89095A - Benson Jr., Ronald

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'VCAMA 0 DREDOO & FILL
(° °� v GENERAL PERMIT o . v;^*
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CAR AA ❑ DREDGE & FILL N? 89095 CAJ B C
GENERAL PERMIT Previous permit
Date previous permit issued
New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by the Statp of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
0
15A NCAC / ' Z:� o ❑ Rules attached. eral Permit Rules available at the following link: wwvv.deq nc gov/CAMArules
Applicant Name
City 1XeC-k I I State V 4 zip 23 // r
Phone # (ga /)
Email
Affected ❑ CW EW 0 PTA ❑ ES ❑ PTS
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS
ORW: yes4 PNA: yes/ w
Type of Project/ Activity
Shoreline Length % A/
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s) ^
Total Platform area
Groinlength/# _
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp _
Boathous oatliR
Beach Bull ng
Other
cw��l
Authorized Agent I '�t-A A", /10,L t-d-
Project Location (County): 10
Street Address/State Road/Lot #(s) -2- 2-
-3 // 3 Z/ -- to /z 3 3 Subdivision Co/)n.a4,,. iy.c6�r JCC—P
city <2 yet : zip 2-7 2 Y8'
Adj. Wtr. Body Cts`./t 13�- I (nmaa nk)
Closest Maj. Wtr. Body 4(4v n C""/C Sys" ct /
(Scale: /J l-)
t
• /'f v.T 'v of rr Z �. Q.
yJr��..rxt3
r-� V
SAV observed; yes
Moratorium: n/a yes no'
Site Photos: *e�n oRiparian Waiver Attached:oA building permit/zoning pee required by:
Permit Conditions
X�
❑ 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)>L
�--� 7 V D if *1 t-
Agent or Applicant PRINTED Name Permit Offlcer's PRINTED Name
d
Signature* *Please read compliance statement on backof permit** Si ure
� �� `7Zz;h� �llzlz7
Application Feels) Check #/Money Order Issuing Date Expiration Date

❑CAMA ❑DREDGE &FILL I`1° 89095 (RAJ B C C
Previous permit
G E N E RAL PERMIT Date previous permit issued
QNew []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. ❑'General Permit Rules available at the following link: www.deq.nc gov/CAMArules
Applicant Name
t ;
Authorized Agent
e
A c a C) i
Address
Project Location (County):
City
State
ZIP
Street Address/State Road/Lot #(s)
,>
9 �— ^- C__ " `1
_A} I ,..-
Phone # (`)
Zt_.-
Email
Subdivision ''t "(�. ,�
✓-�.� f" va �� _ j e
T /rri
City
zip
Affected ❑ CW
❑ EW ❑ PTA
❑ ES ❑ PTS
Adj. War. Body
(nat/man�,unk)
AEC s : OEA
O ❑
IHA UW
❑ ❑
SPIMA PWS
❑ ❑
Closest Maj. Wtr. Body
ORW: yes/no
PNA: yes/no
Type of Project/ Activity L. l
(Scale: & )
k
Access Length
J-
r
_7
_
Pier (dock) lengt
Fixed Platform(s)�
F
i
C
I
I
I
rF
Floating Platform(s)—
lA
(rI
F
Finger piers)
;.._-
<(
Total Platform area�.__
Groin length/ri
Bulkhead/Riprap length
Avg distance offshore
_
-
--
-
--1
Breakwater/Sill
--
Max distance/ length —
I i-
—�
—
-'—
�—
Basin, channel
Cubic yards
_
I-
_
'�—
Boat ramp
Boathouse/ Boatlik
_
Beach Bulldozing
I )
ttI
i
I—
Other
)
li
i---
1
SAV observed: yes no
7�
Moratorium: n/a yes no
- '�
—
i
I
I
Site Photos: yes noa,
i
_
Rioarian Waiver Attached: yes no
-
._
_—
_
_
A building permit/zoning permit may be required by:
Permit Conditions
❑ TAWPAM/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**
Application Feels) Check #/Money Order
Signature
Issuing Date Expiration Date

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I • OF COASTAL,
ADJACENT
FORM
CERTIFIED , El ;�•� i it i, • 1 f •:. f�UHlr iR
• • I . I • to cwMMW by awrwor Vleir:.I
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Owner •
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• •..�• ' i� RIG.. • � 1 �
AWW* EmeW:
ADdACENrRIPAPJMPROPERTYCMR "Cut', FmATICN
Menem Damon to be amobw by the AGIM Bmem
I hasty ow* plat 1 own property s *Mel 10"gb We te%mnoed pop". The Individtai mppMM for Wt
Pwft het deeded to me, as shown on the Mhdxd drawing, the deve opnsnt they are h>raPadng• A
v-.�e j 't ""' NOT hoe **Wcm lo ft propoul 100 hew obJ dons to thN; m; 9 .
.. Y• F♦ omq� W Vmm m seem propose% YOU attar nosy Me Mr. Wvuron of Cossm
+ 601190 an<t CIV rr► seab►p warm fo fiq a weacNpt a this eadco sbordd be
maeffed to for & adMh 41, See. 2001 aW belie cxy, MC, VW DW r pr.wMefNes can also be
coreaesed at (AV 28"M. No response in consklew tta true ae no 04%aore M yorr raw been
noWfod by ta&~ men.
WANOt 415C W (Choose grAy ym)
I underatarM #W any Prop0 W Wen dodo, moorkq Whinps boat ramp, bneakratsr, teoathouee, OR «
WrAn mutt be oat bade s nWiknum dbbnm of l & Aom my area of dpanan sooesa unMa wall W by me
("You whh 10 wahro ft selbook, you must /m
the a$pr, F 1 1a bh m* below.)
I DO wf.h to welw &0M&W of tla I6' s IN f 1,
-OR- sonatre ofMWent ROV Pmpwfy Oww
I DO NOT wAh to wolw the 15' selbeok requkarnent (h4W the bunk)
aloeelurs of AdpeeM Rlpw%n Pro srV Owme: ,
Kenneth Haas
& cl"
TypediPdnbd norm of ARPO:
Malft Addsss of ARPO: 2499 easie st, oakton VA 22124
ARPO'tolna: Cruiseaweigh®aol.com a Phonsf. 7032916507ARPO<M'T
6/3/2024
Date:
'wdW is weld for up to one year treat ARPO's ognlbW
Revised August 2022

DocuSlgn Envelope ID: 51001D2D•35CA-4520-BD5C•D64DBD751AS5
t�At chain: c�ui � 1.P ,Y�231112_._.._
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h -ci � County.
ft""OWWWWRIUM:
����' Rieeieruue
Ronald Benson
Prat of Too Nano
Tft
5/2j4/2024 /
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