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Home My WebLink About89789A - Allis Holdings#E]NewIVI❑CAA ElDREDGE & FILL NU 89789 -;'A--iB GENERAL PERMITPrevious permit i %5t;Date previous permit issuessue _:d fi� i ❑ Modifiication 0 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 ❑ Rules attached. H' General Permit Rules available at the following link: vavw.deo.nc goy/CAMArules Applicant Name Address City State ZIP `Z-7 P6 Phone # I—) Authorized Agent AI(Ci,4 if, C. fsy! I Yr. Project Location (County): 1)"X.Y Street Address/State Road/Lot #(s) 1 s. -4 C] 1), Email Subdivision City ZIP i Affected ❑CW HEW PTA ❑ES ❑PTS Adj. Wtr. Body t".0 rr-t 41J<.:L. _ 'S 61!1AA t(natJihan/unk) AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body ('P..l : r t' ! t I 1 C k_' "J C)1 i Lt C Ci yes/no PNA: yes/no Type of Project/ Activity �l l E� rocs �'L�} -�.IE' Y !':'i ! t "� r 'JY' E'C�- wc k' ci FrtrA �; (Scale:1 Shoreline Length - i-Access LengthZko Pier (dock) length Fixed Platform(s)- - c-V a t V Floating Platform(s) Finger pier(s) Total Platform area I IT Bulkhead/ Riprap length ! • Avg distance offshore - = 1 i - ''� 1 i I (q",.1.- -/ ' '' - l--- -i Breakwater/Sill- -- --—�— - '- -- Max distance/ length _ -- - -- �; _ Basin, channel Cubic yards ` � t L �l. Boat ramp Boathouse/BoatliftL- Beach Bulldozing Other SAV observed: _ yes no Moratorium: S. Yes no Site Photos , yes no 't �t E1 -r is 'ZI i — Riparian Waiver Attached: yes no ,. }® _ A building permit/zoning permit may be required by: Permit -',-11..( -) ❑ TAR/PAM/NEUSE/BUFFER (circle one) See note on back regarding River Basin rules_ ❑ See additional notes/conditions on back 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" i i '_{_ Application Feels) Check tt/Money Order Permit Officer's PRINTED Name Signature Issuing Date Expiration Date AUTHORIZATION TO ACT AS REPRESENTATIVE FORM Property Legal Description: DEED BOOK: 2265 PAGE NO: 717 STREET ADRESS:_1240 Duck Road, Duck, NC 27949 Please Print: Property Owner: Allis Holdings, LLC Property Owner: The undersigned property owners of the above noted property, so hereby authorize Doug Dorman of Atlantic Environmental Consultants. LLC to, (Contractor/Agent) (Name of consulting firm) 1. Act on my behalf and take all actions necessary for the processing, issuance and acceptance of permits and/or certifications and any all standard and special conditions attached. 2. Enter the property to obtain site information including inspections with regulatory agencies (Dare County, North Carolina Department of Environmental Quality, U.S. Army Corps of Engineers, etc.) for the purpose of obtaining permits and/or certifications. Property Owners Address (if different than property above): 135 Bayberry Trail, Southern Shores, NC 27949 Property Owners Telephone Number: 252-202-2107 We hereby certify that the above information submitted in this application is true and accurate to the best of our knowledge. authorized Signature and Title G Date: Tunt /3� 2023 This certification is valid thru (date) Authorized Signature and Title Date: ■ Complete Items 1, 2, and 3. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mallpiece, or on the front If space permits. 1. ArticleAddressed to: Po t3Dib /oaca IIIIIIIIII'IIIIIIII III IIIIIIIIIIIIIIIIIII Il III 9590 9402 7859 2234 0517 16 7022 0410 0000 5530 5574 PS Form 3811, July 2020 PSN 7530-02-000-9D53 ■ Complete Iteriie4t2, and 3. ■ Print your name and address on the reverse so that we can return the card to you, ■ Attach this card to the back of the mallplece, or on the front If space permits, 1. Article Addressed to: ihE t=hat7.�i�.s�f� rl, r IIIIIIIIIIIIIIIIIII IllllIIIIIIiIIIIIIIIIIIIIII 9590 9402 7859 2234 0517 23 _2. Article Number gransLferfmTwnkpjahel). --_ 7022 0410 0000 5530 5581 PS Form 3811 , July 2020 PSN 7530-02-00D-9053 ❑ Agent lid Nellveryaogretedifferentfrom Rem 17 ❑Ye: ES, enter delivery address below: ❑No Service Type Adult Signature 0 Priority Mall Express® Adult Signature ReaWcted Delivery Certified Mail® ❑ Reglnered MaIP° ❑ Reeggred Mal Restricted Delivlataery Certified Mall Restricted Delivery 0 Signature Conflnnation- Collect on Delivery Collect on Delivery Restricted Delivery ❑ Signature Confirmation Restdoted Delivery isurad Mat inured Mall Restricted Delivery Domestic Return Receipt X / '/ K/ U O Agent Is delivery address different from item 17 V Ye: If YES, enter delivery address below: ❑ No Adult ce Type ❑ Priority Mall Express® Ignature ❑ Registered MalP- roMaln Restrcted Delivery ❑UXG.tre dMall Restricted I Mall Restricted Delivery ❑ Sigllnature confirmation - on Delivery ❑ Signature Confirmation on Delivery Restricted Delivery Restricted Delivery Mall Mail Restricted Delivery 00) Domestic Return Receipt I 11 le