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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� 27�4 g 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 ..., 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 A' I t nn<n$ :� I klSen� /I (scale:#72� ) E) I"T'fNG S'e.1 t" q- Fi /JreC%ty i /6.S A w 1-lmr,,k.d s'r t'�fh EX. DES/, W hul klA`1 I A�G%sl0�e n F N R /040IT:7iP Ad—P6 1 C6T,0JI- p3erlX L. ❑ 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 T"4 w1�+�c1 iA Signature ••Please read compliance statement on back of pe tit" S atur S,o� <7(0 s gl 9/2-y �zl/7A.Y 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 Awl rx-L�d Pir I '. (i i 4A� A+ /A Adj. Wtr. Body C� ca A A 1 (nat/fnarJVnk) Closest Maj. Wtr. Body ;A JLL . /Yt c+S I Xt,, a !n '® EXJ s TANG 4 Ff NFCYt� f/EIS 1k (Scale:X17-5 ) '�. Ex, r- It WAuCuJAY cy�RK �L ❑ 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)� >- 4 I i _77 Total Platform area �' �, Groin length/p —f- L__ _ Bulkhead/R!prap length`- T '^ 2 r—— Avg distance offshore y- -a— - - ---i-'"- - -I — —r- -- — Breakwater/Sill Max distance/length - El . Basin, channel "' C - "- _ —'— _ Cubic yards - Boat ramp " E e-x . ; c•Wif 4 Boathouse/ Boatlitt Beach Bulldozing � I ' >< L rc l� Other A 4L -- Yf I- _ — (r L(tov u / c� ! Fc, l I r q ir. L._ SAV observed: yes no Moratorium: n/a yes no Site Photos: yes noRioarian - TY r 1._... __ WaiverAttached: yes no . _ � i ' 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 i 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 lv%iW @-1 • .. Pal : J:y4�J U-•. ,s11vr. (Tap paw m be own* Wd by oww of t* sgW) A11UOf1lfE•IIIMIOAMPROW" W OMCWffW 4"M avullo"ID"1OYOf01.I1IH/d .71n 11drI�W 10fIIf w talnwl m IIn d11d1tl s.wo, a» a.r.Ma�•le+rr .* omnc.lna e pl vMOTMveotga*MIol"l---loch"'ll Aa-10"pmpmw IutlelWrld flW ry papo�tl PUMW M1i PwhoombLam ,mm of roaft son" _ �. �•ar p10M rnAtlw iettadl• nlYinrcraw 0�al1@60R1 III�you wish ID Watpro mlWKk you RAME tlM r1PP1a0 0Ylk bww.) 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