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HomeMy WebLinkAboutPadgett, Michael 88928C#F-]New ❑LAMA ❑ DREDGE & FILL N9 88928 A BiC D GENERAL PERMITPrevious permit rf u ( Date previous permit issued []Modification H'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: SA NCAC ❑ Rules attached. Q General Permit Rules available at the following link: www.deq nc gov/CAMArules Applicant Name ,t Authorized Agent �;nrl( Jli(i<V14I(� Address (f �(.-t°ir� �•C,\ Project Location (County): 0(n.1 City State ZIP e`:� �. <.'r"I Street Address/State Road/Lot #(s) Phone#(_) Email - Subdivision city `>0w1( v_v)rn e zip Z1-I Affected [❑CW EW ❑ PTA ❑ ES ❑ pTS Adj. Wtr. Body \P&W 6 'r (f y.- �)(n itman/unk) AEC(s): ❑OEA ❑IHA ❑UW SPIMA ❑PWS Closest Mal. Wtr. Body �i. )�1\'� I \mil 41•�{:,�1�-K�,. r ORW: yes/no PNA: yes/no Type of Project/ Activity (Scale: Shoreline l eneth IDO Access Length 0 i... I Pier (dock) length (( s Fixed Platform(s) i c,'_I �'� �.� I �f ��-- _ .-, �- - ^� _ Y-- - r - yy � I � -I - - Floating Platform(s) Finger pier(s) Total Platform area ti (.'fl"Ff Groin length/# �'' _- - " (,{ ' '7 -QL - Bulkhead/ Riprap length Avg distance offshore ' -�--- Breakwater/Sill .I (� --- --.- - -.-. Max distance/ length - - - - - Basin, channel '- i - I Cubic yards -_ Boat ramp Boathouse/ Boatlift -� Beach Bulldozing Other __. T SAV observed: yes no-i- Moratorium: n/a yes no 1- Site Photos: yes no - Riparian Waiver Attached: yes no --. - -t- - '- --�- - - - --r (-- - - _t- .i - - _ A building permit/zoning permit maybe required by: xv 0 Permit Conditions ❑ 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 Agent or Applicant PRINTED Name Permit Officers PRINTED Name Signature "Please read compliance statement on back of permit" T Application Fee(s) Check #/Money Order Signature Issuing Date Expiration Date &OVDAfr",& ❑CAMA ElDREDGE & FILL N9 88928 A B (C D 4 IGENERAL PERMIT Previous permit' s`IDate previous permit issued ILI' _ 1 ❑ New ❑ Modification 2 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. Q General Permit Rules available at the following link: www.deq.nc gov/CAMArules Applicant Name Authorized Agent l->%1Y i, 1 I I/ lit i )t i Address Project Location (County): / '. i` . City State ZIPS Street Address/State Road/Lot#(s) Phone # ( Email Subdivision i CityZIP .::. S, $- I I Affected ❑CW ❑EW ❑PTA ❑ES ❑PTS Adj. Wtr. Body eXL ` (hWnnan/unk) AEC(s): ❑OEA nIHA ❑UW SPIMA ❑PWS Closest Maj. Wtr. Body �_ VV I 4^I('\ r-I�i< ORW: yes/no PNA: yes/no Type of Project/ Activity Shnralinp I Pnp h 11 i (Scale: Access Length j� Pier (dock) length — .-.�_ — _ I— — Fixed Platform(s) - Floating Platform(s) Finger pier(s) Total Platform area .{ Groin length/q Bulkhead/Riprap length —j-- Avg distance offshore-- Breakwater/Sill Max distance/lengthTT Basin, channel - "— Cubicyards— Boat ramp Boathousq Boatliff Beach Bulldozing L, Other '\)( vt _ 0J -_ '� -1 �- j i I i — I i i - I j SAV observed: yes nd Moratorium: n/a yes no Site Photos: yes no Riparian Waiver Attached: yes nol`— I A building permit/zoning permit may be required by: if"Y f> Permit Conditions 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 THATAPPLY 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 Feels) Check ft/Money Order Signature Issuing Date Expiration Date atta"w FI CAMA ❑ DREDGE & FILL N9 88740 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 folbwing link; __ dgt,n�gQrv) nrte v� Applicant Name ..,,. Authorized Agent. _.____ Address .. Project Location (County)' city _._ State ZIP . Street Address/State Roadilot #(s) Phone # (_._ I Email Affected ECW AEC(s): 1:10EA Ij EW ,..'] PTA -DIHA L-1UW PNA: yes/no Type of Project/ Activity Shoreline Length Access Length Pier(dock) length Fixed Platform(0 Floating Platform(s) Finger piers) __.. Subdivision City _ " _ZIP ES PTS Adj. Wtr. Body t. {nat7maNunk) [ISPIMA PWS Closest Mai, Wtr. Body 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 Attachedyes no A building permit/zoning permit may be required by: Permit Conditions (Scale:I ) @ "4 TAR/PAMINEUSE/BUFFER (circle one) ❑ See note on back regarding River Basin rules See additional notestconditions 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 PRIMED Name Permit Officer's PRINTED Name Signature --Please read compliance statement on back of permit -- Signature Application Feels) Check#/Money Order Issuing Date ._ Expire' Date