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Home My WebLink About87155A - Atlantic Telephone Membership CorpiKCAMA ❑ DREDGE & FILL N9 87155 B C D h ermit GENERAL PERMIT Datepspousp Oate 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 concem pursuant to: 15A NCAC 7A I(ooD - ❑ Rules attached. [X General Permit Rulesavailable at the following link wwsvd one aov/Cat-tares Applicant Name Orba&1hc (e-tica ^' o, I eih6e—'It__T+�iso# ftrizod Agent 4l' G N I Asgoocjaie jA _ Adams 6K— 1qE �1 Project LomUon(County): City yT.ISSx +om _�1ZFP._�g T Street AddresslState Lot#(s) dFFZig Io42�. e at Phon(�{) 7.5Ji — ON --CC r Email _t!. if JPt\ 0.Q �s. CCsiyt Subdivisions i_ p �r City _I 'IUP..._ ._...ZIP A 13h— Affected ❑ CW ❑ EW Y PTA ❑ ES ® PtS Adj. WV.. Body Raet%,ii k,— akt �"YQj�72K (fNmardunk) AEC-(s). ❑OEA ❑IIiA ❑UW ❑SPIMA ❑PWS Closest M jJ Wtr. Body Ch 04)12A r'�LtrQ„r. oftw yas(10 PNA: yes/ Type of Project/Activity -"T jl%�4 CLli Ito' aft V %4 /r ber nC�n CC a �3le b,. LAreemyt.ww Lxt (Scale: WD j Shoreline Length— / ngt _ ..._._.. Access Length Pier (dock) length Fixed Platform(s) Floating Platform(sj Finger pier(s) • Total Platform area Groin length(# is ; Bulkhead/ Riprap length Avg distance offshore Max distance/length I� Basin, channel _. ... Cubic yards Boat ramp Boathouse/Boatlift Beach Bulldozing �' 'i^'�• .b, ' � � - , It Other t , i SAVobserved:� yes N p _V Moratorium: yes no Site Photos: 0 no Riparian Waiver Attached: yes A building permit/zonfng permit maybe required by:._ ChpW 0.tti t.15 t ❑ TAWPAM/NEUSFJBUFFER (circle one) Permit Conditions _._......................_._._ _-- ___�_ ❑ See note on back regarding River Basin rules '- ❑ Sce additional notes/conditions or.. back Agent or Slgnamre Lease read compliance statement on back of permit"' �'363tsbl Application Feels) Check #)Money order (Please Initial) Permit 7yy V •l . /w' Stgna ure f 12,Y Issuing Date Expiration Date �°°teA"" KCAMA El DREDGE & FILL f=C1►ICQAI QCQIt\/I�T NO 87155 Previous permit Date previous permit issued ® B C D ® 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 714, II (000 (� ❑ Rules attached. IX General Permit Rules avaliable atthethe following link: www.deo.nc.20y/CAMArules Applicant Name WO 7C YL_��i Vl e(E O�Q I F �esy�(n✓y, �t (� C6r..Authorized Agent lS rn 1 S,SQc` $ Address �f.�. R6)C I�f p �/�(1 f Project Location (County): O�hl�ta]ry^ C� �1 e1 City S�cj�1,1�6� State �,c zip 2S TJ t Street Address/State Road/Lot #(s) OFF L)9 Q 21 Phone # ( t tv) — 431 % GY'GS`Jt nC %' Email Subdivision City E_, /12 WN ZIP a`] 1?3:2. Affected ❑ CW ❑ EW ® PTA ❑ ES ® PTS AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS ORW: yes/ o® PNA: yes/V Adj. Wtr. Body I[oe ky %o6PZ L-truk (a5man/unk) Closest Maj. Wtr. Body Ch O,a) a /\� P l"p.r Type of Project/ Activity 7rSA QIk I U' oV J k(rt r bey n(:kI < C ckl_ by t � ltf C✓ iQA_(W` Shoreline Length 16( Access Length Pier (dock) length Fixed Platform(s) Floating Platform(s) Finger piers) Total Platform area Groin length/tt Bulkhead/Riprap length Avg distance offshore Breakwater/Sill Max distance/ length Basin, channel Cubic yards V Boat ramp Boathouse/ Boatlift Beach Bulldozing Other �`✓� SAV observed: yes on- Moratorium: no yes no Site Photos: 0 no Riparian Waiver Attached: yes 5 A building permit/zoning permit may be required by: t,, ` UKOW Dw. Permit Conditions OF Agent or Applicant PRINTED Name THIS Permit (Scale:03 ) ❑ TAR/PAM/NEUSE/BUFFER (circle one) ❑ See note on back regarding River Basin rules ❑ See additional notes/conditions on back (Please Initial) Signature **Please read compliance statement on back of permit** Signature Application Feels) Check q/Money Order Issuing Date Expiration Date ❑DREDGE & FILL N9 87155 q1 B c D a GENERAL PERMIT Previous 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: 15A NCAC ❑ Rules attached. [Z General Permit Rules available at the following link: www.deq.nc goy/CAMArules Applicant Name City State Phone # ( ) Email 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 Mal. Wtr. Body ORW: yes/no PNA: yes/no Type of Project/ Activity (Scale: ?i ) Shoreline Length Access Length Pier (dock) length Fixed Platform�s) ■ ��O�N■N� pp■ i ■� Floating Platform(s) �,... OTC � �. �■.�.. ■.... c®o' =C :.:�� C�..