88601C - Stephenson, Brooks

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[ 1`CAMA ❑DREDGE &FILL N9 88601 A B a
GPrevious permit
GENERAL PERMIT issued
Date previous permit is ue
❑ New [:]Modification ,Complete Reissue ❑ Partial Reissue
As authorized by the State of North Carolina, pD�epartment of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
7L415A NCAC —_m 1 StC „.i Rules attached. General Permit Rules available at the following link: www.dea.nc.gov/CAMArules
Applicant Name
Address
City
Phone # (`
Email
1 ONriT iT
Authorized Agent
Project Location (County): t
Street Address/State Road/Lot #(s)
Subdivision d P t
CAty Au ZIP
Affected�cW _ 'Ew- PTA P'Ile—ITS— EIPTS Adj. Wtr. Body lqacc, na an/unk)
AEC(s): OEA IHA DUW SPIMA DPWS Closest Mal. Win Body
ORW: yes/61 PNAo
_ e .
Type of Project/ Activity
Shoreline Length 70
Access Length -
Pier (dock) length
Fixed Platforms) _+ _ r _�-- ` F 1 l+. -`.._
i
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/#--!—
i i '~
Bulkhead/ Riprap length 1 -
Avg distance offshore I i -
Breakwater/Sill
r
Max distance/ length
Basin, channel i--�- - °-
Cubic yards
Boat ramp y i
Boathouse/ & i+ ! i
Beach B Ildozing 1
Other
SAV observed: yes o
Moratorium: n/a yes no ;-- -y--�
Site Photos: yes no '
Riparian Waiver Attached: yes
A building permit/zoning permit m9-
ayy be required by:
pp
Permit Conditions o fY X L+
TAR/PAM/NEUSE/BUFFER (circle one)
See note on back regarding River Basin rules
See additional notes/conditions on back
MUTES. CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Pleasg IpItiaq
P iya t TED Nam Permit Officer's PRINT me
emplia Sfatement on back of perm e.•-y j y Slgnatur
it
Fee(s) Check #/Money Order Issuin Dat 7xpira on Date

NC Division of Coastal Management
Cashier's Official Receipt
i -. L
Received From: '8rK nks 9L.enso o
Permit No.: 6 to renkwA I' ' I
Applicant's Name: .S(5vfi1._
Project Address: 'Q 3
20290 A BeD
Date: 20 Pq
) -
Check No.:
Please retain receipt for your records as proof of payment for permit issued.
Signature of Agent or Applicant: Date: ��-'yy��
Signature of Field Representative: r- Date: ��lzt/ AA