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Home My WebLink About84428C - Brown, RobertAgent or Applicant PRINTED Name Signature "Please read compliance statement on back of permit" 1*oiCUAST41 ❑CAMA ElDREDGE & FILL O 442 A B C D �o c z Previous permit =GENERAL PERMIT T 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 State Phone # ( ) Email ZIP Authorized Agent Project Location (County): Street Address/State Road/Lot #(s) Subdivision City ZIP Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (hat/man/unk) AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body ORW: yes/no PNA: yes/no Type of Project/ Activity (Scale: ;6 Shoreline Length �� t i � L F �;,� I Access Lengths.. _ _ Pier (dock) length C °:`...fi..... ',r Fixed Platform(s) s� .......... a... ..,.._,;,..w.,,,�,.......,W„........... ................ ,.W.,_.. ,.._.�.;_._..�. ....3........... I ...�... ,_,,.,W� __ i. y+ ..,�. i� •,� .r.�__jy_,_. ., , .w_ .. ....� J _,,. -.i ;� ;�... .... ... .. .. I .. .. ..... Floating Platform(s) �' '� j _ m_ ❑❑. Finger pier(s) ........ ... .................. _`......... _._a....... )................. §........................ ............................. ........................... ........... ........ ............ ......................... ..:......... ................. ..._ Total Platform area 1 Groin length/# 3 3 i .. / Bulkhead/ Riprap length ' .........e............ ........... ,. ............ ......... .......................... ........... ........... �. ......_.... ........... v ._..._..x....... �..��.... .......... ......... � ......... .... ... _ ......... i..........�......... �.......... i� .........�....�.. .. ... ... .. ... ...... Avg distance offshore Breakwater/Sill" ; i r j Max distance/ length}""` � � 3a'� ry, 4v �,..rrr } • � f f ,..,, Basin, channel _.__4 3333 �r art-, I - ..... Cubic yards 1 Boat ramp ... Boathouse/ Boatlift_...�..,N . ',� Beach Bulldozing ...........e...................................................................... ............................................................... 3 ...... .... .. .G� ...... _ ... .. FE{ ... E ... .. ... ....... Other ) r. 44�µ SAV observed: yes , ri.. -, � 35 t . i Moratorium: n/a yes no +,N Photos. yes - ....a. p t } . i.:l ,.._k....�1._........................_.. , ............._...........lj]J�Site ... ... ... ..no, Riparian Waiver Attached: yes no A building permit/zoning permit may be required by: ❑ TAR/PAM/NEUSE/BUFFER (circle one) Permit Conditions ❑ 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) Permit Officer's PRINTED Name Signature Application Fee(s) Check #/Money Order Issuing Date Expiration Date o1+01`°"S'4i ❑CAMA ❑ DREDGE & FILL N9 84428 A B C D Previous permit GENERAL PERMIT ❑New ❑Modification ❑Complete Reissue ❑Partial Reissue 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.decnc.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 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 no Moratorium: n/a yes no Site Photos: yes no Riparian Waiver Attached: yes no A building permit/zoning permit may be required by: Permit Conditions P (nat/man/unk) (Scale: ❑ 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" Application Fee(s) Signature Check #/Money Order Issuing Date Expiration Date AG-� T AU R R90P.1,ZAT10N F OR C A -:;A PERM1r A PPLICA, V; x� 1,J.-irn+-- of f'ropter9y Owner h{CqIJestMP i) P'S-rrmt: 15,E r--) .-'� r —¢CL Email Address: b ;l � d , I ccr rti�v ihat I have a:Jihoriz-ed .A-L.AE A,, ,-if; L4, or+r' act, 1, to act Ull my bafralf, Or Diet JAIrpKise u,' appl Ping Wr and nt,,taining all LAMA permits n"- .L-ssLi1 y fo[ the f0fl vviiiij ptup J f,, b! lop 14nr. ' %Q/ f Ali N,- N V`CV n � R NAN �f v� in r� e__Lowly. i fjrFb&rP-m;m rerOv N)31 t am avfhory2ed to ql-sor, avxj do fo fa.rN glli llf CCJ iviycol of Coa::'tal h�FJ!)��r��f��:l�f #��f, the L(cai P&I'l7if Off r' !-'�Orj fIJEjtr '3rvr-rfts PQ of�j(.'t on /"),Ws la cnil r.cftoo with �?va jafiri P !mores: (ion n2lalud to Ch.: Property Owner 1`nfovrviatlnn: rf� PJr ,Y w T yuP fV,,4rrlr. w �D w This werb0cal mi is 5radd through 11 1 ADJACE41 RIPArJIAN PROPER--y A ir-1 R -T,'3TEI i.-N*T vq i i r -V (fi-mm! of Pf-I-PrOy Owmpr* n,-,AvryL Z:- I ItV -%r If fit, J) r'.-I 'F-t; K.111" R OR AWIN,"-, Of 11 R,:) --'DS PrI 1-11V'-,- OPAAF- NIT If 1 (10 1 ia pro P,7. s n -.,,tracso i sito g rill, vo !oprn r�w i F, /a V r VVAnIVE,P. SE(:TiON IV •r i mtsznt oortiall rr d. v-ji r (Provr,e-ty inioiTmil:cm) (Adjacom, �i�-_jjV ()ViTld!,' � 745'. 6 Ire -zso -spi ---7-41 LN e,72 '41 AD. I A!: ENT RIFA;J. IAN PRCIPL-k(Y ST AT - V yq-4! -wri or,pow n w 1w, to fallod FJR-A)p JS. 6 7 a r7y k5! Tiii- I inve .1 mysup Wnrj "Oq,yn[ AMOCK OFRAVVING LiF PROPOs-ED rjE,,Jr-_-(DPn,1ENT o..) Jewicapmeni nus! :4) "a 1J+o.4cripfmo ho-fow of allacti a ;,!oD dtawirqp VV A IV E R. :�E C T 1.0 N 1 1, v 1-1 aid"; i a cri r u ; groo of � -, 4, 1 r i v a 4 - 1 1.., -; I , i i f r If i r ; 4.- :0 oc