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HomeMy WebLinkAbout89998 - Bingham, SusanCAMA EDGE Sit FILL FILL N9 89998 B C D Previous permit GENERAL PERMIT Date previous permit issued New ❑Modification ❑Complete Reissue ❑Partial Reissue As authorized by the Sta,t/9 of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to: 15A NCAC N ' / Iz 5n []Rules attached. General Permit Rules available at the following link: www.dwmc.gov/CAMArules Applicant S v. 50, n Bi City f1 e-, 3 1Ko.y Kv1l- State M {% ZIP Phone # (7 t'3) A? I sco t{ ? Affected ❑CW AEC(s): ❑OEA L LW ❑ INA ORW: yes*9 j PNA: Type of Project/ AI , d f — ._ f Access Length Pler (dock) length 3z, rx G,r Fixed Platform(s), /3r Floating Platform(s) Finger pier(s) Total Platform area '.L T) Groin length/R Bulkhead/Riprap length Avg distance offshore r Breakwater/Sill Max distance/ length Basin, channel Cubic yards Boat ramp Boathouse/BoatllR Beach Bulldozing Other =' s+ LVJM ❑uW SAV observed: yes V' Moratorium: Na no a C Site Photos: yes no 4.� pL Riparian Waiver Attached: yes o V 1 A building permit/zoning permit may be required by: _ s ❑ ES ❑ ITS ❑SPIMA ❑PWS Authorized Agent 71- rah l�lr�t /t.0.n d.3� Project Location (County): Street Address/State Road/Lot #(s) Closest Mal. Wtr. Body /t G C /r1 r: r I C .5 N 'A n R1 / ✓ (.,I J i A tnA-k r) Le d PICC y- ' T 1. 0.'1A11 Ir V �y �l X/O( k5-r-, rJC, Ak Lle (Scale: pry) e Cy- IS rJN(C- rrL/NCr� tj- ❑ TAR/PAM/NEUSE/BUFFER (circle one) ❑ See note on back regarding River Basin rules ❑ See additional notes/conditions on hack I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial) _. _..__.. ... __.._.. Vpp.q ncc CC,-rVrtf- Agent or Applicant PRINTED Name PPeer(mCnJONic , PRINTED Name iaAit.u-+— SI n tore ••Please read compliance statement on back of permit'• Siatur Application Feels) Check g/Money Order Issuing Date Expiration Date 0`°"" ttAMA ❑DREDGE & FILL N° 89998 B C D 111Previous permit G E N E RAL PERMIT Date previous permit issued icatio New ❑Modifn ❑ Complete Reissue [:]Partial Reissue As authorized by the Stat of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to: I SA NCAC 7 . /2 5� ❑ Rules attached. General Permit Rules available at the following link: wwvvdeq.nc.gov/CAMAnules Applicant SV-So.A B Address®'Z. ail) P Er i prN� P�CKJ M /f't CC� "f'r ct City /t:4W,�(Vk0X-K%Ar— state M P ZIP A / % 7 T Phone # (tllo) A7 ( Y- SCo 4 P / Email S (kso-/f o bX Q 4 M0.1 f t Affected ❑ CW §fEW � ❑ Es ❑ PTS AEC(s): ❑OEA ❑IHA ❑UW SPIMA ❑PWS ORW: yes/ PNA: yes/C) Type of Project/ AI fzAK Shoreline Length + J Access Length Pier (dock) length Fixed Platform(s) Floating Platform(s) I Finger pier(s) = Total Platform area -/ :11- t> Groin length/p Bulkhead/ Riprap length "- Avg distance offshore Breakwater/Sill Max distance/length Basin, channel Cubic yards Boat ramp 'm Boathouse/ Boatlif[ Beach Bulldozing Other s SAV observed: yes no vY Moratorium: n/a r Site Photos: yes RiparianTianWaiver Attached: yes o A building permit/zoning permit may be required by: Authorized Agent J8 /-a 0. Project Location (County): CD Street Address/State Road/Lot #(s) -G..2. �-� i s t Subdivision City Q-. IL7 9 ya' Adj. Wtr. Body G ar Al Cy F f>- 1 (na1 an/ k) Closest Maj. Wtr. Body 4 /r1 C-4- 1 C . d IN fTer oFloeLA� r 15 T-zI� t; /_S Lk l le tfr-?t S:�f ILES AND CONDITIONS