89080A - Troup, Gary and Barbara

DREDGE & FILL N9 89U80 (-A-) B C D
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. p General Permit Rules available at the following link: www.deq.nc.goy/CAMArules
Applicant Name
Address
City
Phone # ( )
Email
Authorized Agent
Project Location (County):_
Street Address/State Road/Lot #(s)
Subdivision
City i ; ,
Affected ❑CW ❑ EW M PTA ❑ ES PTS Adj. Wtr. Body InAr.:, V )l ,�.�. i (riaUman/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Mal. Wtr. Body 1 :.:...t „. l r . ir' 1 /
ORW: yes/no j PNA: yes/no
Type of Project/ Activity
l
(Scale: N •? )
e. .
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Access Length
.
tt
Pier (dock) length
Fixed Platform(s)
J_
Floating Platform(s)
-1
i-
•__
__
-
�
;
L
�
_
J
�
1�
Finger pler(s) `
�_
i
i
Total Platform area
_.t(?..,
-
Groin length/t!
i
1
1
Bulkhead/Riprap length III
-
'
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--
--�-
1
i
j�
....
-
Avg distance offshore -;
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+.
(
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Q
-
—
iy
-
'--__-
Breakwater/Sill /'
Max distance/ length
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I
L
Basin,channel
-
I
i
i
Cubic yards
Boat ramp
Boathouse/Boatlift�
Beach Bulldozing-
_
T
Other /
1
SAV observed: yes no
-
r
i
Moratorium: n/a yes no
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Site Photos: yes no
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RinarianWaiverAttached: ves he,
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 APPLYTO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (PleaseInitial)—
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature *'Please read compliance statement on back of permit" Signature
Application Feels) Check Jt/Money Order Issuing Dale Expiration Date

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION (MINOR PERMIT)
CERTIFIED MAIL, RETURN RECEIPT REQUESTED or HAND DELIVERED
`ante o?tAdjacent Riparian Property Owner
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:om It May Concern:
Date
RECEIVE®
1UN 11 U4
[ACM -EC
„espondence is to notify you as a riparian property owner that I am applying for a CAMA Minor permit to
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c..ave no objections to the proposed activity, please mark the appropriate statement below and return to me as soon
a>. r::, -i ble. If no comments are received within Ill days of receipt of this notice, it will be considered that you have no
=nts or objections regarding this project.
n , objections or comments, please mark the appropriate statement below and send your correspondence to:
L PERMIT OFFICER. NAME OF LOCAL GOVERNMENT, MAILING ADDRESS CITY, STATE, ZIP CODE)
f f .: iave any questions about the project, please do not hesitate to contact meat my address/number listed below, or
car:::..:.. ;LOCAL PERMIT OFFICER) at (PHONE NUMBER), or by email at: (LPO EMAIL).
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Address
City
7� .7 5,_Y0 . �YZ2
Telephone Number
State
vr�l have no objection to the project described in this correspondence.
I ha7bject4on(s) to the project described in this correspondence.
7
Adjacent Ri Arian Signature
G
Date
1 �9 - L/31� y `17
?rint or Type Nmne Telephone Number
Zip
Address City State Zip
Revised July 2021

RECEIVED
■ Complete Items 1, 2, and 3. 1 A- signature'
• Print your name and address on the reverse X '-�
so that we can return the card to you.
r Attach this card to the back of the malpiece, e. Rec by
or on the front if space permits.
Roy 61calf17 eel
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9590 9402 8817 4005 7097 04
9589 0710 5270 2183 0531 22
PS Form 3811, July 2020 PSN 7530.02-000.9053
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9590 9402 8917 4005 7097 04
United States
Postal Service
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Agent
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Is delivery address dArent fmm item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
❑ Ato Signature
O Adult Sgmtum Ro"Icted Delivery
Cenaled Mais
Cadihed Mail Restricted Deb"
Colwt on DaLve.y
nNjc t on Debyery Restricted Delivery
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ad Mail Resl&vtef Deivery
❑ Prlonly Mad ExpresA
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❑ Registered Mai RwWcta
Delmory
Sign ture COMirmat'"n
n Signatue Confi,"fion
Restricted De�very
Domestc Return Receipt
First -Gass Mail
Postage & Fees Paid
USPS
Permit No. G-10
print your name, address, and ZIP+4A in this box-
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