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Home My WebLink AboutRoberts, Frank - 91306CNCAMA ❑ OREDGE & FILL NO 91306 A B (/ D GENERAL PERMIT Previous permit Date previous permit issued --- N 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: I SA NCAC 0 ? q - 1400 ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.nagov/CAMArules Applicant Name [-,.,.,& /(obe 4 Address 6✓fP0 v,( tv 0, ✓h City L,� State /y �. ZIP Phone#( ) 732-035y Email Affected ❑ cW X E W N PTA ❑ ES ❑ PFS AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS ORW: yes/no PNA: yes/no Type of Project/ Activity ck-11—;—e k Ifn' Authorized Agent —` Project Location (County): en✓4C"J Street Address/State Road/Lot #(s) O y Subdivision -- City 1:,'''1N/c,,1- ZIPSl[yy Adj. Wtr. Body A J(1!4 i ( DPP is an/unk) y�. Closest Mal. Wtr. Body A J ow) C, C " (, I (Scale:/ j 5 ) Access Length Pier (dock)length Fixed Platform(s)-- ... ---- .. _.- _ I _.._ ._..._... __. v - - - - __ _ 1 ; Floating Platform(s) Finger pier(s) "- /I Total Platform area Groin length/# Bulkhead/Riprap length '-'-- Avg distance offshore — Breakwater/Sill Max distance/ length- Basin, channel Boat ramp Boathouse/ eoatlift '� BulldozingIL Other._.-... �— -�- ---- - - -I - - --- - - - - - � ) t - - gI -_ _..L_.._._Cubicyards .T I,�{Beach r -- � > _ l � 4 5AV observed: yes no F� Moratorium: n/a yes noSite Photos:yes no Riparian Waiver Attached: rYe'3� no t' tt ft A building permit/zoning permit may be required by: Permit Conditions llL nju� I. /Ht rl ,, j�,.% �l not CAi,•J r i ci � r�='f"2'i+^� �r Ni✓f- ��k n 0� r.; ��i rl )I t 't i � NN o„s gJ.,ll n,j PilrA/L.L. rVi r ✓/ 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) i�: ✓J /� "r .nee Agent or Applicant PRINTED Name Permit Officer's PRINTED Name Signature "'Please read compliance statement on back of permit' a AW, DO Application Feels) Check tt/Money Order Signature Issuing Date Expiration Date d) #[N]New ❑CAMA ❑ DREDGE & FILL N9 91306 A B C DGENERAL PERMIT Previous permit Date previous permit issuued []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 Q? LI, 1400 ❑ Rules attached. VJ General Permit Rules available at the following link: www.den.nc.gov/CAMArules Applicant Name Fy—, r AA) - J. , Address I r - , G. , v, ' I.. O�, . City 6., r) State IV < ZIP i Phone # (�) T1 % -- Q'l Ly Email Affected ❑cW `JEW E]PTA ❑ES ❑PTS AEC(s): ❑OEA ❑IHA ❑UW SPIMA ❑PWS ORW: yes/no PNA: yes/no Authorized Agent -- Project Location (County): Street Address/State Road/Lot #(s) _ ) G `% ("a (. k-,' I" lrva t/ Subdivision "— City zip «5/� Adj. Wtr. Body /`1 ;j 1,10) ; ( II' bi ��.!! 64/man/unk) Closest Mal. Wtr. Body �/' J o VYI , , � � /l Type of Project/ Activity S ( ) (Scale:/j/ % 7 ) Access_ NOON ■ ■ ■■■■■■■■■p NOON ■� ■■■■..C.. ® NEW ONES ■0�OEM ME EN 1 ms EE .�C® E NS IICC'��'.ECCE:CC11 E: pier(s) MEMI 9 MEMO ON oilFinger om EN soENCIII ON :.:.. gN moms ■CC■C■■E■N■� ■■■■NN HNC:C� EC■■ �.C�■■CNCCC ■ E ME ■E■N41 CC N■CS MEN ■■■■■■■■r,■ osIV s m NOON', :■EEE=C s�G�Em.. OE: MEN Z CEEE', :898=111csJIIII oC:�I::: MEN ECE6llE■ E........:EE'EE�E.IN C CCEII0 ' " Moratorium: Site Riparian■/■NENNE■ENE ' H■CEE ■EE.E.ENEpEEEE C ■C NE. #C■■■■■■■■■.■■ MIN 0 N.C.■NC..N ■■N■m1■■ ■E■EN■EN■■ mom ■..■ ■■NNN A building permit/zoning permit may be required by: r1 v+P': If i %WHI/ d Permit Conditions I N 1' 1 /. / [] 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 Signature "Please read compliance statement on back of permit" it .,,�/ Z 1- Application Fee(s)a Check N/Money Order Permit Officer's PRINTED Name Sig 4 Issuing Date E piration Date J% w No a �Jl Cti ■ Complete Items 1, 2, and 3. ■ Print your name and address on the reverse [B� so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: cv'f-C'q C n t re 11 +315 Oo�'rgC'gdof,f -6e.ra., hk'ag560 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIII III III 9590 9402 4225 8121 6787 98 7020 0640 0002 0074/8585 PS Form 3811, July 2015 PSN 7530-02-000-9053 ■ Complete items 1, 2, ana s. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mallPlece, or on the front if space-Permlts. 9590 9402 4225 6121 6786 u4 -;npn 0640 00[Jd uu rY r� PS Form July 2015 PSN 7530-02-Ouu-auoa D. Is delivery address different from Item 17 U Yes If YES, enter delivery address below: ❑ No h 3. Service Type ❑ Priority Mall Express® ❑ Adult Signature ❑ Registered Main* ❑ Adult Signature Restricted Delivery ❑ Re Istered Mail Restricted ❑ Certified Mall® Delivery ❑ Certified Mail Restricted Delivery O Return Recelpt for ❑ Collect on Delivery Merchandise ❑ Collect on Delivery Restricted Delivery 0 Signature Confirrnatlo,,TM • Insured Mail ❑ Signature Confirmation ❑ Insured Mall Restricted Delivery Restricted Delivery (Over$500) Domestic Return Receipt Is delivery aaurosn.,,,,_,_,-....... .._. _ If YES, enter delivery address below: r nature Restricted Delivery u he . Delivery �y1O1 •��--- Mail® Mail Restricted Delivery D Return Receipt for Merchandise n Delivery n Delivery Restricted Delivery ❑ Signature Confirmation*" D Signature Confirmation Oaf _ _ .. _ , - �..-_. Restricted Delivery Domestic Return Receipt