HomeMy WebLinkAbout89945A - Carpenter0`°"rt, OCAMA El DREDGE & FILL No 89945 A B C D
fJ GENERAL PERMIT Previous permit
Date previous permit issued
U] 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. 0 General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name _
Address
City
Phone # ( )
Email
ZIP
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑OEA ❑IHA ❑UW ❑SPI MA ❑PWS
ORW: yes/no PNA: yes/no
Type of Project/ Activity
Ckn lio Inoorb
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
Adj. Wtr. Body
Closest Mal. Wtr. Body
(Scale: )
Access Length
Pier (dock) length
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_�r
}A. _
-
.
I)t
—
,
5`
Fixed Platform(s) )
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v
Floating Platform(s)
Finger pier(s)
-
-
-
--
-
—
Total Platform area
Groin length/#
f
-
Bulkhead/ Riprap length
r
1
Avg distance offshore r
Breakwater/Sill
___-
—I
'"t
-
ance/ length ,r
Max dist1.
Basin,channel
-
T"
--
I
1I-
I-"
Cubicyards
Boat ramp
Boathouse/Boatlift
Beach Bulldozing
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_
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Other
—
—
_
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7
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SAV observed: yes no
Moratorium: n/a yes no
Site Photos: ". yes no
I-
Riparian Waiver Attached: yes no
A building permit/zoning permit may be required by: r 0.r 1 4-y (- F
Permit Conditions - AC. , O t f'i . I (.) 4 6 -; .
❑ TARJPAM/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
4
Application Fee(s) Check#/Money Order Issuing Date
Expiration Date
" ^ ^11lISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Due 6—/B-z3
W=n of ProperlyOwner Appb%g for PmWt:
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behalf; for the propose of applying/for and obtammg all LAMA Permits uemmry to
install or eoustruct (activity) _1 % �' O-f
at (my properly located at)
I/ Ibis attlOmdoa is valid thm (date)
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