89740A - Hendrickson

�` tv �f CAMA ❑DREDGE & FILL �E� NY 89740 � B C D
I GENERAL PERMIT Previous permit____
+ Date previous permit issued
New ❑Modification [_]Complete Reissue []Partial Reissue
As authorized by the State of NNIJJort/tyhs /Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC _ "F-1�t_•._l.f-ySL._.__., [] Ruulle�% attached. General Permit Rules availablewti� at the following link: �deq,nc.goylCAMArt les
Applicant Name An T-PVY i1t"y�1(.t[�+y l l.i 1 Authori�{'_0 zed Agent _� _3 ,JJ&iV k;1
Project Location (County): DAAeY1 _
Ci State __ �n y •'+ ..,
ty _it-(pi''ni"1. /� r� �+,._„__,__ 21P 't y` L � Str�ee�tAyddresstIF
�S�tyate¢Road/Lot #(s)L_'
Phone #(802)Jr2_k3+_L_ _I 1J31 ✓e tiT{:YN�1,, -
EmaiI�QAI'�.._�M1C��n Subdivision//.r _ �':��V !�i}/ �y
CICY ___t.(�'�.1 WIG '1.' ZIP 7 t16
Affected ❑ CW �KEW 'MPTA ❑ ES E] PTS Adj. Wtr. Body C "&t ri'{J _ u.t.tGl (natj nk)
AEC(s): nOEA IRA r UW 1ISPIMA PINS Closest Maj. Wtc Body _,. ,�✓]) a�-_{ .,__;,,h'j�{,;g�(J�___
ORW: yes(5)PNA: ye no r� +'f
Type of Project/ Activity l Q 6Wv. rt-o.r.Zh' yd- Q rdtiL 1 L IX 1 2 j
&ly U � (Scale: Nrb)
Access Length �{.♦�.
Pier (dock) length__, 1 �"' 1
F�
Fixed Platform
Floating Platform(sl
Finger pier(s)
Total Platform area1�J�
Groin length/e
8 }
Bulkhead/ Riprap length._
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouz 6o,�tlj' c� - 7t f
Beach Bullcozing�Lix[c�P{!'e'Li
etm
SAV observed: yes nq
Moratorium: fa �yes no .r
Site Photos: (Z> no
Riparian Waiver Attached: yes to
A building permit zoning permit may be required
Permit Conditions
1 i
1 15' +CFO'
it 1 tit
En
it 40 @Xldl yrNij EXile, ht�
12' Aw+iovl.led
i
•f-
r
TARrPA.M/NEUSE/BUFFER(circle one)
See note on back regarding River Basin rules
See additional notes/conditions on back
(Please
e �br ApplicantPRINTED dame '�,j//} Penult OfPRINTED ine
r
Signature°`Please read comnliance statemen[on back of pern it Signature
_tl? (}(i ) i u 7 tti�jlU�/t,dR. _
Application Feels) Check 0/Money Order Issuing Da t Expiration Date

ycouru ✓iCAMA ❑ DREDGE & FILL �%f �' N9 89740 (® B C D
\7Previous permit
ENERAL PERMIT 3 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 •[f���a OD1 ❑ Rules attached. General Permit Rules available atthefollowing link: www.detgnc.gov/CAMArules
Applicant Name t)(n�QA/1 c.� V' ��N V f�/17�,�I Q,LI-yA ICI Authorized Agent 1) �' rJ t1�7i.�.I,Ji�'tii.t g
Address 1'i V . L22112% 2 21 Project Location (County): t aA1Y� , f 1�
City ,� Y1LiJAaL State NC ZIP 21�_ Street Address/State Road/Lot#(s) ,[._,f:'9
Phone # (�02) 5'L�j— I I inI fo �� 7� M!5 . 6e mi hl+ M
Email �IAN7-.. �YI�YIyI��hQ �JDLJ,f�1t)V15. Subdivision PA.- KOJJMn�
CDK4 City CIDAA VN - ZIP 4"T gLfb
Affected ❑ CW JKEW XPTA ❑ ES ❑ PTS Adj. Wtr. Body R.4 It .` &t 7D AAA4JI (nat/(�Dnk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body A i wym & LC 5" 44 _
ORW: yes no PNA: ye no
Type of Project/
Access Length _
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
(Scale: Nrb)
0 �I
I HGI,v► ckgo 0 I
JY�G�.t 1 I ��t'd•iit i�
1 F277777rl
Finger piers)
z�
�Xfb�-1
`Ow ��IGt.1
Total Platform area
'A
1(MY1S
Groin length/JJ
Bulkheade
offplength
Avg distance offshore
Breakwater/Sill
Max distance/ length -�
Basin, channel
Cubic yards
)Z' ✓�
Boat ramp
'
Boathous Bo
N
i
A
Beach Bulldozingettirr
SAV observed: yes
Moratorium: /a yes no ,ti.
tltltl f
Site Photos: (9> no
Riparian Waiver Attached: yes o
t`
A building permit/zoning permit may be required by:
❑ TAR7PAM/NEUSE/BUFFER (circle one)
Permit Conditions
❑ 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)
A e r Applicant PAINTED Name
Permit Officer's_ PRINTED lime
Signature **Please read compliance statement on back of permit'*
Signatur/rreeQhCL'V�i`3//�F'
Vlooxo r,11-102Hlb
(I)(oIZa°23 10 11 to I zo tz-,
Application Feels) Check #/Money Order Issuing Datle Expiration Date

