Atlantic Beach, Town of 87369C

NX F COW41 FICAMA El DREDGE & FILL W 87369 A B b
Previous permit
GENERAL PERMIT Date previous permit issued
F-1 New F-1 Modification D Complete Reissue F-1 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 F-] Rules attached. F—] General Permit Rules available at the following link: www.deq.nc.gov1CAMAruIes
Applicant Name
Address
City State ft ZIP
Phonefl
Email
Authorized Agent -
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision., 1
ZIP
Affected F-Icw 11 EW 0 PTA RES FIPTS Adj. Wtr. Body (nat/man/unk)
AEC(s): F] OEA ❑ IHA ❑ UIN ❑ SPIMA ❑ PINS Closest Maj. Wtr. Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity
(Scale:( I
Shoreline Length
Access Length . ....... ..
—
Pier(dock)length 7;�
Fixed Platform(s)
Floating Platform(s)
L
Finger pier(s)
.... ... .....
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel l A I,
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed: yes no
Moratorium: n/a yes no
Site Photos: yes no —4—
Riparian Waiver Attached: yes no A building permit/zoning permit may be required by:
E] TAR/PAM/NEUSE/BUFFER (circle one)
Permit Conditions Nf, A See note on back regarding River Basin rules
ElSee 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" SignatVre
Application Feels) Check #/Money Order Issuing Date Expiration Date

1°FCOARN ❑CAMA ❑ DREDGE & FILL N° 87369 A B
-ao 9c
y 4 GENERAL PERMIT Previous 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 SA NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name _
Address
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
Shoreline Length
Access Length
Pier(dock)length
Fixed Platform(s) -
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length ?
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing_
Other
SAV observed: yes ;ho i
Moratorium: n/a yes i no
Site Photos: yes t,no
Riparian Waiver Attached: yes ,no f
A building permit/zoning permit may be required by:
Permit Conditions
(Scale: v , ' )
❑ TAR/PAM/NEUSE/BUFFER (circle one)
i ❑ 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*„*
Application Fee(s) Check #/Money Order
Signature
Issuing Date Expiration Date

AGE & FILL A D
PERMIT Previous permit
i New ❑Modification Complete Reissue ❑Partial Reissue Date previotiq permit issued_ v_ _
As authorized by the State. of North Carolina, Department of Environment and Natural Resources s
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC �
d P I Rules attaches(_ _ _-
5
Applicant Nat -fie_ ;t f Pro'ect Location. County
Address Street Address/ State Road/ Lot #(s)
_ _..
city
_ State ZIP I
_ _
Phone # (. _ } I'_ —Mail _. _ Subdivision - ---- -
Authorized Agent City. . i ZIP
Cw i W (1dPTA ; j E5 PT's Phone # (, ) ; .: River Basin
Affected L_' i�
AEC s?; 0 OEA HHF � l iH 11 URA 0 N/A Ad'. Wtr, Bod
(. 1 y.._...,,._,.--e . (nn /rnitt`t._/unkn)
0 Pws.
sftW: yes /,no PNA yes Iio Closest Maj. Wtr. Body - _
Type of Project/ Activity ......_ _ __ ., w — ...._