Waters, William - 91390C Mod

®CAMA ❑ DREDGE A FILL /had �/c leYl N9 91390 A B i�) o
GENERAL PIERMIT Previous permit
QQDate previous permit Issued
®New CA dHi flo [Complete Reissue ❑ Partial. Reissue
As authorized by the SUN of North Carolina, Department of EDvlronmentai Quality and the Coastal Resources Commission In an area of environmental concern pursuant m:
I SA NCAC U? H . 12,00 ❑ Rules attached. Gerwr-sl Prim@ Rules evdhble at the follc Mng Ilnk :8.::%.dea,m,g v&AMA uIa;
Applkam Name l.v: ji 14, r1) (tic" -er 4 Authorized Age, - -
Address Jf R (7 ProNet Locution (County): (r,.'i d-t'L
City ot,,: in..-f Store /y (�� mp A H i 16 Street AklrasyState RoaNLot #(a)
PhOneM(I1&-J) r} 5/-
Email b,li.. Nt' rP i,.a... i 60•Jry SubdivWon
City fCriu7nw t- Zip Aa-52%
AReeted ❑ CW Ew © PTA ❑ ES ❑ PPS Ad(. Win Body - C. r; ✓ r' (✓t a 1(" ((fN/mWunk)
AEC(s): ❑OeA ❑ItA ❑UW ❑SPIMA ❑PM Ck»est P1y., Wtr. Bally fa.•e t..pc'J't,
ORW: yeS(hy/ PNA: yes(ri9
Ty0e of Project/ Activity
Shoreline length Fin
Access Length '-
Pler (dock) length
Flaed Platforms) --
Floating Platforms) ""' b�X'L�
Fingerpler(s)
Tatel Platform area
Gro:nlength/e -
Bulkhead/Blproplength _
Avg distance oHshom
Breakwater/Sill
Max dlstance/ lengtlt
Bastn, channel
Cubicyards ---
Boat ramp -...
Boethause/ Boatlllt --
Beach Bulldozing --
Otherk,, 4-1..,o
:1.
,
SAV observed:
yes
tR�
Moratorium: nil
yes'
io
Site Photos:
yes
r
no
Riparian Walser Attached:
ry"esj
A building p l mR/mning permit may be re
Permh COAdltkms_ 1) Af ,,
rx a.
(
(Scale:A j )
son
I'm
11
so,
N1
MEMO
0
no
TARIPAM/NEUSE/BUFFER (drele ore)
.-1 ❑ See note on bads regarding RNer Bash rules
❑ See additlonal notes/condiddos an back
LAMLAM AWAY__ CRC RULES AND CONDITIONS THAT AITLY TO�TPIS PRMECT AND REVIEWED COMPLIANCE STATEMENT (Please lnldal)
SlHnature : - i

ZCAMA ❑ DREDGE & FILL 1k0j;&c41,"
GENERAL PERMIT
FK] New [Xodlficafio`r( Raj Complete Reissue ❑ Partial Reissue
N9 91390
Previous permit
Date previous permit issued
A B ((;� D
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 ; i I ) UU ❑ Rules attached. V] General Permit Rules available at the following link: www.dea.nc goy/CAMArules
Applicant Name _
Address
City I State /I/ i. ZIP
Phone #
Email % , G 0 k6`I
Authorized Agent
Project Location (County): (. A, y Z-C 1-
Street Address/State Road/Lot#(s) I IO n✓. i/L
Subdivision
City I ZIP ��' ' S ltl
Affected ❑ cw ❑ E W ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (, r, e P /( r' h, Oman/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body t' o P ( ✓c '! }T
ORW: yes/no PNA: yes/no,
Type of Project/ Activity
Shoreline Length _
Access Length --
Pier (dock) length
-
Fixed Platform(s) _
Floating Platform(s) I17Ix19
Finger pier(s)
Total Platform area
Groin length/# -
Bulkhead/ Riprap length -
Avg distance offshore
Breakwater/Sill —
-
Maxdistance/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: =y 4-
Permit Conditions
(Scale:/VT') )
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**
Application Feels) Check
Signature
Order Issuing Date Expiration Date