Kornegay, James 91139C

0w"w&❑CAMA ❑ DREDGE & FILL N9 91139 A B C D
{ Previous permit
GENERAL 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:
I SA NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deg nc gov/CAMArules
Applicant Name Authorized Agent r
Address Project Location (County):
City State ZIP Street Address/State Rgad/Lot #(s)
Phone #(_)
Email Subdivision
City ZIP
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ pTS Adj. Win Body (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj, Wtr. Body
ORW: yes/no PNA: yes/no
I
Type of Project/ Activity
Shoreline Length I
Access Length
Pier (dock) length-
t
'
Fixed Platform(s) -------------
{
Floating Platform(s)
Finger pier(s)
t
T--
Total Platform area
Groin length/#
Bulkhead/ Riprap length
-
-
-i
Avg distance offshore '------
1
---�—
I
-
!
Breakwater/Sill - J----
--
—{
-
Max distance/ length
Basin, channel
-
�-
Cubicyards
Boa[ ramp j
7--
Boathouse/ Boatlik
-
Beach Bulldozing
L..
L
-
—
Other
SAV observed: yes no _
Moratorium: n/a yes no t;
Site Photos: yes no
Riparian Waiver Attached: yes no
A building permit/zoning permit may be required by:
Permit Conditions
(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)
Agent or Applicant PRINTED Name / Permit Officer's PRINTED Name
Signature "Please read compliance statement on back of per '`jI - Signature
Application Feels) Check#/Money Order Issuing Date Expiration Date

°"°"'u❑CAMA ❑ DREDGE & FILL
N° 91139
A B C D
J� 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.gov/CAMArules
Applicant Name
Authorized Agent
Address
i
Project Location (County):
City State ZIP
Street Address/$tate Road/Lot #(s)
Phone#(�)
Email - - -
Subdivision
City ZIP
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/no PNA: yes/no
Type of Project/ Activity
(Scale: =(/,( �)
Shoreline Length i
Access Length—
.�._
~
. -,�
—
-
\
-
Pier(dock)length I
Fixed Platform(s) -
'i
--
—
1
�t,-
Floating Platform(s)
I
tl
+ -
'—
A\
,—
w
"-4
Finger pier(s) J
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
) 7 � �. ( -
SAVobserved: yes no �_t '— �'- '-- - i - --
Moratorium: n/a yes no i 't'` +.. _S- - --- - — -
Site Photos: yes no — j----- ,----
Riparian Waiver Attached: yes no .� _L� _!
A building permit/ioning 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
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Pleaselnitial) -- i
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature *'Please read compliance statement on back of permit*" Signature
Application Feels) Check #/Money Order Issuing Date Expiration Date

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