Hamilton, Julian 84443C

#[]New
❑CAMA ❑ DREDGE & FILL No84443 A B C D
GENERAL PERMIT Previous permit
Date previous 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: wwwdeq 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 ❑r EW � PTA ❑ ES PTS Ad' Wtr. Body � (nattman/unit
)
AEC(s): ❑ OEA ❑ IHA ❑ uW ❑ SPIMA ❑ PWS Closest Mal. Wtr. Body
ORW: yes/no PNA: yeve
Type of Project/ Activity
Floating Plafform(s)
.
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Groin length/#
Bulkhead/ Rprap length
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iAV observed: yes no
tea.
MEN
MECite
Moratorium; n/a yes no
Photos: yes no
'Iparian Waiver Attached: yes no
A building permit/zoning permit may be required
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** Signature
IoS�:
Application Feels) ,Check#/Money Order Issuing Date Expiration Date

❑CAMA ❑ DREDGE & FILL N9 84443 A B C D
a� Previous permit
GENERAL 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: wvnvdet.nc_gov/CAMArules
Applicant Name
Address
City State
Phone # (_) -
Email
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 Y'
(Scale:14, )
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no
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Floating Platform(s).,ts■sn
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OMEN
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SAV observed: yes no
yes no
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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.
(. I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND 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" Signature
i 1IL(,Ija
Application Feels) [heck ri/Money Order Issuin�Dae Exiliratkni Date

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