Honyoux, Jaques - 91384C

❑DREDGE & FILL N° 91384 A B ,Q' D
GENERAL Previous permit
PERMIT --
3 Date previous permit issued --�'
❑Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by theI State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I SA NCAC 0 ) /7 - ) ) UU ❑ Rules attached. N General Permit Rules available at the following link: www.deq.nagov/CAMArules
Applicant Name 0,45 Ric�UVI lj oMVOHX
Address ,��% pk,lo,f rl U✓iV/
City &," pP✓vt State A✓6.. ZIP
Phone # ( q P, 9)
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Email ✓1i,:ai
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111A.1, GovJ
Authorized Agent ki'VcAJ A )c iGr�57<ra rt'r-vJ LL�
Project Location (County): ( u VA
Street Address/State Road/Lot #(s) ',,., n i
Subdivision ---
City aV6 6 c-,v ZIP ,%s e9 iC2
Affected ❑ CW . EW x❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body i = ' - IS. ✓: li i(n}r/man/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Mal. Wtr. Body keoe "Vey
ORW: yes/nd PNA: yes/ %
Type of Project/ Activity
chn .IHo I unohh 10 (l z
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[Scale:/j/7-S )
Access Length
Pier (dock) length
Fixed Platform(s)
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Avg distance offshore- •'� Y '
Breakwater/Sill - -
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SAV observed: yes no
Moratorium: n/a yes no
SitePhotos: yes no
Riparian Waiver Attached: yes no
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A building permit/zoning permit may be required by:
Permit
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 I 41,i
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Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
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Signature **Please read compliance statement on back of permit** Signature
Feels)
Check #/Money Order Issuing Date
Expiration Date

❑DREDGE & FILL N9 91384 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 Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC ❑ Rules attached. X General Permit Rules available at the follovdng link: www.deq.nc.goy/CAMArules
Applicant Name i
Address . is P/... j', ,
City lir'ir-I State NC-. ZIPt'Ji
Phone # tl % tl��^^���
Email _!o.J ,` % i 1::
Authorized Agent A '
Project Location (County): v :' h
Street Address/State Road/Lot #(s) i ,. , ,; i i
Subdivision --
City 11 zip ✓+�y-, 7�✓�
Affected ❑ cW [A E W x❑ PTA ❑ ES ❑ PTS Adj. Wtr, Body ' ` ! (gat/man/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj. Wtr. Body /✓ ekl5i 1`1 r ✓C /� i,
ORW: yes/n9 PNA: yes/ t&
Type of Project/ Activity
(Scale:j/T j )
Access Length �
-
—
—
Pier (dock)length
-
Fixed Platform(s)
I.
Floating Platforms)
j
Finger pier(s)_
%
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Total Platform area
Groin length/q -
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to
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_
Bulkhea /Ripraplength IUi' 1, N-
Avg distance offshore--
Breakwater/Sill—
Max distance/ length
Al
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Basin, channel
Cubic yards
1
Boat ramp
Boathouse/Boatlift
Beach Bulldozing
Other '� '
a
�:�
-
---
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SAV observed: yes no
Moratorium: n/a no yes
Site Photos: yes no
Riparian Waiver Attached: ;yes no
-
IL
A building permit/zoning permit may be required by:
i
Permit Conditions 1. / .�r..! 'f f' n ;<
irill /,
[E, 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 Feels) Check tt/Money Order Issuing Date Expiration Date

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CAMA AGENT FORM.pdf
Name of Prglerty OwMr Requesting Parmil: J QC u25 I� iG{t�E fR r/ b u�r 0 UX
Mailing Address: � L Z PICc/tfGL�i Pn i J-z�-
/b4u"- ti z �?<7'
Ph" Number 4 9 `F - L 3 3- g 9 A-i
Emalf Address: C � V u %act K z33 a qNt 'l ca.
I mnily that 1 have and odZed M1 i; v� Rae M ayiAe, l onf tYar
.agent f Cam¢w
to act on my behalf. for the purpose of ap*ug for and obtaining all CAMAA permits_
necessary for the fdbwing proposed development:
Vinyl hu/kk'z rL.
at my/propeny Mated at 3 av P/n., fir.Yen Df ✓� �!/•'-r,.r ��i�
in(. %¢ ✓ z" County.
I furthermore certify Nat I am authorized to grant, and do in fact green itemesaon m
Division of Coastal Management stall. the Looel Permit Officer and their agents to enter
on the efomm i,do tid lands in connection wilh evaluating information related to this
Permit APPIkilli n
Property (timer Inlormakin:
Signature
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P to Type Name
P%Gt7N �
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This certifica on is valid through

CAMA Neighbor Form Morehead City-Brad.pdf
H.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARWJ PROPERTY OWNER NOTIFICATION(WAWt FORM
CERTIFIED MAIL - RETURN RECEIPT R OI IE TED n HAND DELIVERY
(Top poltial to De =pteted by owner of their apni))
NMn.d PmpMy oiw.t. �fic u/Ye.s Vir�lLtfy� �z yDK X
Atl d Pmpwly.
{Ming AddmUdG -
Ownrswlw: rho" yaaklVIOUIOpi/om: pw 484 43i.-Hga-t
Nvu aysf m r:ne
AqM'{Nina: cows ,�.werty...- ASaN PIIonN'.
AeeNY Ems{
ADJACENT RIPARIAN PROPFAIYOWNER'SCERTIFICATION
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pemal has tf w M ma, w ~ w Ow NN ed dfv*iN, Me dev Offl they N, aoposinT. R
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n RST) EOFTteE NOnapMN b m+ItMaM tlN saM N IIP oOJatYon tl you Asv{ b,n no1Ms0M
Cendla:l MaT.
WAIVER SECTION
I whratara V l any proposed pW. clux n..ON pYnps, Nut ramp, h Wmntan, hoaubaN. Ns a
Wane t OP Nt Oast a muwm n NWd 15'ken my ama d rpcn saes,W swaned "nw
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CAMA Neighbor Form Morehead City-Brad.pdt
N.C. OMSION OF COASTAL MANAGEMENT
ADJACENT RPARNN PROPERTY OWNER NOTPICATIONWANER FORM
CERTIFI DM>IL RETURN RECEIPT REQUESTED or HAND DEWERV
(Top portion to be completed by owner Or ftir ESE/m//)
Nae proparty rr. � ma Ovm ac4 ae., �icAarq`t�Ocx yzl' u
Amen avmp«ly: 7ZL Jan ]�a�%+Pt �i � "V yyf �uK
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owner RnNr rFouyeu.L;3�'9mu.:/ Pvren PMnaE �1'.Q4 43� � `hY -a- 1
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ADJACENT NIPARIAN PROPERTY MWR'S CER161CAlION
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pemul ne/e Ceea�Oa, ro me. as small on this attri Obwkq. this aevelaposW pry re prof ollr N 8
y ' DO NOT Nve Oalepeonv b Mo preppssl. ____ 100 Nw Palertkw to dJ3 pi,posal.
you haft Oviscsom b ISAY ft bIi you wwI NeaYy an, Y.C. OMr)n of Corsm
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WANEA SECTION
I ow so tsha tort any pmpesrd PM. xuY, nronp Pikrs. oerl ram, deMnNw, eoamousa. M. a
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Ur appropula owl beimv.l
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N Nt wish to wmve this I Woorok /eeulamanl (Saul roe Nanki
S9wure N o"l—t R'pvim,mpany Cwwv' ..
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