87039A - Buompastore

®DREDGE & FILL
3 GENERAL PERMIT
New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
N9 87030 U f3 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:
15A NCAC % N 1100 ❑ Rules attached. ® General Permit Rules available at the following link: wwwdeq.nc.gov/CAMArules
Applicant Name Acre VVN VYAOM-PoLsi-Grp. Authorized Agent
Address 410CA GCose Ness Lin. Project Location (County); T Per i?U1 JhLi ns
1` /f
City 1•Le.ri•YGi State NC zip 2-7'Nt StreettAddress/Sta^te Road/Lot (d'!- '*
Phone#(Fi��) (oSI —qt 14 46q (�O1 OSe NeSI- L_A
Email .,To%k ry'oi.Xb( (9nL.tM OoI .COw. Subdivision (;cost-- kinLin.
City (4Crt4o zip 2.794441
Affected ❑cW MEW ©PTA MES ©PTS Adj. Wtr. Body Al6e4,,0.T-k S0ttr.O1 (a man/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Mal. Wtr. Body l}("cw-le 5Ou,%d
ORW: yes/16b) PNA: yes/®o
Type of Project/Activity -,ko l
Shoreline Length
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/q
ulkhe Riprap length
I�lb
Avg distance offshore
2 r
Breakwater/Sill
Max distance/lengthx
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other —
i
SAV observed: yes
Moratorium: n/ es no
a
y t
�
Site Photos: ( no ��I 2 v`Ctr �c s'asrxe�ap
Riparian Waiver Attached: yes G Vim�++�``
A building permit/zoning permit may be required by: pe-r0( t A &—&YNS `4zw-k M,
Permit Conditions
1 AM AWARE OF
Agent or
Permit Officgf's MINTED Name
❑ TAR/PAM/NEUSE/BUFFER(circle one)
See note on back regarding River Basin rules
See additional notes/conditions on back
(Please Initial)
'Please read
1.
Fee(s)
on back of permit'* Signature
tea ItI&I'Z3 ',Mo/,24
Check It/Money Order Issuing Date Expiration Date

°`te"r" EICAMA ❑ DREDGE & FILL N987039
(A't B C D
$ Previous permit
4.4. 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 ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant I
Address _
City
Phone #
Email
State ZIP
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (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
Pier (dock) length -
i
—
I
fr
i
Cry
o
-i-_
Fixed Platforms)
I
Floating Platform(s)
I
I -.-i-
_-
r
,
Finger pier
-I.$)
.
Total Platform area
Groin length/N
Bulkhead/ Riprap length
I--
i
r.
Avg distance offshore
-------
�!-
T
-�
1-
�
-
Breakwater/Sill
.r
L-
_
i__.
__
I__
_
_i_
�._
.
I_
..
__
__
Max distance/ length j
Basin; channel
-
--
Cubic yards
-
�-
Boat ramp_I
_
14
Boathouse/ Boatlift -
r
Beach BulldozingZA­
��i.
Other
�. _
/
r
SAV observed: yes no
' <I
r
1
Moratorium: n/aJ yes no
-t--''
-
-
_I
-
-
-
(
-
Rliparian Waiver Attached: yes no
A building permit/zoning permit may be required by: 1 Qt t \ i ice.0 Y
Permit Conditions
❑ 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 compliance statement on back of permit** Signature
Application Feels) Check Jf/Money Order Issuing Date
Expiration Date

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION (MINOR PERMIT)
CERTIFIED MAIL, RETURN RECEIPT REQUESTED or HAND DELIVERED
6 DoDare
wel)
Name of Adjacent Riparian Property Owner
"III; (-005e CS� Lute.
Address
a o, + (-,A, ,JCS W194 LP
City, State Zip
To Whom It May Concern:
This correspondence is to notify you as a riparian property owner that I am applying for a CAMA Minor permit to
on my property at
in
County, which is adjacent to your property. A copy of the application and project
drawing is attached/enclosed for your review.
If you have no objections to the proposed activity, please mark the appropriate statement below and return to me as soon
as possible. If no comments are received within 10 days of receipt of this notice, it will be considered that you have no
comments or objections regarding this project.
If you have objections or comments, please mark the appropriate statement below and send your correspondence to:
(LOCAL PERMIT OFFICER, NAME OF LOCAL GOVERNMENT, MAILING ADDRESS CITY, STATE, ZIP CODE)
If you have any questions about the project, please do not hesitate to contact me at my address/number listed below, or
contact (LOCAL PERMIT OFFICER) at (PHONE NUMBER), or by email at: (LPO EMAIL).
Sincerely,
Pro erty Owner's N ne
Address
City
G3/ ��00r - YX//
Telephone Number
State
i/ I have no objection to the project described in this correspondence.
I have objection(s) to the project described in this correspondence.
Adjacent Riparian Signature
3rar-tc-\a P). Pyu—1 \
Print or Type Name
Address
City
Date
-7 a to - -17 -i S
Telephone Number
State
6)." /
Zip
Zip
Revised July 2021

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION (MINOR PERMIT)
CERTIFIED MAIL, RETURN RECEIPT REQUESTED or HAND DELIVERED
Date
Na e of Adjacent Riparian Pro rty Owner
��D 31 n(I 00S e Jue-ST ,L /1)
%d res
Cify, State Zip
To Whom It May Concern:
This correspondence is to notify you as a riparian property owner that I am applying for a CAMA Minor permit to
on my property at
in
County, which is adjacent to your property. A copy of the application and project
drawing is attached/enclosed for your review.
If you have no objections to the proposed activity, please mark the appropriate statement below and return to me as soon
as possible. If no comments are received within 10 days of receipt of this notice, it will be considered that you have no
comments or objections regarding this project.
If you have objections or comments, please mark the appropriate statement below and send your correspondence to:
(LOCAL PERMIT OFFICER, NAME OF LOCAL GOVERNMENT, MAILING ADDRESS CITY, STATE, ZIP CODE)
If you have any questions about the project, please do not hesitate to contact me at my address/number listed below, or
contact (LOCAL PERMIT OFFICER) at (PHONE NUMBER), or by email at: (LPO EMAIL).
Sincerely,
Property Owner's N#e
Address
City
63/- 0/d'/— yyry
Telephone Number
State
I have no objection to the project described in this correspondence.
I have objection(s) to the project described in this correspondence.
A acent ar an Signature Date
9 "-a ; c 13. Cr r
Print or Type Name
Telephone Number
. CUrm
Zip
Address
City
State
Zip
L�b3 CiODSC YU tST lnJ
/�er� �' + �Q
1?/L
c� 7 i Steil
Revised July 2021

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