HomeMy WebLinkAbout89984A - InmanAcwtA' ❑CAMA ❑DREDGE & FILL �rL No 89984 A B VCD
/AMNPrevious permit
GENERAL PERMIT IN Date previous permit issued
F.JNew ❑ 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. General Permit Rules available at the following link: www.den.nc.gov/CAMArules
Applicant Name _
Address
City State ZIP �
Phone #
Email
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City ZIP
Affected ❑ CW ❑ EW H PTA E]ES ❑ PTS Adj. Wtr. Body ii0u) Ar �'_',' ' t-4i (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity
(Scale:;;., )
Access Length
ff
Pier (dock) length
T
--
—
-�
-
-
:"
-
-
--
Fixed Platform(s)
I
_
-
-+--
—
---
FloatingPlafform(s)
-
1
Fingerpier(s)
Total Platform area
--•v
!
'
Groin length/tf
cJ
Riprap length (C?
-�—
_
-
-
-
—
n
-
--_
--
) —
s
—..
e—
terr/Silffshom
Breakwater/Sill
Max distance/ length—i-
Basin, channel-
-
Cubic Yards
—
i
-;_
Boat ramp
Boathouse/ Bell
_...L_
_
1
},__
r
Beach Bulldozing
Other
9_
I
-�
(---
SAV observed: es no
'
Moratorium: n/a yes no
Site Photos: .'s '
-_
-
__
_—
_
_.
-
—
3
-
Riparian Waiver Attached: Yes , no
...
!
A building permit/zoning permit may 6e required by: - �, . � r 4• t '� v < k r`<s, l t: I \ j
❑ TARIPAM/NEUSE/BUFFER(circle one)
Permit Conditions
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
7 i
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
...� /
G.
Application Feels) Check II/Money Order Issuing Date
Expiration Date
'S ^ ''WA ISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Ymse 7- 3 - Z3
Name of Property OWDW Applylag for Permit:
�aa Y- Lee T�hlgh
Ninflung Address:
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I certify that Y have acAhor'oad (agent) /✓Lll"/ 27 to act on my
behalf, for the purpose of applying for and obtataug all CAMA Permiits_ ne�ceennary to
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