HomeMy WebLinkAboutDockside Yacht Club 90050C90050
,1+°1 COAST41 FICAMA F-1 DREDGE & FILL A B C.D
Previous permit
y GENERAL PERMIT
v
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 ¢ .f,�" b,• '`:' y 1: ' < Authorized Agent
Address Project Location (County): 0°10t;*0.
City State ZIP Street Address/State Road/Lot #(s)
Phone # ( )
Email Subdivision
City �� ,� � .. ZIP
Affected F]CW 1-1EW ❑ PTA F-1 ES 1-1PTS Adj. Wtr. Body''';F, ;�,`. "f`" �`' s r'``� (nat/man/unk)
..a4�
AEC(s): F-10EA 1-1IHA 1-1UW F SPIMA FIPWS Closest Maj. Wtr. Body " ` .,r. '"'
ORW: yes/no PNA: yes/no
Type of Project/ Activity
(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 rf
Permit Conditions
F]See note on back regarding River Basin rules
1-1 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"
Application Fee(s)
Signature.
Check #/Money Order Issuing Date
Expiration Date
NO 90050 A B C D
J_1CAMA ❑ DREDGE & FILL
3 Previous permit
GENERAL PERMIT Date issued permit previous f°
P P
❑ 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:
1 SA NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
T
Applicant Name �` - f #".�° A
Authorized Agent.,.
Address
Project Location (County):
City State
pl
ZIP Street Address/State Road/Lot #(s)
Phone # s
Email
Subdivision
City) o ZIP f` ` ,.. r
Affected ❑ CW FI EW
1-1PTA FI ES
FPTS 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:, J , )
:.. y
Length
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Access Length
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Pier (dock) length
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Fixed Platform(s)
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Floating Platform(s)
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Finger r i e r s
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Total Platform area
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Groin length/#
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Bulkhead/ Riprap length
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Avg distance offshoref
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Breakwater/Sill
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Max distance/ length
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Basin channel
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,g3 's
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.... ..... .... ,. ..,,.. ..
Y # s
3 ' r
i yards
Cubic v
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f . i r ,
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f 3 r f
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r .. �. .. �+» 4
Boat ramp
4
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Boathouse Boatlift
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Beach Bulldozing
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Other
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3
SAV observed. yes no
-: ::
.. ... .: : :.............. ........
# A; s
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: 2 ��_� �•$�� "."x . � •,:#»:
-.
Moratorium: n a es no
.
Nr.» +
....�.rA
n ; f I k
4
Site Photos. es no
Y
a ! r .
.
.
ed . es n o
Waiver r Attached:
Riparian a y
!
a �
A building permit/zoning permit may be required by: Xif
❑ TAR/PAM/NEUSE/BUFFER (circle one)
Permit Conditions
>
❑ See note on back regarding River Basin rules
F-1 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