HomeMy WebLinkAboutMaritime Siblings, LLC 84480COFCOAST41 FICAMA ❑ DREDGE & FILL NO. 84480 A B C D
-0.
G E N E RAL PERMIT Previous 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: www.deq.nc.gov/CAMArules
Applicant Name _
Address
City
Phone # ( )
Email
State ZIP
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City ZIP
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
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
(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" Signature
`12b 9
Application Fee(s) Check #/Money Order Issuing Date
Expiration Date
1*p1COAST41k ❑ CAMA El DREDGE & FILL N9 84480 A B C D
J. GENERAL PERMIT Previous 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: www.deq.nc.gov/CAMArules
Applicant Name _
Address
City
Phone # ( )
Email
State ZIP
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
IP
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
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 n
Permit Conditions
squired by:
❑ 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
`"�
Application Fee(s) Check #/Money Order Issuing Date
Expiration Date
C00d'"r% CAMA ❑ DREDGE & FILL N9 8 `0 A s D
is GENERAL PERMIT Previous permit
.>. Date previous permit Issued
❑ New ❑ Modification Com lete Reissue 14
p ❑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:
1 SA NCAC �7-4 J . 9— 02„� ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq_nc. ov �AMArules
Applicant Nam 1M1� S A4's66
Address ff
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City C� d&l� &5 State N C ZIP
Phone # ( 9) 6H : =3
Email
Authorized Agent _ l :/1 1#` 14 I' �—
Project Location (County): A-l��f L
Street Address/State Road/Lot #(s),
Subdivision
City _FA (� ZIP
Affected ❑ CW W TA
❑ 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
(Scale:N4—
Shoreline Length
Access Length
Pier(dock)length
Fixed Platform(s)
Floating Platforms
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Finger pier(s)
, O(A&IONAt
Total Platform area
Groin length/4
Bulkhead/ Riprap length
Avg distance offshore
(V e (U
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: r IC�''-'t �l� '
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 REV WED COMPLIANCE STATEMENT.(Please Initial)
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A nor Applicant PRI ED Name
AilinfinSignature'�Please
her � Permit i is PRINTED Napfe
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read compliance statement on back of permit" it e
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Application Fee(s)
Check g/Money Order lssu14 Date Expiration bate