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Home My WebLink AboutSteinberg, Steven - 90095Co,A(Our"` ❑CAMA ❑ DREDGE & FILL GENERAL PERMIT ❑ New []Modification ❑ Complete Reissue [:]Partial Reissue NU 90095 A B C D Previous permit Date previous permit issued 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 ; ❑ Rules attached. ,. N General Permit Rules available at the following link: www.deq nc ¢ov/CAMArules Applicant Name Address_ City Phone # I—) Email Authorized Agents Ic -+rtiC /�inV/. p Project Location (County): <L:. ZIP�Street Address/State Road/Lot#(s) Affected ❑ cW ❑ EW ❑ PTA ❑ ES ❑ PTS AEC(s): ❑OEA ❑IHA DEW SPIMA ❑PWS I ORW: yes/no PNA: yes/no Type of Project/ Activity Shoreline Length Access Length _ Pier (dock) length Fixed Platform(s) Floating Platform(s) Finger piers) Total Platform area Groin length/# Bulkhead/ Riprap length Avg distance offshore Breakwater/Sill Max distance/ length Basin, channel Boat ramp Boathouse/Boat 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 i+. '. Subdivision City City zl 1�::'r }% r_i, :: k. ZIP Adj. Wtr. Body 4)DbfLrf (nat/man/unk) Closest Maj. Wtr. Body (Scale:1 O ❑ 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 compliant/' statement on back o -permit** Signature Feels) Check q/Money Order Issuing Date Expiration Date 'AatWw*%❑LAMA ❑ DREDGE & FILL N° 90095 A B C; D GPrevious permit GENERAL 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: I SA NCAC I1 ! ❑ Rules attached, —N-General Permit Rules available at the following link: www.deq nc gov/CAMArules Applicant Name e:V/+` 'i JF' I A 4' i t�- Address -moo ,,J / City: r i i" State /1 % zip _ t 1 KK Phone#(_) Email Authorized Agent Project Location (County): Street Address/State Road/Lot #(s) Subdivision City :JJr• 71P Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk) AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPINA, ❑ PWS Closest Maj. Wtr Body ORW: yes/no 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 Groin length/q i^ Bulkhead/ Riprap length Avg distance offshore �'- Breakwater/Sill Max distance/ length Basin, channel /- Boat ramp Boathouse/Boatliftx' I 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 Permit Conditions (Scale: j ❑ 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" Application Feels) Check #/Money Order Permit Officer's PRINTED Name Signature , Issuing Date Expiration Date AGENT AUTHORLZA71ON FOR CAMA PERMIT APPUGA-11O141 Name of Property Owner Requesting Permit S+'�" sue+ �zf° Mailing Address: � Wo )0,0 pp -1("Pe r✓i 1�_ j Ili ` Z1 0 3 `1 Z �; Phone Number. .��) 3 � � 3 1- Email Address: I certify that I have authorized jqt,,Ir- lute Mpt '-4 -- Agent / Conhador to act on my betraff, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development �Uo° at my property located at 11- 7 S in aIor .County. l furthermore certify that ► am authorized to grant, and do in fact grant permission to Division of Coastal Management stag the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information related to this permit application. Property Owner Information, S�wvl L Signature Pnnt or Type Nanie M.� Title Date This certification is valid through Dlirii s4cv, MWMOFAL• AU#aWRFAMMFRWSM~WWATOfVVJWMMW Was t AS S�Lo a. �F Add oayiNdA awiwHwdtzpAOMW Apmfskeme* R1vc ✓n�v 11916- M*V/%-- O� 3-- AphOm t 7,,, - 111- W23Mc+'hhewf Ihnody. , togisprop aL bw gmabt@ WAIVER SECTM I mtlersW d ad a pier, dock, mooing pigk boat rasp, hedbiAt; bodxum or I t and ba 6edcaniinm—dsbmdiStmmnyandr'yanmaoomauir�raraf[yma(C you b fiesdmdCyoumustW ftgWopti*bkm*bdmj do � b>rdue ne iS rea,tenat I do rbtwah b Waive ttt 1S s 7 (propety own ) f+hiata TjpA6wr 390'o«nw{Ln AbftAMW Grr�hvtIAl aa9?y a1 P SASt+ilNWhi e.Alt Toi#MAYabv/Esd Ytls gLl f L 3 low f A/46 .r SOIA llerC lfp^ 7r orTjpAlsira J 31 St S�oy>�y S S} iiigAsfd.m 27z3-W7 � LgSS7 Ta6pimw MoirrEsoi Addat 2 2 4/18123, 10:26 AM Mail - Becky Lewis - Outlook r i on�roN of casrA� wrAcia�xr AWACEMRIPAMNPROMff M*RWrWATWAAR" FOM hitsdRoOwl� _-> Anta6laMl.a■ta�Al'�Cmtti 1t AWCSV rwt. 2�2- 72t-'ss21 _ ,a.✓ .ts ... 7F53'7 i hm* CmW 1W t mm Pub' a*mA to id dvm 0*00d pwov-'fl■ iRi.idcw! r��G �py[nptorfiO�lrRb�ealMd�' sm�e�Illrladd �� rtt pQ12 ga�rpalcY'p ti� `-l--iixswobjaliasbii�Ropd _I1ncaEFm'sbisP'aP� l� d)oa�sra[jPdtwlbsla(iE�iiPWM41w�'d�dd■r fLmktNow WAWfed"dmmWdfdtwG^a t,A■!I+t +t�dNgrk��'mo�i�rri�rMahaiil�aaeh�i '` Mot■vcroiis cadpr�dlarsrrwsmcljslalp�A■>rNrt+■sF�fbf +��bti. 1 ImdogWdOWaP,dodoMDmnFi .bAm7D.d �trYImL" hsrtssdl � mhFtexe dM�eoed anima mr� dtrwnn am. ca5sae wiYnrll ey aoc R psu thYfbwbslstf�llti.' 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