Tolson, Hubert - 91409C

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❑CAMA [IDREDGE & FILL N9 91409 A B ( C D
GENERAL PERMIT Previous permit Date previous permit issuedNew ❑ModificationComplete Reissue ❑Partial Reissue
As authorized by the State of North Carolina,
Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
ISA NCAC O-) H . i �U ❑ u
Rules attached. General Permit Rules available at the following link: w ..decimc.gov/CAMArules
Applicant Name JAl tp—1 4- / 0 / SU1 ,.,yty/-•-
Address ! 4 : - ti rfG1\% yy
City IV(Z,I..i J (f^l State !y
11 ii C. ZIP ( , In
Phone # (Z�Z) i'/ V
Email -
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City Mm � , ZIP
Affected ❑CW ❑EW _3.pTA ❑ES ❑PTS Adj. Wtr. Body (nat/man/unk)
AEC(s): ❑OEA ❑IHA ❑�UW ❑SPIMA ❑PWS Closest Mal. Wtr. Body
ORW: yes/no i PNA: yes%no
Type of Project/Activity J<.L:.�-= � ',�,e,•n�C,ea.c,� (ikClr.Pr~�rrri "�? P.K�S�7,-1 r��
v
(Scale:A)n )
Shoreline Length �(� _.... �. _ _.�._ e_ _
Access Length
Pier(dock)length
Fixed Platforms
Floating Platform(s)
Finger pier(s)
Total Platform area _ I_ �� i_ i.� _ Ire. .�1_ _d1
Groin length/# I
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 i--�-�
Site Photos: yes no -
Riparian Waiver Attached: yes no
A building permit/zoning permit may be required by:
Permit Conditions
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❑ 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)
r.
Agent or Applicant PRINTED Name
Permit Officer's PRINTED Name
Signature "Please read compliance statement on back of permit••
Application Fee(s) Ch ck#/Money Order
Signatute
Issuing Date Expiration Date

#F-]New
❑CAMA ElDREDGE & FILL N9 91409 A B C)D
GENERAL PERMIT Previous permit
Date previous permit issued []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:
t:
I SA NCAC ? ❑ Rules attached. General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name
-
Authorized Agent
Address
y.l
Project Location (County): Il ' .-f•-tJr �^ c�6
City State
ZIP It,(I
Street Address/State Road/Lot#(s)
Phone # O (,)
Email
Subdivision "
City ZIP
Affected ❑ CW ❑ EW
❑ PTA
❑ ES ❑ PTS
Adj. Wtr. Body (' /-' - �... (naVman/unk)
AEC(s): ❑ OEA ❑ IRA
❑ UW
❑ SPIMA ❑ PWS
Closest Maj. Wtr. Body '
ORW: yes/no PNA: yes%no )
Type of Project/ Activity
(
(Scale:.') )
Access Length Z
Pier (dock)leng[h
i
I
I
i
I
I
—
-
Fized Plattorm(s)..
-
-
Floating Platform(s)
)
Finger pier(s) /
I
Total Platform area
m
r
t
Groin length/q
-•
—
.—
Bulkhead/ Ri ra length
Avg distance offshore
Breakwater/Sill
Max distance/length
Basin,':channel
Cubic yards
Boat ramp /
Boathouse/Boatlift
T
_
Beach Bulldozing
74
Other
SAV observed: yes no
}--
Moratorium: n/a yes noFT
Site Photos: yes no
-..
T
(
.
r I
-
—
—
—
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 Permit Officer's PRINTED Name
Signature "Please read compliance statement on back of permit* • Sign
ae '
)`rl C1i12'_� `1J►�.t
Application Feels) Cht•ck q/Money rder Issuing Date Expiration Date