88636C - Sullivan, Susan

0 114k AMA DREDGE & FILL
N9 8863 A � a
ENERAL PERMIT
111�Gmit
Date previous permit issued
DatePreviprevius ous
NNew L] Modifftation F] Complete Reissue
[] Partial Reissue
As authorized by the State of Nort C'Arotina, Depvvnent of Environmental Quality and the Coastal Resources Commission in an area of environnvntal concern pursuant to.
i SA NCAC; ❑ Rules attached.
General Permit Rules available at the following link:
Applicant Name _.
i
Authorized Agent
Address 1
- .�
Project Location (County):
cityStatIt e ZIP
Street Address/State Road/Lot #(s)
Phone { _ )
ErY l
Subdivision
City ZIP
Affected Flcw PTS
Adj. Wtr. Body
( unk)
AiC(s): OEA ©INA SPiMA PWS
Closest Mal. Wtr. Body
ORW: yes/ rqn
PNA• —4iio .r
Type of Project/ Activity
Shoreline Length
Access Length
Pier (dock) ten: _
Fixed Platforms)
Floating Platform(s)
Finger pler(s)
Total Platform area
6r h/#
8ufilitp / Riprap length
g distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel_
Cubic yards Z'
Boat ramp
Boathouse/ Boattift
Beach Bulldozing
Other
SAVobserved: yes nod
Moratorium: nta yes no
Site Photos: yes no
Riparian Waiver Attached; yes n
A building permit/zo (g permit ma rqq
PermitCondidons 1 Ylr1 _ t,
I AM AWARE OF STATUTES. CRC RULES AND
Agent o nt PRl T Na c ^:emir
65t re —Plea, cad compliance statement on back of permit". Sig tt
plication Feels) Check (Money Order Issui
r] TAR/PAM/NEUSE/BUFFER(circle one)
See note on back regarding River Basin rules
See additional notes/conditions on back
initial) S'

AMA DREDGE & FILL J $ C-- N' ) 88636 A D
s Previous permit
i 3 GENERAL PERMIT Date previous permit issued
O 'New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by the State of NortCarolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I SA NCAC - T�l 4 ❑ Rules attached. �rl'General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name
Address
City
Phone # ( )
Email
Affected
AEC(s):
ORW: ye
State tiff 1 - ZIP
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City ZIP
❑ CW ❑ PTS Adj. Wtr. Body ( ma /unk)
1-1OEA ❑ IHA uW �SSIMA ❑ PWS Closest Maj. Wtr. Body
Type of Project/ Activity
Shoreline Length
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Total Platform area
V
h/#
Ripraplength
ce offshore _
Breakwater/Sill
Max distance/ length _
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
PNA• %-V /
SAV observed: yes nol
Moratorium: n/a yes Un
Site Photos: yesRiparian Waiver Attached: yes
A building perm t/zorpv perrmiitmayt9e r qui
Permit Conditions 1�.Yloe �t
Agent
Check #/Money Order
FK 3 C0,4"Ja) A�
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION (MINOR PERMIT)
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERED
Date
Name of A jacent Riparia Property Owner
Address_ _G
i �.G ���/sQr-GS,, A/(
City, State Zip
To Whom It May Concern:
This correspondence is to notify you as a riparian property owner that I am applying for a CAMA Minor permit to
on my property at 1 2,Z, L-tU V-, 1 C3 L f tat ! x, �C� � I Z ,
in cf:j rt-t ;; "A County, which is adjacent to your property. A copy of the application and project
drawing is attached/enclosed for your review.
If you have no objections to the proposed activity, please mark the appropriate statement below and return to me as soon
as possible. If no comments are received within 10 days of receipt of this notice, it will be considered that you have no
comments or objections regarding this project.
If you have objections or comments, please mark the appropriate statement below and send your correspondence to:
(LOCAL PERMIT OFFICER, NAME OF LOCAL GOVERNMENT, MAILING ADDRESS CITY, STATE, ZIP CODE)
If you have any questions about the project, please do not hesitate to contact me at my address/number listed below, or
contact (LOCAL PERMIT OFFICER) at (PHONE NUMBER), or by email at: (LPO EMAIL).
Sincerely,
Property Owner's Name
-gDa-1� �
Telephone Number
Address City State
V I have no objection to the project described in this correspondence.
I have objection(s) to the project described in this correspondence.
Adj cent Riparian Sign re
L r
rint or Type Name
Address
City
Date
Telephone Number
State
Zip
RECEIVED
SEP 01 Z022
DQI -W1HD CITY
Zip
Revised July 2021

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION (MINOR PERMIT)
CERTIFIED MAIL, RETURN RECEIPT REQUESTED or HAND DELIVERED
Date
to-
Name of Adjacent Riparian Property Owner
.2.5 i_o *0
_ Address
City, State Zip
To Whom It May Concern:
This correspondence is to notify you as a riparian property owner that I am applying for a CAMA Minor permit to
on my property at Z3 1-0(0 (, Pma `6vli ShCwv Nc- 2 S l 2.—
inCounty, whi h is adjacent to your property. A copy of the application and project
drawing is attached/enclosed for your review.
If you have no objections to the proposed activity, please mark the appropriate statement below and return to me as soon
as possible. If no comments are received within 10 days of receipt of this notice, it will be considered that you have no
comments or objections regarding this project.
If you have objections or comments, please mark the appropriate statement below and send your correspondence to:
(LOCAL PERMIT OFFICER, NAME OF LOCAL GOVERNMENT, MAILING ADDRESS CITY, STATE, ZIP CODE)
If you have any questions about the project, please do not hesitate to contact me at my address/number listed below, or
contact (LOCAL PERMIT OFFICER) at (PHONE NUMBER), or by email at: (LPO EMAIL).
Sincerely,
Property Owner's Name
Address
City
Of's -- / 6 6
Telephone Number
State
I have no objection to the project described in this correspondence.
I have objection(s) to the project described in this correspondence.
A jacent Riparian Signature
Print or Type Name
Zip
RFCEI\/FD
as SEP 01 2022
Date
,-? 52 - c�Coc% Cj 7 DCM-MHD CITY
Telephone Number
2--
Address City State Zip
Revised July 2021