'Aco z"LN[ICAMA [I DREDGE & FILL NU 89740 (A B C D
ao0
Previous permit
GENERAL PERMIT Date previous permit issued
P] 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 ❑ Rules attached. R General Permit Rules available at the following link: wwwdeq.nc goy/CAMArules
Applicant Nme l )
.}. 1 all / �
Authorized Agent t }' r/
ry�
Address f• f) t")L.
}! x2 :f 1
Project Location (County):
City Ot t, � l t J 1160
State ZIP
Street Address/State Road/Lot #(s) VV
Phone#((')f'
.rr
Email i`j 0.-DY'.. �lYn/)✓VI/.�
!I
�bd(l0 -iVY'LI rV7G
'-1009 .
Subdivision ((iiA 0401n, Ho �AAZ
i
+t
City ".l t N+ ZIP
Affected ❑ CW
❑ EW ❑ PTA ❑ ES
❑ PTS
n
Adj. Wtr. Body { ^'r ,(nat/man/unk)
AEC(s): ❑OEA
❑IHA ❑UW ❑SPIMA
❑PWS
Closest Maj. Wtr. Body
ORW: yes/no.
PNA: yes/no
Type of Project/ Activity
-
If i''te (^, J
(Scale:
`.Shoreline Length,.
Access Length _
Pier (dock) length
Fixed Platform(s).
Floating Platform(s)
Finger piers)
Total Platform area
Groin length/N
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift^ t
Beach Bulldozing !'•. �(1 y.;9 V`"pJ
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 AM AWARE OF STATUTES. CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE
Agent or Applicant PRINTED Name
Permit Officer's PRINTED
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Please
Signature *"Please read compliance statement on back of permit**
Application Fee(s) Check ft/Money Order
Signature _
Issuing Date Expiration Date

uuuw�pp� nrvaiu{rn v. �r woco-c, , u�.wq-nvcwar�x�N<rc �
i-L
A(I NT AUTHC)gU&M FOR CAMA PERMIT AEPLWAMM
Name of Property Owner Reques"PPermit: A)Gy1 d k C ,nwsb`i i
Mailing Address: -9• O • g1b% 22I
VuN "anNK wf 2"7g49
Phone Number: $cQ - 5z5 . \%�O
I certify, that I have authorized N-16 \t,K
Agent / Coimactar
to act on my behalf, For the purpose of applying for and obtaining all LAMA permits
necessary for the following proposed development �QJM4 2XiS + �Dpa� 1i �
�'-eg►�ce. at my my property located at 333 le Ear C ok%nq}or-%
in County.
I h rdwffnona aei* drat l am authorized to grant; and do in fact grant permission to
Division of Coastal Abrmigenmm staff, the Local Permit Offioer and their agents to ewer
on the ahorenwWoned lands In connection with evaluating information related to this
PemrR appllcatfon.
Property Owner Information:
Coxuei,.a W*
avi�. h",0xi 36W
��...
Signature
David Hendrickson
RIM or Type Name
SL17/2023 /
—7 Date
This eenifloation is valid through
MAY 1 0 2023
®t✓M-EC

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