HomeMy WebLinkAboutAtlantic Beach, Town of 87314CA0911'N❑CAMA ❑ DREDGE & FILL N9 87314 A B C D
so, GENERAL PERMIT Previous permit
Date previous permit issued
6 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: wwwdea.nc.gov/CAMArules
Applicant Name Authorized Agent
Address Project Location (County):
City State ZIP Street Address/State Road/Lot #(s)
Phone#(_)
Email Subdivision
City
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body. J 6 (nadman/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
(dock) length
Fixed Platform(s)
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■
■■■■■■■�
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Floating Platform(s)
Finger pier(s)
Total Platform area�.Pier
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Eno
No
Groin length/#
Bulkhead/ Riprapi length
Avg distance offshore
......
Max distance/ length
Cubic yards
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Boat ramp
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SAV observed:
Moratorium; n/a
Site
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yes
yes
no
no
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A building permit/zoning permit may be required by:
Permit Conditions Y (
i ❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See
[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 q/Money Order Issuing Date Expiration Date
back
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OCAMA ❑ DREDGE & FILL N9 87314 A B C D
Previous permit
GENERAL PERMIT Date pre io s permit issued
❑ 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: www dea nc.gov/CAMArules
Applicant Name Authorized Agent
Address Project Location (County):
City State ZIP Street Address/State Road/Lot#(s)
Phone # (_)
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/qo PNA: yes/np
i
Type of Project/ Activity
(Scale: )
Access Length
Pier (dock) length
Fixed .
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Floating Platform(s)
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Finger piers)
On
man
Total Platform area
Groin length/#
Riprap length
Avg distance offshore
Basin, channel Cubic yards
Boat ramp.....no
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No
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MIEN
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■EBulkhead/
min
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No
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 PROJECTAND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
I
Agent or Applicant PRINTED Name
Permit Officer's PRINTED Name
Signature '*Please read compliance statement on back of permit*"
Application Feels) Check #/Money Order
Signature
Issuing Date ' Expiration Date
[,_ORLL)kSL & HLL
OZENERAL PERMIT
11 1,-1 1111 1 T a 1 f
15 N NC
i, PiojertLocation Cnurity
L L) d rrss! State Rand. ot
ZIP � 6
Street Ad
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-Mad Subdivision
City zip �)'S�)
Aflected Cw PTA ES PTS Phone #W
_Pr � BainOEA H F 11H LOA N/A , ' !,C
Q
AEC q, -�
Adj. Wtr. Body
PWS
ORW Yes n PNA yes ;no Closest Maj. Mr Body
Type of Project/ Activity _O'Kl X11.9
t =(Scar
iron length
number \ / - I
khadRP,ap length_
mu distance .fhhori,
bmir
cubic yards T.ISO-
P'xt ramp
boati,ouse.'
Other
ShnreSnc Length
'4V t Sur: yes
ra lloto"um1 el yes no
`11oLO1, yes to
Wa,., Attached. yes
A building pernit may be required by; See note on back reliard ver Basin rules.
Note Local Planning Jurisdiction
Notes/ Special Conditions in, &(,uW'-6'A)GW
Ag t or V,c-t n Permit
$
lcompliancesmiternenton backo(permit lgraityss
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L40 Check # R
APR IS 2022
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