91161C - Mahaney, James

AUDMI"'&YCAMA 0. DREDGE & FILL N9 91161 A B C D
GENERAL PERMIT Previous permit
Date previous permit issued
t New []Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by the State of North Carolina, Department of Environmental Quality and the o tal Resources Commission in an area of environmental concern pursuant to:
I SA NCAC ❑ Rules attached. General Permit Rules available at the following link; w ..deamc.gov/CAMArules
Applicant Name _
Address
City
Phone # (_ )
Email
State ZIP
Affected ❑ C W ❑ E W ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS
ORW: yes/no PNA: yes/no
Type of Project/ Activity
Shoreline I enoth
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
Adj. Wtr. Body I
Closest Maj. Wtr. Body
(Scale:
Access Length
---
-
'--
_-
-
—
.�
-
-
---
-
-
-
Pier (dock)length
Fixed Platform(s)
-
-
L
Floating Platform(s)
Finger pier(s)
Total Platform area
_
Groin length/#
_
_
_
i
!
Bulkhead/ Riprap length--!---
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-
-
-
-
--
--
T
_
Avg distance offshore ,�+
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--
!
-
r
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r-
-
-
�-
Breakwater/Sill
/
�
-
�;—
Max distance/length l :
Basin, channel
—
r
-
Cubic yards j
L-
—
Boat ramp__
Boathouse/ BoatliR
(
i
Beach Bulldozing
Other
-
SAV observed yes-'—
',
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
❑ 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 #/Money Order
Permit Officer's PRINTED Name
i
Signatur
Issuing bate Expiration Date

❑DREDGE & FILL N9 91161 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 � tal 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/CAMAmIes
Applicant Name Authorized Agent �! I
i
Address Project Location (County):
City .State ZIP Street Address/State Road/Lot#(s)
Phone#(
Email Subdivision
City I ZIP
Affected ❑ CW ❑ E W ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity
(scale:
Access Length -
I
i
�.��
(
I
/
•
�_
1
Pier (dock) length
Fixed Platform(s)
•
-
i
-
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/#
Bulkhear!/Riprap length
�L.,
T.
?•
C
_
I
I
_Y
-
r--:
_
--._
v
+-.
-A
----0c7
!
---
_-
-
-
Avg distance offshore
Breakwater/Sill
—
-
-
Max distance/ length
Basin, channel
Cubit yards
Boat ramp
Boathouse/Boatlift
j
-
i
1
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
❑ TAR/PAWNEUSE/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 Fee(s) Check #/Money Order
Permit Officer's PRINTED Name
Signature
Issuing Date Expiration Date