the following link: wwwdecinc gcv/CAMArules
Applicant
City
Phone # (_ )
Email
State ZIP
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City _
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity
(Scale: )
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A building permit/zoning permit may be required by:
Permit Conditions
❑ TAR/PAM/NEUSE/BUFFER(circle one)
See note on back regarding River Basin rules
See additional notes/conditions on back
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Agent or Applicant PRINTED Name
Permit Officer's PRINTED Name
Signature "Please read compliance statement on back of permit`•
'i'i ( Cr
Application Fee(s) Check N/Money Order
Signature
Issuing Date Expiration Date

GIN RAL PERMIT
Nr!7,- Mod,fcatin Complete Reissue Pal ri'll Refsslln
As b, t-e StNh C n n. DC o I (n, oil of E-,,,r,f ...... ,,,I Q,,it,
ard R1$o'lCcsC"'1"s"O1 I t ail,, ennl con,orn pm,tiantto ISA NCAC
01
Applicant Nl�i Project Location. County
Address Street Addressl State Road,' Lot #(s)
City 6/_Wr"(4 State ZIP 1 ) �16/
Phone -mail Subdivision
li_
Authorized Agent I 'uCity ZIP
Cw ES PTS Phone # River Basin
AEC(s): OEA YHHIF
Affected
Ew I TA
PWS URA N'A Adj. Wtr. BodK�*frl-Q,_�UIL 't ;urkr'
ORW yes ko( � FNA yes /
Type of Project/
P,er,aocll' long", F:vro Ptw.,mw
Finger 1-co
G,!, length
Bu khe
rrax ci offshore
Basin,
Boat ramp
_
Boathouse' Boa,ft_
Beach Bulldozing
d' nt—
Other
Shoreline Length
SAV: not sure yes no
Moratorium: n/a Yes tw
Photos: yes
nil Waiver Attached; yes
A building permit may be required by:
( Note Lou[ Planning jurisdiction)
Notes/ Special Con itlons
/ ) J A ? A I
Closest Mal. Wtr,
APR I � ZOZZ
See notq on
(Scale: If
River Basin rules.
E
D C M: 5 1HILY LUI F1'Yr