Palm Suites Owners Association - 90053C

dEW741 RdAIMA ❑ DREDGE & FILL N9 90053 A s c) D
Previous permit
GENERAL PERMIT !.
Date previous permit issued `! llS J 7<:..
❑New ❑Modification,'9(tomplete 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 U �! 15 r7 ( ()-Iy t ) o�D ❑ Rules attached. ❑ General Permit Rules available at the following link: www.den.nc.gov/CAMArules
Applicant Name a,•nn C`v n rl'�a l�t%� ( U `s ;1 S n(
Address L^a i l�lz:.•• }� i{' c� �.�}.
City uo i'�,On State �A)" ZIP ! .-%'cq J
Phone # (L, _) -/os (, XG-;
Email
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
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%o) PNA: yes/no
Type of Project/ Activity
Shoreline Length
Access Length _
Pier (dock) lengtl
Fixed Platform(s)
Floating Platform(s)
Finger pier(s) rt✓� �'
Total Platform area
Groin length/k
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: j
❑ 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.
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
(Please Initial) .
Signature**Please read compliance statement on back of permit** r
Application Feels) Check q/Money Order
Signature
Issuing Date
Expiration Date

❑DREDGE & FILL N9 90053 A B (c) D
GENERAL PERMIT Date Previouspermit.m issued Date previous permit issued 1,% /' %`' `_
❑New ❑Modification'Complete Reissue KPartial 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 .7 0,0 ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deg.nc.gov/CAMArules
Applicant Named ��,.� t'1'Y.j
Address
City State nlT ZIPY,
Phone#O °v�- (AXi-P
Email ,s'r1n! 42 /'A'AJ r
Affected ❑CW
AEC(s): ❑OEA
ORW: yes%no ")
❑EW ,©PTA
❑IHA ❑UW
PNA: yes/no.
Type of Project/ Activity
Shoreline Length
Access Length
Pier (dock) length
Fixed Platform(s) v c:
Floating Platform(s) !i v
Finger pier(s) V zT
Total Platform area
Groin length/# -'
Bulkhead/Riprap length y"
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards Boat ramp lr/ Y�; l
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: 1 -I ) �1 ! (
12ES ❑PTs
❑SPIMA ❑PWS
Permit
Authorized Agent Pto]of klj('4 1 1'ii �:d'"r. XT�E?.t C"IGy UxP. ]F'i✓"U
J 1 i
Project Location (County): -
Street Address/State Road/Lot #(s) G �'J r iA,,J/t (, o 11
Subdivision
City
Adj. Wtr. Body
Closest Mall. Wtr. Body
(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)
tA1
S
Agent or Applicant PRINTED' Name Permit Mcer's PRINTED Name
1
Signature'*Please read compliance statement on back of permit" r (j
Application Feels) Check #/Money Order
Signature
Issuing Date
Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: /C is L% 1 biS /J�Ji4yl
Mailing Address: V6,30
W, lsaH mac. a 77
Phone Number: 5 a - 0 S —
Email Address: _1y11¢5 Y—WO9n / �j r4J i9 J �• ca armor
I certify that I have authorizedaa^
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Pr> %vrt 5 L I rc5 /--4a%/
cis
at my property located at &0;? C tJ, p%%�J¢car t i[ cl. /9ylygh � /3c y vC
in County.
I furthermore certify that I am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
Signature
Print or Type Name
�P. ALL 5or7--e5 WaT�
Title
03 I /4f 1 aoa3
Date
This certification is valid through

d "0� . CAMA DREDGE & FILL N° 88637 A <�)` D
a GENERAL PERMIT Previous permit
Date previous permit issued
,D�<ew ❑Modification ❑Complete Reissue [-]Partial Reissue
As authorized by the /Saint of North C rolin�a�,arDFepartment of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I sA NCAC � I IWz 07 7tV1 Rules attached. X General Permit Rules available at the following link: w.vw.dep nc yov/ 41•mn�l e
APPlicant Name
t Sn
�n
Authorized I
Agent
Address
City C�
��
StateZIP
Project Location (County);
rr—
kreet Address/ to Road/Lot #(s) �'
Phone # (. ao.5,
WWW
�( /
� f
RCXf /l
Email
Subdivisi
City
Affected ❑CW
AEC(s): ❑OEA
���
'bFA
❑pTS
Adj. Ww.. Body
IHA UW sPIMA
❑PWs
Closest Maj. Ww.. Body gqN s.?srj/ r
ORW: yes/&
PNA: yew;,
ype of Project/ Activity (��,,�,,�,
c -D
Shoreline LengtR� Z.5012 r r
Access Length
er
Fixed Platform(s)
K ( r
Fixed PlaHorm(s)
�s
Floatir)g
Finger pler(s)
`� `� y
Total Platform area �CL/
eGroinlength/q__----
bwhv Riprap length
vA g dlce offshore
Breakwater/sill _
Max distance/length \�Vh
Basin, channel
Cubic yards
Boat ram (((
v
Boathouse/Boatlih � �v
Beach Bull ng 4 `
Other
_/..
SAV observed: yes
Moratorium: n/a yes
Site Photos: yes
Riparian Waiver Attached: ^ no
?.I. 5V<Ci+S
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/wnditions on back
(Please Initial)
Agent or pp t/PINTED Nname Permit Officer's PRI N
si(gjnapptu��rsses[�� Please readwmpliance statement on back of permit**
Sig at e
JT OL.ya 7298
Application Fee(5) Check #/Money Order Is u' a Dat