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Home My WebLink AboutGallo, Giovanni 88510CM1 s- u: h EICAMA ❑ DREDGE & FILL =GENERAL PERMIT New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue f, ' 48 8 5 1. 0 A B C. D, Previous permit Date previous permit issued 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: www.deq.nc.gov/CAMArules Applicant Name i Authorized Agent Address z' r a ;"ti t",.•`-� " a V191 Project Location (County): City "?.1 x State tP ZIP c r .�% Street Address/State Road/Lot #(s) Phone # Email Subdivision City ZIP Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body a.. - c` 1 r') (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 Platforms). Floating Platform(s) Finger pier(s) Total Platform area Groin length/# Bulkhead/ Riprap length Avg distance offshorer,tpa Breakwater/Sill Max distance/ length Basin, channel Cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing Other SAV observed: yes no 7 0 Moratorium: n/a yes no Site Photos: yesno Riparian Waiver Attached: yes no.,,, • n A building permit/zoning permit may be required by: _ Permit Conditions '± i �� ❑ TAR/PAM/NEUSE/BUFFER (circle one) ❑ See note on back regarding River Basin rules ❑ See additional notes/conditions on back 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** Jp Signature r , Application Fee(s) Check #/Money Order Issuing Date Expiration Date �1*°1COAS'41�c❑ CAMA El DREDGE & FILL NO 88510 A B C D s = 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: 15A 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 ' E (Scale: Shoreline Length _ Z Access Length f; 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 Moratorium: n/a yes Site Photos: yes Riparian Waiver Attached: yes A building permit/zoning permit may oe requirea py: 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" mow. aM. Signature Application Fee(s) Check #/Money Order Issuing Date Expiration Date United States Postal Service USPS TRACKING # s _ First -Class Mail Postage & Fees Paid USPS Permit No. G-10 9590 9402 7332 2028 6324 71 Un ited States • Sender: Please print your name, address, and ZIP+4° in this box• Postal Service SCAN .;.:•��..�.� .�.!�1llli��1illli�l{It�i1li,�il1�'11i11111i'l�l�ll�fl11i1�'1111t1( USPS TRACKING # First -Class Mail :80 Postage & Fees Paid USPS 3'L 1111..11 1 Permit No. G-10 9590 9402 7332 2028 6223 35 • Sender: Please print your name, address, and ZIP+4° in this box• 3 -3 III III I1111111111111111111111l11111111111111111itI111111111111111 ■ Complete items 1, 2, and 3. I ■ Print your name tun her card n youevers so that we can ■ Attach this card to the back t the mailpiece, or on the front if sp 1 Article Addressed s. to' A. X B, D. Is delivery, If YES, delivery 3. Service Type Coal ult Signature dult Signature Restricted Delivery IIIIII ertified Mail@ Restricted Delivery mfrOrS Certified Mail R❑ Delivery5971 ❑ Collect on tricted Delivery 9590 9402 ❑ Collect on�DeliveryResran, 5 8 3 9 la l Restricted Delivery 2, Article Number (� n Q no 8 916 �13,21 �Julya PS Form811,020 PSN 7530-02-000-9053 Co► lete items 1, 2, and 3. I ,. our name and address on the revers ■ Print y can return the card to YOU - so so that we Attach this card to the back t the mai p ■ the front if spa p or on essed to' )l, 1 Article Ad[\dr�� \Iv \ %11M\1�12 i A-111Y II IIIIIII� I 9590 9402 7332 m028 6223 35 service label) 2. Article Number fTr7 a f ❑ a 8 91 ", 7 a 21 2 2020 PSN 7530-02-000-9053 PS Form 3811, July ❑ Agent of Delivery —0 s n 'f d Yes ., `1Ci No p Mail Express® ❑ Registered Mali'm ❑ Registered Mail Restricted Delivery ❑ Signature Confirmation?"' ❑ signature Confirmation Restricted Delivery Domestic Return Receip If YES, -enter delivery duel' E ail FJcpress0 ❑Priority M ❑ Registered Mall"'3 Service Type ❑ Registered Mail Restricted ❑ A 1t Signature Delivery dult Signature Restricted Delivery [3 Signature Confirmation?"' Certified Mails ❑ Signature Confirmation ❑ Certified MDeR esryicted Delivery Restricted Delivery ❑ Collect on Restricted Delivery ❑ Collect on Delivery 4 51 )� I Restricted Delivery Domestic Return Receipt