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HomeMy WebLinkAboutSullivan, Wayne - 961C�`°"'"❑CAMA ❑ DREDGE & FILL N9 90061 A B C `, D GENERAL PERMIT Date Previouspermit Date previous permit issued :>f L'+ ; [C_ ❑New ❑ 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: 15A NCAC ` "?a{ , I� U U ❑ Rules attached. General Permit Rules available at the following link: www.deq.nc.Roy/CAMArules Applicant Name ,A ` a Address f l.i( City /\1 P.., 1 State - ZIP Phone#(":_, G) iu';:.j Email Authorized Agent Project Location (County): Street Address/State Road/Lot Subdivision City 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/t'', 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 Groinlength/ff 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 L 7 Site Photos: yes no Riparian Waiver Attached: yes no A building permit/zoning permit may be required by (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. Agent or Applicant PRINTED Name Permit Officer's PRINTED Name (Please Initial) C Signature --Please read compliance statement on back of permit" Application Feels) Check A/Money Order Signature Issuing Date Expiration Date �`°"" ❑CAMA ]DREDGE & FILL N9 90061 A s C D PreouGENERAL ermit K PERMIT D teprevious permit issued ?i'0 / lew ❑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 "/ )4 , I % o O ❑ Rules attached. ,N General Permit Rules available at the following link: www.deq.nc.gov/CAMArules Applicant Name Address City Phone # Affected ❑CW AEC(s): ❑ OEA ORW: yes/no J; Authorized Agent Project Location (County): r zip Street Address/State Road/Lot #(s) •N�b ❑EW ❑PTA ❑IHA ❑UW PNA: yes/no 1 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/ff Bulkheadj'Riprap length Avg distance offshore _ Breakwater/Sill Max distance/ length _ Basin, channel 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 A building permit/zoning permit may be required by: Permit Conditions ES ❑ PTS ❑SPIMA ❑PWS Subdivision City Adj. Wtr. Body Closest Maj. Wtr. Body (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. ) Agent or Applicant PRINTED Name Permit Officer's PRINTED Name (Please Initial) t k Signature *"Please read compliance statement on back of permit" Application Feels) Check q/Money Order Signature Issuing Date Expiration dre'nv REDGE & FILL ;N `, 000 1 / A H Cho b AMA Previous permit GENERAL PERMIT Date previous permit Issued Q�lew ❑Modification ❑ Complete Reissue ❑Partial Reissue As authorized by the SS.tar�e�ooff Noi Lit Cafarooliinna, Depanc,ent of Environmental Quality and dm Co-sstal Resources Connnsssion in an area of envirunniental concern pursuant to: I SA NCAC 1% Z(-Liu-- "�-s�` /f-`'+'-�-- Rules attached. �ner al Per rnit Rules available at the following Ilnk: y�4£7 nyjQ XAr7A�t A iJicant Nanro Authorized Agent VA Address _ J _ Project Location (Cots ty):OC, City _ State _ v ZIP Street Address+State Road/Lot #(a) Phone a 00,,� _ - — ,i Subdivision Email ZIP City Adj. Win Body _ _(nal an/mrk) Affected�CW ®EW �VTA ES �_�PTS AEC(s): 1:10EA F]IHA C]UW []SPIMA PWS Closest M.I. Wtr. Body_QN-� — ORW:ye09 PNA:yes 91 v/ Type of Project/ Activity P �K—aX- 9) Of) Shoteline Length Access Length Pier(dock) length I ✓V ;/(}L)l1PiZ5 �^ �J Filed Plalfoi mis Floalhig Plavorm(s) Finger picr(c) � B Total Platform area G� length/11 Bulkh /Rlprap lmsglh 11� yt--dL1l—_-J-sl vg distance offshore _ � i Breakwater/Sill Max distance/length Basin, channel Cubic VatJs Boat ramp Boathouse/ Boallik _� Beach Bull ming Other SAV observed: yes no Moratorium: n/a yes no Site Photos: yes no Riparian Waiver Attached: yes A building Permit/ton !jj agnn4 may T niqulted by: �Co %ul?� sulI%vat) Permit Q 1- S,J [-,va TAR/PAM/NEUSE/BUFFER(citclo one) See note on back regarding River Basin rules See additional notes/coadltions on back (Ple, se Initial) pI g 'e read compliance slMement on back of pennil•-1 / Fer(s) Check g/Moneyey 0 •i rJ 11 rd