■C �is■■ ■ ■■ A building permit/zoning permit may be required by: 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 Signature **Please read compliance statement on back of permit** Application Fee(s) Check #/Money Order Permit Officer's PRINTED Name Signature Issuing Date Expiration 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 mailpiece, or on the front if space permits. 1. Article Addressedto: Ch%Wan Cout1Al Mar,atger Pb(k* 120 Eae,ilY6 N c a�°I3a IIIIIIIIII E IIIIIIIII III 9590 9402 6511 0346 5364 00 2. Article Number(Fransfer from servicelabe. 7021 2720 0001''1127 P8 Form 3811, July 2020 PSN 7530-02-000-9053 KI ❑ Agent W Is delivery address dlfferent from item 'l? Ye; If YES, enter delivery address below: - ❑ No .0 1 M1 .. Ed-'�e�.-rg'-NF219 L9'Adervi gn lope f` f1J Certified Mail Fee $4.35 ❑ dolt Signature Restricted D Pl Certified Mell® ❑Certified Mail Restricted Deli ❑ Collect on Delivery ra $ Fxtra ervices&Fees&Wkeox, edi WH tetum Recelpt (ha,e�py) $ ❑ Collecton Delivery Restriots, C3 Saturn Re Ipt(elMmnle) $ 766 estricted bell, C3 t ?nNbd Mall Rea�taee DeMey $ 3Mult Signature Reauiretl $ OmAksgnatumneatnaw Delmxya C3 Postage $ $1.83 fill r- lU Total Postage and Fees a $ $9.73 se rr-r Ns Jo'prC4p-' / 0459 are) i \! 6 4 Here �� 1 8 2823 10/05/2023 ■ Complete items 1, 2, and 3. A. Signature ■ Print your name and address on the reverse X ❑ Agent so that we can return the card to you. ❑ Addressee ■ Attach this card to the back of the mailpiece, B. Received by (Pdnted Name) C. Date of Delivery or on the front if space permits. - 1. Article Addressed to: D. Is delivery address different from item 17 ❑ Yes ,tit 5 �•, 1 d`e r �s` j-0. 1��S-l-e�ers If YES, enter delivery address below: ❑ No PY� m New Cas- lt 'DE \M-10 PostalCERTIFIED m , ILO RECEIPT r Domestic 3. entice Type M1 _ rNP II I �IIIII IIII III I II II I IIII I II IIIIII I I IIII I I III L.'Ad ture ue ified Maile Restricted Delivery 1-1 Y �v..+. 0 , 0 7' 1) •F;;; 9590 9402 6511 0346 5363 94 ❑ Certified Mall Restricted Deliveryru r9 Certified Mail Fee■ $4.35 04`i9 2. Article Number mnsferlromservicelabel ❑Collecton Delivery ❑Collect on DeliveryftestricteaDelive ,., Deliver) r� I f Fxtre entices &Fees cneckbo�e. ree date) C16 7021 2720 0001 1127 _ -'Mail 8773 Iaal Restricted Delivery I'R r3 9evum R—Ipt(rwd^MY) $ 1 0 Return R.Ipt lelearonlq E 611_rlfl Postmark PS Form 3811, July 2020 PSN 7530-02-000-9053 C3 [r.�Gerliletl Mall flesNcletl Oellue,y $ •L--J✓Men slpnature R,.M I \ / [' T) \`// E fi,•.,.�, ❑Men sio e. Reatr Ave DelNery $ n-1 Pas age $1.83 r` N $ Total Postage and Fees 8 IU305/2023 $ $9.73 C3 -r1- srre f 8ne9ptt PO �OXty� AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION RE` F IVE E) DEC 18 2023 Atlantic Telephone Membership Corporation Name of Property Owner Requesting Permit: dba FOCUS Broadband 1' C h_EC Mailing Address: PO Box 3198 Shallotte NC 28459 Phone Number: 910-754-4311 Email Address: k6 olcl<rn P, aIm c, eo^-, certify that I have authorized McGill Associates PA Agent I Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: Installation of telecommunications (fiber optic) conduit to extend telecommunications services to underserved areas at my property located at multiple locations in Perguimans County. l furthermore certify that I am authorized to grant and do in fact grant permission to Division of Coastal Management staff, the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information related to this permit application. Property Owner information: Z-�& Signature Ke; �+ 06Itir^ Print or Type Name ce'o G•�r:, Mo�o�� Title ) () I t 1 Z 3 Date This certification is valid through I I 11 -SARAH B V PIN: 68,8700785858 k. -r- - T` i 7ELI\EATEC L HI Tip - . A'ETLANCS \ LINE ,rl i8 PRCFILE: TY%'ICAL CROSSING SCALE: HO WONTAL (1: 50) VERTICAL (1:5) - LE S6 5 E EI.I,- ITf�' ,L t 1 L- HI IT'-`( ELI_E TE ETL- LI E x L I. 1, 185 / 18a 180 175 .S. I I78 swe/LOluw Y 170 CSPYAMN 3 �'1 T C i KIESI ""T 1FD eY TT MC Y Y Y 16BN1 WE [INVPllA1CO AT iCM[ PR BY 170 KAC %f LVLL , I"PO", I. sV BC 60aFJ1 eae las 1 v soa ro iwac s w185 180 ..... —.. PFCIOIIp IIIRA OWN —0+50 13+w 1+0a 2+08 TYPICAL BORING PROFILE 1w �yl'9V 1 J ..14A L 'S_, FINAL DRAWING 712 VOeps Rasa SW FOR REVIEW mcg i I sWe109 NC F,.. NC 28470 910.755.5an NC Finn LiwmeRG0159 mcOFlaaot4198 Ce1n PURPOSES ONLY NOT RELEASED FOR CONSTRUCTION s�lwerax >• g