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HomeMy WebLinkAboutTrillium Corp. 84438CN[�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) �;