87312C - Atlantic Beach, Town of

tFINew
❑CAMA ❑ DREDGE & FILL No 87312 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 Environmental Quality and the C astal Resources Commission in an area of environmental concern pursuant to:
I SA NCAC ❑ Rules attached. General Permit Rules available at the following link: wwwdeg nc gov/CAMArules
Applicant Name
L i
Address
City
Phone # (_ )
Email
Affected ❑CW
AEC(s): ❑OEA
ORW: yes/no
State
❑EW ❑PTA
❑IHA ❑UW
PNA: yes/no
Type of Project/ Activity
ZIP
❑ES ❑PTS
❑SPIMA ❑PWS
Authorized Agent I
J
Project Location (County): '
Street Address/State Road/Lot #(s)
Subdivision
City ZIP
Adj. Wtr. Body—
Closest Maj. Wtr. Body
(Scale:
Access Length
Pier (dock) length
Fixed Platform(s)
moomm�om
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Platform(s)_
ELI
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Max distance/ length
Basin, channel —
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
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MOM
SAV observed; yes no
Moratorium: n/a yes no
Site Photos: yes no
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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. (Please Initial)
Agent or Applicant PRINTED Name - Permit Officer's PRINTED Name
Signature *"Please read compliance statement on back of permit" Signature
Application Feels) Check#/Money Order Issuing Date Expiration bate

JAI ❑'CAMA ❑ DREDGE & FILL N9 87312 A B c l
permit
GENERAL PERMIT oteprevious permitissued
Ll 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 SA NCAC ❑Rules attached. General Permit Rules available at the following link: wwwdegnc.gov/CAMArules
Applicant Name
City
Phone # (_ )
1 1�
Authorized Agent
Project Location (County):
Street Address/State Road/Lot
Email Subdivision
City ZIP
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: )
Access Length 1�
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Boat ramp■.■■�N■
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SAV
observed;Site e
il,loariaT .. - _ta6ec
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A building permit/zoning permit may be required
❑ 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** Signature 7
Application Fee(s) Check N/Money Order Issuing Date Expiration ate

`il-)AEDGE to FILL Nlit)
"L PERMIT N1, E R A
C,,,n:oze Rr swo Partial Reissue ace Lr nni i
Ir concen, p.,want to 15A 1`405c,
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Pictitic(Location Crtbnty
Street Address" State Road' Lot *f,,)
zip
Sub v r
ZCt GIP
IA ES PTS Ph ,# 4�,,er�sin
Affected � n
AEC(s), USA NIA Adj. Wtr. Body an 'urkn;
oRw y,s 6, PNA yes I
Type of Project/ Activity Ac
P,eridcck, length
F,i,vi Platfo
rm(s)
Pl,
'
'01"' e, (
anger P,,,(,7 s --A
G,o , length
mirntor
BAteed' Rprap length
a,Z thstatooe offshore
mix d u e offshore
B.",
-,be yards
Boat M.j,
B0300tiSlsl
Beach Bulldozing ---
Other
Shoreline Length
SAV: not sum yes m
Moratorium, Na yes no
phows. yes no
WaNer Atuched: yes no
A building permit May be req by;
( Note Local Planning jurisdicti
Notes/ Special Conditions tl�
L4
Closest Maj, Wtr. Body
/(Scale:]
V0
- too I X`p
See note on back regarding River Bilsin rules,
I- -- ---- SignaipuW, .--Y-
0 nce statementon back of Permit"
Check
RECOVED
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