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