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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