HomeMy WebLinkAbout89997A - Miller, Douglas and Diana0GAMA "REDGE & FILL N° 89997 B C D
Previous permit
GENERAL PERMIT
° Date previous permit issued
New ❑Modification ❑Complete Reissue ❑Partial Reissue
As authorized 1 t%tl�e- State f orth Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
1 SA NCAC I ' • y �1 � �Lb V ❑ Rules attached. 2�`6eneral Permit Rules available at the following link: wvm d nc gov/CAMAruk s
Authorized Agent 1✓ —T' ";15 k 4
Project Location (County): _0 <r—r•�
Street Address/State Road/Lot #(a) /�J
Phone # (L'q) [t+ 2(0 Fr- y'7
Email M i if `J' 6 //S fat 4 Mu, , I, Cb z�
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Affected Dow V7Ew PJWA O3 C7t_ Adj. Wtn Body Cr ci nOt ( (nat a�nk)
AEC(s): ❑OEA ❑INA ❑UW ❑SPIMA ❑PINS Closest Mal. Wtr. Body_ll��a MtK'I= S•C wsa v
ORW: yes/no PNA: yes/not
Type ofProject/ Activity -7 /1sk st.,a.n�
Shoreline Length V i
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Access Length
Pier (dock) length
Fixed Platforms)
Floating Platformis)'
Finger pler(s)
Total Platform area
Groin length/g
Bulkhead/ Rlprap lengthi/T
Avg distance offshore y
Breakwater/Sill �A
distance ength
Basin, 6-nnel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed: yes no
Moratorium: n/a no
Site Photos: yes �no`�
Riparian Waiver Attached: es (0
A building permit/zoning permit maybe required
Permit
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❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
I AM AWARE B�ffffiUkESftC(I CWAND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT.
(Please Initial) Y'
�
i/U
or Applicant PRINTED Name
Per it OfRce Name
Agent
V—
PRINTED
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Signature ••Please read compliance statement on back of pe
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Application Fee(sl
Check g/Money Order
Issuing bate
Expiration Date
[DREDGE & FILL N° 89997 B C D
Previous permit
GENERAL PERMIT Date previous permit issued
New ❑Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized tuhe State f orth Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A. CAC I I J It /-;,� - ❑ Rules attached. V `6eneal Permit Rules available at the following link:: wwww._deq.nc.gov/CAMArules
Applicant Na e 0 C' uld ti 1 t� Authorized Agent D � P B k I� /-S
Address s«-r Project Location(County);
/
Cit/��fs1�// ,-,'/ l S ��State ZIP 2- 77Vty Street Address/State Road/Lot#(s) j/ S %T�r 6'v\r C--i.
Phone # (•-17) le 2Cra ( c/7 Lb`
Email M J i et lis E9 Subdivision C.-t+
City C-o 1 n ZIP —7 y
Affected ❑CW �EW P+LTA ejtg C5rKi-
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS
ORW: yes/no PNA: yes/no
Type of Project/ Activity Z!1 S 0. ( 16 '-O
z t s47 . - j ��,Qr 3
Shorelin� t
Access Length
Pier(dock)length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s) '•
Total Platform area
Groin length/p
Bulkhead/ Riprapap length
Avg distance offshore /
Breakwater Sill
axdistance ength
Basin, c annel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
rho I161A-
SAV observed: yes no
Moratorium: n/a no
Site Photos: yes no
Riparian Waiver Attached: yes
A building permit/zoning permit may be required
Permit Conditions
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❑ 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 RULESAND CONDITIONS THATAPPLYTOTHIS PROJECTAND REVIEWED COMPLIANCE STATEMENT. (Please Initial) J^
< Y --A- INTEC�rt/a�
Agent or Applicant PRINTED Name Permit Officr'sePRD Name
Signature **Please read compliance statement on back of permit** S' atur
�e S7(a s S'7/912- /mil/PINY
Application Feels) Check P/Money Order Issuing 6ate Expiration Date
❑CAMA ❑ DREDGE & FILL N9 89997 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. ❑`General Permit Rules available at the following link: wwwcIeg nc eov/CAMArules
Applicant Name _
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. Won 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:; )
Shoreline Length `
Access Length��---
.."...
Pier(dock)length
_
L
11I
Fixed Platform(s)
i
Floating Platform(s)^'
Finger pierls)�
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i
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Total Platform area �' �,
Groin length/p
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Bulkhead/R!prap length`-
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Avg distance offshore
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Breakwater/Sill
Max distance/length
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Basin, channel "'
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Cubic yards
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Boat ramp "
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Boathouse/ Boatlitt
Beach Bulldozing
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Other
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SAV observed: yes no
Moratorium: n/a yes no
Site Photos: yes noRioarian
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WaiverAttached: yes no
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A building permit/zoning permit may be required by: / ! ! ° ( o> •, �- 1
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.
r:.
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
(Please Initial)
Signature• -Please read compliance statement on back of permit•- Signature
Application Feels) Check q/Money Order Issuing Date Expiration Date
Dowslgn Envelope 10: CBBC8602-0EB0-49928755-26FECFBA41 B3
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I ILL
• • r. a •W�. ►�
to as on my behalf, for are purpose of app"V for end obMk*V ali CAMA permits
necessary for the tollowirg proposed devefopmert:
at my property located at 1 •y �_ r • •,
in OOL C County.
I fur*MMOre oe►W diet I am au&"Ized to 9ran4 and dD In MU grant Permission to
Division o (Coastal Atiev+ege►nent sfs//, Mre Local Parnit OBlwn and their aganta to en W
on Mra afoiarrwWoned lands in carrAx*w widr avakraft ►a mudon related to Mds
Pemtit gopboeUon.
Property Owner kifOMODn:
lure
Douglas Miller
PAW or ryp• Name
Tale
8/5 024
Deft
This certification Is valid through IF
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