84438C - Trillium Corp.

N[�CAMA ❑ DREDGE & FILL V9 84438 A B 6 D
3°
GEN E�iALA P R I T� Previoussous permit permit
issued
IflA 46 Date previous permit issued - 7a
❑ New rAModification Comp ete 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 DTT'- — 13Lb!� .161917) ❑ Rules attached. 1�3 General Permit Rules available at the following link: www.deg.nc.gov/CAMArules
Applicant Name i N w 1� m _ �,Ei Authorized Agent--��Q
Address � ( V TN pz t�)^ 14A 9Ln) Project Location (County): UN�v&
City wl' State INK, ZIP 1�62A Street Address/State Road/Lot #(s)
Phone # (_ )
Email Subdivision
City L*1I:S' ZIP 26524
Affected ❑ cW ❑ EW WTA ES ❑ PTS Adj. Wtc Body �����$ ��C�A9� /� Oman/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW Nes no [[PNA: �yenot's II,,rn�
Type of Project/ Activity _ �j��,�U� .P � W (061C �A IIL LMAJA) I
(Scale: )
Shoreline Length 1150
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platform(s) T
Finger pier(s)
Total Platform area _
Groin length/#
Bulkhead/ Riprap lent
Avg distance offshore
Breakwater/Sill
Max distance/ length
CWiic yards
V
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing D Pie
��0lOther n `SAVobserved: yes no
Mo
Moratorium: n/a yes no
Site Photos: yes no yn �fV�S �O
Riparian Waiver Attached: yes no
A building permit/zoning
permit
may /bte�required by: a� ,may
Permit Conditions(T)& 14�1A1 St1&1 AW 566iW �fJr
I AM AWARE OF
Agent or Applicant PRINTED
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Please Initial)A&V .
1
V
q
Signature -*Please read compliance kaEAent on back of permt"iSiKat e V`- &� . OD � �uw -RQI 1 as
Application Feels) Check#/Money Order Issuing Date

OCAMA ❑ DREDGE & FILL N9 84438 A B t D
Previous 9
GENERAL PERMIT permit (9-
Dateprevouspermitisssd'
❑ New ❑ Modification [�41Complete Reissue ❑ Partial Reissue
As authorized by `th'e State q of North Carolina, Department of Environmental Quality and the Coastal Resources Commission In an area of environmental concern pursuant to:
15A NCAC LLTr't (�Xd t . 16 L) ❑ Rules attached. rN General Permit Rules available at the following link: vvwvvdeq.nc.gov/CAMAruIes
Applicant
Address '(�" I igpZan2� d kti2ilti
City State nji, ZIP
Phone # (_ )
Authorized Agent--�
Project Location (Cougty):�
Street Address/State (toad/Lot #(s)
Email Subdivision
City Lou lS zip 21 624
Affected ❑CW ❑EW �. TA .ES ❑pTS Adj. Wtr. Body At� Oman/unk)
AEC(s): ❑OEA ❑IHA ❑uW ❑SPIMA ❑PWS Closest Mal. Wtr. Body
ORW kes no PNA: ves no
Type of Project/ Activity
y
Shoreline Length lf.h I
Access Length /\
Pier (dock) length
Fined Platform(s),
Floating Platform(s)
Finger pier(s)
Total Platform area _
Groin length/4
Bulkhead/ Riprap length
Avg distance offshore _
Boat ramp _(
Boathouse/ Boat
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 y permit may /b�e�
Permit Conditionset TOA l 1k
required by:
Signature "Please read compliance statement on back of permit•' sigdass�
qL-(�q q VD : t a653 3
Application Feels) Check g/Money Order Issuing Date
(Scale:
❑ TAR/PAM/NEUSE/BUFFER (circle one)
See note on back regarding River Basin rules
See additional notes/conditions on back
(Please
Date

CA tU1/l iI�RCXCt� Jk C*I� L
R
��`NEPERMIT
Previous permit#� om
—;
?,N1w []Modification OComplete Reissue SPartial
Reissue Date previous permit issued _—
a
,. o p
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 >
, ' I Rales atffiChed
-
Applicant Name _
Project Location County
Address
Street Address/ State Road/ Lot #($)
City State_ `?�ziP _ `•_'
-i {_ _� --
Phone #
Subdivision_ _
Authorized Agent __ _
Clry ZIP
I1Cw "',tEW 11PTA L1E9 LIFTS
Phone#(_ � River Basin
Affected
AEC(s): ❑OPA ,1WWP 1tW , 1WBA INIA
Adj. Wtr. Body "-.. r., _., (nat. jman./unkn)
II PWS® _
Closest Maj. Wtr Body -
QRW: yes / no PNA yes,/ no
Type of Project/ Activity a
(Scale:
}
Pier (dock) length
Fixed Platform (s) _ I } j
l �f ' t is
i
�
floating Platforms) — i
{ „� - i
A
Finger per(s)_ _. - t 1 j•. 's-,
Grain length
( I i
.)
number
Bulkhead/Rlprap length
avg distance offshore
t
maz distaxe offshore ,
I
s Satin, channel
—
I
cubic yards i i
;. , t { f
Boat ramp
Boathouse/ Boalift
Beach Bulldozing
Ocher i
i
Shoreline Lengtb
t �
SAV: not sure yes no i i -
Moratorium: n{a yes to
�. I ' - �
Photos: s no i
1
i - { : - i
Waiver Attached: yes no
A building permit may be required by;.
; See note on back regarding River Basin rules.
( Note Local Planning jurlsdialon)
Notes/ Special Conditions f"r:
P
.. . ._.._. --- ------
Agem or Applkant Printed Name
—
PermltOfficer's PrmtedName
Signature "Please read compliance statement on back of permit"*
Signature
e`
Check
Issuing Date Expiration Date a
Applicanon feels)
�;