HomeMy WebLinkAboutAtlantic Beach, Town of 87311C+° N❑CAMA P DREDGE & FILL N9 87311 A B c D
a� Previous permit
Iffil 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:
I I SA NCAC ❑ Rules attached. , General Permit Rules available at the following link: wwwdea.nc.gov/CAMArules
Applicant Name _
Address
City
Phone#(_)_
Email
State ZIP
Authorized Agent
Project Location (County):
Street Address/State Road/Lot
Subdivision
City
Affected ❑CW DEW ❑PTA ❑ES ❑PTS Adj. Wtr. Body (nat/man/unk)
AEC(s): OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: yes/n� , PNA: yes/no
Type of Project/ Activity
(Scale:
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Groin length/#
Avg
Max disth
tance/ �� =
Cubic yards
Boat ramp Boathouse/ Boatllft
Beach BulldozingOther
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SAV observed; yes no
n/a yes no
Site Photos: yes no
RiDarian Waiver Attached: yes no
C�CC'C::SCCCCMoratorium:
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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 backof permit" Signature
t❑ �r�iv ) iL(<�(Z�Z
Application Feels) Check M/Money Order Issuing Date Expira'on Da e
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❑CAMA ElDREDGE & FILL N9 87311 A B C D
Previous permit
GENERAL PERMIT Date previous permit issued
[]Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by the State of North Carolina, Department of EnvironmentalQuality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I SA NCAC ❑ Rules attached. r)/(General Permit Rules available at the follovdng link: w .deq nc.gov/CAMArules
Applicant Name _
Address
City
Phone # (_ )
Email
ZIP
Authorized Agent
Project Location (County):
Street Address/State Road)
Subdivision
City
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ pTS Adj. Wtr. Body (natr'man/unk)
AEC(s): ❑ IDEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Mal. Wtr. Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity
(Scale: !
Access Length
Pier (dock) length Fixed Platform(s)®�
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ME
No
NONE
ME
No
0
Finger pler(s)1C:isonsomsm
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Total Platform area Groin length/#
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A building permit/zoning permit may be required by: ) J
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.
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
(Please Initial) _
Signature **Please read compliance statement on back of permit** Signature
Application Feels) Check 7l/Money Order Issuing Date ExpiralionDai
Y
E 9ER, L PERMIT
- .., ,s, _.,r_e• d_.
StreeS,Ad rest �W tpv(,
! 11 -
4' Subdivision 1
city '� ZIP
Affetteo CW �EW TA _ ES PTS Phone # !1Y'),><f 0— /Giver Basin ��,
OEA HHF t UBA N/A I�
AEC's;: laws Adj. Wtr. Body Cq,�p;��`. f.t.�;�. J �;• .�,,,.r,
ORW. yes no� PNA -yes I rr) Closest Mal. Wtr. Body /v,,.;JJ��u/-F%;JL(��.•-___
Type of Project/ Activity
Pe-,dwk!iength___ _. .
F'zed P;atfomnis _ .
Ftoatog Piufomt(s I
Forger p.er,sl
Groan length
,umber
Bslkiead' P.,W length
arg distance offshore
o% ffsha,r�
Basin. anne
r
abc yarns
j Boat ramp _ _
Boathouse.Boat'.dt
Beach Widozvng
Other
Shoreline Length_.
SAV. not sure yes no
Montonum: Na yes
Photos. yes no
Waiver Attached: yes rp
A building permit may be required by:
( Note Local Planning Jurisdiction) Notes/ Special Conditions t—t l
7
Foci
s
_� See note on back regarding River Basin rules.
Dssu
t Ire
%-al �E aka al zpvan nDate
RECEIVE
APR 1 � 2022.
®CM-MHD CITY