Randles, Adam - 90015C

„ �[: ICAMA I 1 DREDGE &FILL
GENERAL PERMIT Previous permit
---
u'''I� Date previous permit Issued
[ INew Modifca�ion ( ICornplete Reissue [_JPartial Reissue
As authorized by the State of North Carolina, Deportment of Environmental Quality and the Coastal Resources Commisnon in an area of environmental concern pursuant tit:
I SA NCAC __ _ _ I _I Rules attached ('_1 General Permit Rules available at the following link. wvvv_degnc gov/CAMM&ukes
Appiicaut Nanm. ...
_
_..
_.-.. Authorized Agent
A(Idnns
_._. _._ Project Location (County) -. -... _.. _. ._..__........ _...... _. _..
City _
Stile. -
_ -LIP _..
__ ___ Street Address/State Road/Lot /t(s) _..
Phone
I...ad
-.. -
_..
._. ___. Subdivision
City .._. _.. ZIP __. _......
Alfc<t d I....I CW
L_.IEW I -_I PTA
L..JES
I_-IPTS Adi, Wtr. Body _.-.. _.___.. (nat/nhaglunk)
ALC(s). I IOEA
I. _-I111A I.. IUW
I _..ISPIMA
I..-�PW5 Closest Mal. Wtr. Body
ORW_Yes/no
PNA-yr_Vno
Type of Project/ Activity ----`—...._......_..__._._._..._..__._
n. rse length
l
I'irr (docki length .. 15 x i(f_.
..
i hsm(I I'IaUurreN _. _...
i i011ling Plallrnnf') --.
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dt
Groin length/If _...
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Bulkbcad) Itipmp lengni.-..
AVP. [II aCJ11rP O(lSllOfe _..
_ _
IkMtkw du/WI_
_
Max (II4t ma / length
Rasm d nnrl _ _
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Botlhmev/ RoAlIll
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on,e�
SAV ubxvvod. yes
no
M,rolo,arn n/a yns
no
bite Photos: yes
no
Riparian Waiver Attached: yes
nih
A huilcBnP pvi n t/zoning permh may
be required by
Yonnh Conditions
iWvllir- lAa�' rlp t.a4.l .'l'{ t•fzl(A ft'1, 4'�y ikysh--SJ M(.IC-Z-- sls�`i (-�v;tl�Prl2U1. __r
t
[-1 TAR/PAMINEUSE/BUFFER (circle one)
1ASee note on back regarding River Basin rules
u See additional notes/conditions on hack
I AM AWARE OF STATUTES, CRC ROLES ANO ITIONS TB AP LY TO T PROTECT AND REVIEWED COMPLIANCE STATEMFNT. (Please Initial{ / /
it
Agent or Apphr and PItIN1 LD Name KoermiLOfficer's PRINTED Name
}y5nalma"Pleau pliue mernh'J Signature
AI9'llcahon lee(s) Check fl/Money Order Issuing hale Expiation Dale

,EICAMA .❑ DREDGE & FILL N° 90015 A e D
Previous permit
a I GENE 12PPMIT Date previous permit issued
oPartial ReissueaiDNew Mdicon ❑Complete 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:
ISA NCAC 0-^ VA
`)) 00 0 J H . ! %/ 0 • r) fl, Iir O❑ Rules attached. �H_-General Permit Rules available at the following link: wwwdeq nc.gcv/CAMAruIes
Applicant Name Al,il'Y�(1'1C�'Q � Authorized Agent
Address i l l% r�l bH r I V112- Project Location (County): 1
City FJ0Y.u, (nr') State zip 2 (o Street Address/State Road/Lot #(s)
Phone # ('((_) '� 3 Y•%
Email tic A A,,m Vc. •Tc\W%E° Subdivision
City Pee,,,AfO/tt-! zip -,%%'; Ir:
Affected ❑CW ©EW El PTA -r❑Y
]Es PTS Adj. Wtr. Body N IC``k11& ` ^ (e.--k_ (n�t/man/unk)
AEC(s): ❑ OEA ❑ IRA ❑ UW ❑ SPIMA ❑ PWS Closest Mal. Wtr. Body /\10+-}�A I I 1 `--I
ORW: yes/(io'1 PNA: yes/no
Type of Project/ Activity
.•.....•.......6...
Access Length '•- (,r'-t-
<
N.
_
_
t{
_
_
_
—�
__
—__
_
Pier (dock)length 1.S �X (u
Fixed Platform(s)
Floating Platform(s)
Finger pier(s) 7-6�C-Ent
Total Platform area >!5 •GY-tA01A..
Groin length/#
Bulkhead/Riprap length
Avg distance
—
--�
I
--
—
i
--
-
t
(.
offshore✓
i
—
Breakwater/Sill �!
¢44,4-'
—'
I
Maxdistance/length
Basin,channel—
CubicyardsBoat
ramp
i
Boathouse/. Boatlik_—t Il Y f{
f
w('P1
er
y�
L•�a
Beach Bulldozing
Otherj-
W
:
1
_
iii>las
MO
SAV observed: Yes no �(—`1
o ti
i-
.1,41--
Moratorium: n/a yes no
Site Photos: yes no
V
~
Riparian Waiver Attached: , yes no
A building permit/zoning permit may be required by: rdrl r r.-� ,S I. \ �,. .�1(•S
Pori[ rnndinnn<r ,�-aah•:. - ., 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. (Please Initial)
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature '*Please read compliance statement on back of permit* Signature
*13�
Application Feels) Check #/Money Order Issuing Date Expiration Date

,N
(iliew
AMA DREDGE & FILL N° 90015 ._ A B c`D
Previous permit
ENERAL PERMIT Date previous permit issued�( )IZE v� � Mo Ic ation w❑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 I '"I I I ; , o ( i II i ` ❑ Rules attached. �EI'General Permit Rules available at the following link: wsvvv.deq.nc.gov/CAMArules
Applicant Name
Address
Authorized Agent
Project Location (County):
City state i,_ ZIP ' �rli( Street Address/State Road/Lot#(s)
Phone # (
Email Subdivision
City i y ,.iZIP
Ad" Wtr. Body i "+ 1( oc r r. le C fia man/unk
Affected ❑CW �EW El PTA ES ❑PTS I' Y (-..y )
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj. Wtr. Body (`JB,1!,A
ORW: yes/ho PNA: yes/ho
Type of Project/ Activity w• i
t
(Scaled = (�'J j
Pier (dock) length Ito
Fixed Platform(s)
NONE
Finger pier(s) �7
Total Platform area �4'1_
Groin length/#
Avg distance offshoreki� I'
Boathouse/,Boatliftai:
Bulldozing■■■■■■■
Other
MEN
■:�,
.........C:.:.�■■
■
fib■
■■M■Beach
is
Ep�
_:OMNI
A building permit/zoning permit may be required by: '
Permit Conditions
rj F]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 permit" Signature
Application Fee(s) Check ft/Money Order Issuing Date Expiration Date

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