HomeMy WebLinkAbout87228A - Mark, Richard and Sue[AMA ❑ DREDGE & FILL C d�
GENERAL PERMIT Date Previous
permit
Date previous permit issued
rLiLlNew ❑ 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 •' Z'� D Rules attached. General Permit Rules available at the following link: wwwde nc o �- ❑ � g ' q gyLCAMArules
Applicant Named C/1` 4i
%' Stit MGi
Authorized Agent r► ,4ArkQ"S .SAl.rme'r—
Address_roaLS Qi% t.H P W
ck v
Project Location (County):
City ,N LState
ZIP A! 6 (D
/�•�'�A^—
Street Address/State Road/Lot #(s)_Z. I� t iiq
Phone # SP 29
t,,
f—
S�..y iG
Email.��S�f.�.a,
C.a qs,
Subdivision
City �—� r� ZIP
Y6'
�,(
Affected ❑CW /174iNt '
& pUA— El ES ❑ PTS
Adj. Wtc Body 0.
(n t/man mk)
AEC(s): ❑OEA !ll���OIHA---
❑UW ❑SPIMA ❑PWS
Closest Maj. Wtc Body�aij—e ..S t.,
ORW: yes/0 PNA/yesno
Type of Project/Activity 'L
A 540.tt LY—Di /iM
s�.5p4b i�� 2-11�1-`
Shoreline Length %— 6 7
Access Length
Pler (dock) length
Fixed Platform(s)
Floating platform(s) V�
Finger pier(sl
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Cubicyards
�Kk
Boat ramp
Boatho e/ Boatli6 /2�of/1, iP
Beach Itlotl ig err I 3
Other \
SAVobserved: yesIr
Moratorium: n/a yes no
Site Photos: no
Riparian Waiver Attached: yes no
A building permit/zoning per may be required by:
Permit Conditions
RULES
Signature `Please rea Xmiliance statement o�ck of perntitt#
ab, (// �O��.
Application Fee(s) Chec' R/Money Order
(Scale: /TS )
N/I
ill1L
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Please Initial)
Permit Officer's PRINTED Name _
Sig re //
✓4✓2- 7,
4
Issuing Date �iration Da e
EDGE & FILL NY 8/228 Ca-Y C E
GENERAL Previous permit
's PERMIT Date previous permit issued
on [] Complete Reissue F-1 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 Zb Rules attached. F General Permit Rules available at the following link: wwvv.deq.nc:.goy/CAMAruIes
Applicant Name K
t Vr-0'4 7- 0 �—
IF\O-%
Address
I qet V
City �%A
State
ZIP �S_ (0
Phone# ( Vil !Lp
.9 V -
Email
let
Affected [] CW
64=�_
X[:]
1-1 ES F-1 PTs
AEC(s): F-] OEA
14HUA E1uW
❑SPIMA F] PWS
ORW: ye
PNA: yes no
Project Location (County): 1D
Street Address/State Road/Lot #(s) Z',,� 6er�w,
City c`_— IL114—V
Adj. Wtr. Body %Z- IkA cs. I (ndt/manAunk)
Closest Maj. Wtr. Body 04 8 2I,? 0-r-/Z S o L' A J_
Type of Project/Activity �Oig4o_lt
It
(Scale:
Shoreline Length
Access Length
✓�
Pier (dock) length
Arri"11 k-
Fixed Platform(s)
Floating Platform(s)
r
Finger pier(s)
Total Platform area Iff 1 , , � 1 �; �, i 1 1 - - ,
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill ^ 7 -
------ --- --- ----
-------- --
Max distance/ length
Basin, channel F
AY
Cubic yards
tS, 44 4- i< A116-A
Boat ramp
Boatho� e/ Boadlift <P7.
Beach B 9
Other
-------
SAV observed, yes - - -
Moratorium: n/a yes no
Site Photos: no
Riparian Waiver Attached: yes
no
_J j
A building permit/zoning permit may be required by: 0-f F-] TAR/PAM/NEUSE/BUFFER (circle one)
Permit Conditions
F-1 See note on back regarding River Basin rules
F1See 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) lit-
C �e c4fv_�_ , �
Agent or Applicant PRINTED Name Permit O VcePRINTED Name
Signature --Please read compliance statement on back of permit" Sig re
2�11 ,2
Application Feels) ChecK #/Money Order Issuing Date 'Expiration Daie
&EICAMA El DREDGE & FILL NY 6/228 A 'C D
Previous permit
GENERAL PERMIT Date previous permit issued
KFINew ElModification El Complete Reissue OPartial 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: wwwdeq.nc.goy/CAMAnules
Applicant Name �Ir,,
Address
city State zip
Phone w
Email J
Project Location (County):
Street Address/State Road/Lot 0(,)
Subdivision
City
Affected F-1 CW EW ❑ PTA F—] ES ❑ pTS Adj. Wtr. Body K-'� A (natfmad/unk)
AEC(s): F—] OEA IIHIA E1uW OSPIMA El PWS Closest Maj. Wtr. Body
ORW: yes/no PNA:yes/no
Type of Project/ Activity
(Scale: 4,
Shoreline Length J ,'7
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
4-
Total Platform area
Groin lengthl#_
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ BoatIffi,
I —
Beach Bulldozing
Other
SAV observed: yes no
Moratorium; n/a yes n0
Site Photos: ye
Riparian Waiver Attached: ye
A building permit/zoning permit may be required by:
Permit Conditions
CONDITIONS
Agent or Applicant PRINTED Name
Signature *-Please read compliance statement on back of permit**
Application Feels) Chec #/Money Order
[—] TARIPAM/NEUSE/BUFFER (circle one)
FSee note on back regarding River Basin rules
1-1 See additional notes/conditions on back
(Please Initial) x
Permit Officer's PRINTED Name
Signature
Issuing Date Expiration Date
N.C. DIVISION
(Top portion to be completed by owner or their agent)
Name of feroperty Owner:
Address of Property.
Mailing Address of Owner
owner's email: Owner's PhonelF: --==..
AgerWs Name: ®^ Agent Phonelk
Agents Email
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
Ma"m portion to be completed hvjbg AdiaceatPtooertV ()wnef}
I DO NOT have of jeaf —a to this proposal. I DO have objections m 81b proposal.
t DO wish to weroe sornelail of the 1S setback
-OR-
I do not wish to waive the 15 setback requirement (initial the
Signature of Adjacent Roa►lan Property Owner,
Malting Address c
r- t .f,,P- t.t2- J lea 4
?'
,'waiver is valid for up to one year front ARPO'tl Signature"
Revised July 2021
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