Waters Edge Holdings LLC 88722C

"°""°`�� ❑CAMA ❑DREDGE & FILL N9 88722 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, lK1 General Permit Rules available at the following link: www.deo.nc.gov/CAMArule<_
Applicant Name _
Address
City
Phone # ( )
Email
State
ZIP
Project Location (County):
Street Address/State Road/Lot #(s) _
Subdivision
City
Affected ❑ CWMEW F71 PTA " ES ❑ PTS Adj. War. Body
AEC(s):. ❑ OEA ❑ IHA ❑n,UW ❑ SPIMA ❑ PWS Closest Maj. Win Body
ORW: yes/no PNA: yes/no/
Type of Project/ Activity
Shoreline Length
Access Length ,
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/p
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
(Scale: )
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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
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
Signature *'Please read compliance statement on back of permit* *
Application Feels) Check p/Money Order
Permit Officer's PRINTED Name
Signature
Issuing Date
Expiration Date

]DREDGE & FILL N9 88722 A B C D
3 GENERAL PERMIT Previous permit
Date previous permit issued
Q 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. [Z] General Permit Rules available at the following link: wwwdeq nc gov/CAMArules
Applicant Name _
Address
City
Phone # ( )
Email
Authorized Agent
Project Location (County):
State ZIP Street Address/State Road/Lot #
Affected ❑ CW E EW PTA ES ❑ PTS
AEC(s): ❑OEA ❑IHA ❑UW SPIMA ❑PWS
ORW: yes/no PNA: yes/no
Type of Project/ Activity
Shoreline Length
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Plafform(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/ BoatliR
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
Subdivision
City_
Adj. Wtr. Body
Closest Maj. Wtr Body
ZIP
(nat/man/unk)
(Scale: j,) i, 1
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)
Agent or Applicant PRINTED Name
Signature '*Please read compliance statement on back of permit•*
Application Fee(s) Check #/Money Order
Permit Officer's PRINTED Name
Signature
Issuing Date
Expiration Date

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■ Complate items 1, 2, and 3. - [A*�■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mallplece,
or on thefront Ifspace permits.
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enter delivery address below: ❑No
(I'�I�I�I I'II) �� W r•#i�'� �I�����II�I I�I� OCrtlt Sinahre ❑PdddiY Mail Express®
❑Adultei nahxe Restricted Deiiv Registered Mail"
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9590 9402 7457 2055 4666 72 Certified Mail Restricted Delivery 4 DQIWr Signature Confirmation,"
2. A-`-'- •,..—�-- m,,.,..a. r,„,,, �;,,a ynon 13 Collect on Delivery Restricted Delivery Restricted livery E3 Signature lion
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7021 0350 0001 4911 1623 atricted Delivery
---------------
PS Form 3811, July 2020 PSN 7530-02.000.9053
Domestic Return Receipt
SENDER: COMPLETE THIS SECTION
■ Complete items 1, 2, and 3. A. SlgnaturETE THIS SECTION ON D
■ Print your name and address on the reverse X ❑ Agent
so that we can return the Card to you. ❑ Addressee
9. Received b - __ very
■ Attach this card to the back of the mailpiece, y (Rdnted N. C. Data of Delivery
or on the front if space permits.
1. AAlcle
D. Is delivery address different from item 1? Cj Yes
If YES, enter delivery address below: ❑No
9590 9402 7457 2055 4666 41
2. Article Number M--fer from service labe4
7021 0350 0001 4910 9415
PS Form 3811, July 2020 PSN 7530-02-000-9053
3. Service Type
❑ Adult Signature
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❑prbdry rdal Exnn=ss®
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❑ Certified Mail itesnicted Delivery
1 Collect on Delivery
❑ Signature Confirmation-
❑ Signature Confirmation
7 Collect on Delivery Restricted Delivery
Insured Mall
Restricted Delivery
14 lead Melt Restricted Denver,
Domestic Return Receipt
■ Complete name 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mail iece,
or on the front if space permits. p
A. Signature
' Ag ti ❑ tint
X 4 `^ ' v .�.
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©Received try noted Name C. Date of Delivery
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If YES, enterdelivery address below: ❑ No
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