HomeMy WebLinkAbout88828C - Stephenson, Brooks"LN ❑CAMA ❑ DREDGE & FILL NO 8882€3 A B C ' D
Previermit
GENERAL PERMIT Date uspousp
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:
I SA NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: w ..deg.nc.gov/CAMArules
Applicant Name -
Address
City State ZIP _
Phone # I—)
Email
Authorized Agent
Project Location (County): / cx. %4 F l -`
Street Address/State Road/Lot#(s),l�f
I
Subdivision I' L1 I l i, 1 A
City � � t :: F_ ZIP
�,�J
Affected , n cW 0 EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body Pi I Ai( ( .i ce z . (uat7fnan/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj. Wtr. Body
ORW: yes/no PNA::"yes/no
Type of Project/ Activity
Shoreline Leneth
(Scale:
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 ft/Money Order Issuing Date Expiration Date
° °°"❑CAMA ❑ DREDGE & FILL N9 88828 A B C D
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.goy/CAMArules
Applicant Name
Address '
City " ' State
Phone#(_)
Email
I..
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City ZIP
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (naUman/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: yes/no PNA: yes/no
Type of Project/ ActivityI
(Scale: )
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
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
1 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
Application Feels)
statement on back of permit**
Signature
Check#/Money Order Issuing Date
Expiration Date
�CAMA ❑ DREDGE & FILL 1-4y maull A p (�;P0
Previous permit r_ C-'
GENERAL PERMIT pate previous permltsued
❑New ❑ ModificationComplete 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 _.�L °—�y-y LtCJ ❑ Rules attached. X
General Permit Rules avallable at the following link: www.dea nc gov/CAMAm1tis
Applicant Name F'"" '� (" _.._ — Authorized Agent [/L/-/jam
Address _ StreProjet Location
ss/S (County): `_ CJ
qry State ZIP Street Address/State Road/Lot #(s) ��`� �(�
Phone #
Email '''f Subdivision ,
CitySIP —
Affected W •eV� P1C1� ❑pTs Adj. Wm. Body G na an/unk)
AEC(s):" ❑OEA IHA ❑UW L]SPIMA ❑PWS Closest Mal. Wtr. Body t1
ORW:yes/0 PNAn o �PIC�,�c�'
Type of Project/ Activity k° �'� n-+ �'t r- r—307
Shoreline Length ..... __�....�_t,.
Access Length _
Pler(dock) length
Fixed Platiorm(s),
i
Floating Platform(s)
Finger pler(s)
Total Platform area
1_4_�.
Groin length/R
-
1
Bulkhead/ Rlprap length
I-•-.i__L-
(- -�--
Avgdistanceoffshore
i
Breakwater/Sill
Max distance/length
Basin, channel
-I....
Cubic yards
-
I
Boat ramp
Boathouse/ o
Beach B Ildozing
± _{,
Other
1
SAV observed:
yes o i
Moratorium: n/a
yes no
Site Photos:
yes no -
RiparianWalverAttached:
A building permit/zoning permit may be required by;
Permit Conditions
Permit
-A.
tZ
.-
.
_.
..i_..�...
I
011?
Z
1
-i
_Nov
TAWPAMI,(<��Uif�B�ihws{d�dn�
See note on back regarding River Basin rules
See additional notes/conditions on back
5
' atl xv'mplfa sf"atement on back of per—mif*" t slgn1r atu
41 ��l t lr9 l r�tji�
Feels) Check#/Money order Issul Dat xplra on Date
CAMA ❑ DREDGE & FILL IN9 84150 A B (g) D
Previous permit
GENERAL PERMIT Date previous permit issued.
ew ❑Modification ❑Complete Reissue El 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 co:
F� ooy/CAMArules
I SA NCAC._t1�-�' .- r' ❑Rules attached. � General Permit Rules available at the following link: wwwde9 nc
d• G,ryn Authorized Agent
Applicant e_
Address �s n �y Protect Location (County): A /1 ` / t z t�-
-�(,,.- ZIP I_,J'• �J J _ Street Address/state Road/Lot #(s)t 1t_I-L(.r�S� r✓l!d —��_
m"F' eMen
City
Phone # )
Email
Affected " `" W
AEC(s):���OEA _rL�J IHA
ORW: ve,46 PI
Type of Project/ Activity
bjp7K— pog E] PTS
❑UW ❑SPIMA E]PWS
shoreline Length Al !7o r t -� r 7-- r
{ i
Access Length_-- —r—
Pier (dock) length Vic✓ .�_
Fixed Platform(S) 8�`aLO. 1 J J-1—
Floating Platform(s)
Finger pler(s)
Total Platform area_
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill _
Max distance/ length _
Basin, channel
Cubic yards
Boat ramp --
Boathouse/v000ft 1 J, X "13 { \
Beach Bulldozing (�
Other _ _ r ,--
SAV observed: yes /no f
Moratorium: n/a yes no - - -�
Site Photos: yes no ' __�.._
Riparian Waiver AtS
: yes n
A building permit/permit maybe required by:
Permit Conditions
Agent gAgpbZan IN Itu "am
Sig re' se rr~�d tomplfart state ent on back of permit"' /s ,rl;�
Check N/Money Order
Subdivision / '
City NeAd
Adj. Wtr. Body _
Closest Mal. Wtr. Body
I '
* _ }
l_1 (.
1 I
TAR/PAM/NEUSE/BUFFER (circle one)
See note on back regarding River Basin rules
see additional notes/conditions on back
1