THAT APPLY TO THIS PR( V_ 6 / /v G if /t n— Agent or Applicant PRINTED Name Peimit Officer's PRINTED Name Si n ture' Please read compliance statement on back of permit•* S' atur �� 59(0Y-%4/ALt Application Feels) Check q/Money Order Issuing Date (Scale: N 1 S) N 4- ❑ TAR/PAM/NEUSE/BUFFER(circle one) ❑ See note on back regarding River Basin rules ❑ See additional notes/conditions on back (Please Initial) Expiration Date FA �4`e"rI,+ ❑CAMA ❑ DREDGE & FILL N9 89998 A B C D 541 GENERAL PERMIT Previous permit Date previous permit issued ❑New El 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. -fC ..General Permit Rules available at the following link: www.deq.nc.gov/CAMArules Applicant Name I + Authorized Agent Address Project Location (County): city ! i State ZIP Street Address/State Road/Lot #(s) Phone # O Email 1 Subdivision City ZIP Affected ❑ ON ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (nar/man/unk) AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Mal. Wtr. Body ORW: yes/no PNA: yes/no Type of Project/ Activity (Scale: ) Shoreline Leneth Access Length { I Pier (dock) length- FixedPlatform(s)�_`� - IF I Floating Platform(s) _ it C. Finger pier(s) L r I Total Platform area I I I Groin length/# I Bulkhead/Riprap length � - I --I- — — 'i � -{-- I Avg distance offshore - _�-_ __ - I � I i I I i i I i Breakwater/Sill -- - - -• - i �_ r� Max distance/ length Basin, channel Cubic yards Boat ramp Boathouse/ BoatliR Beach Bulldozing Other r-- ` .. SAV observed: yes no Moratorium: n/a yes no 1�'W` - LI T Site Photos: 'yes no t Riparian Waiver Attached: ves no._.._�. _._ _- A building permit/zoning permit may be required 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. (Please Initial) Agent or Applicant PRINTED Name Permit Officer's PRINTED Name Signature "Please read compliance statement on back of permit-• Signature �i(f_ Application Feels) Check p/Money Order Issuing Date Expiration Date D=sign EnvWoo 10: 8OB5943A.8581-43ASJ4kES4O96958C4E28 Name of Property Owner Requesting Permit:: S USA � Mailing Address: LADA BlMY� OyxS� New "t3. ,4) N►fl a mN Phone Number: �'11 O �1 C (A q Email Address: �USGw> GbX _ Avg I G�v�l I certify that I have authorized a d� AgenticaWWOr to act on my behalf, for the purpose of applying for and obtaining all CAM1A permits necessary for the tollowi4) ng proposed development: O pCK , Dail oA dodK at my property located at 1' 3\1 L-e 2. C nA PA - In DG4-'e, County. I furdwmore car* that l am authorized to grant, and do In fact grant Permisslon to Division of Coastal Management staff, the Local Permit Ofter and their agents to enter On the alcroax tdoned lands in connect/on with evaAmling information related to this permit apprrcation. Pr perty Owner Intorrnation: gecu14,4 bI ,E+eoEwxv,+vv. Signewre Susan Bingham PdrM or Type Name Tide '�ib�Z024 / Dale This certification is valid through KG ONWmOM Or OOAfTAL MN1WMyYt Form ADJACWT W^ MM PMOPMMr OWNOM MOT .. ...�i m (Tap Path^ to be a mood by Ommu a tmmmit mpmrml) lmrn-of PFipwy Onw Am.. d FVvnmrd: 1��- ( f� " i c ().1`�l `� ----• � 1 /� ewb.,✓r nrr. ,.� 6 AWft ME c ► c ADA&CO T WAR" FMFTr oVpg" C p MpytvVIWVM ( n,1('1 A 1 1 b 100 MOT r w. -waamm b eY 100 !rA b' Pa bpw wt r,:Mw •rr. » or r om" now ft of ft" Aero. 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