89224A - Bordeaux, John

�°1CAMA ❑ DREDGE & FILL Na 89224 B C D
Previous permit
GENERAL PERMIT Date previous permit issued
New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by the State f Nr Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC 7� / L ` '� ❑ Rules attached. 'General Permit Rules available at the following link: wwwcIeq.nc.gov/CAMArules
Applicant Name S O!a A L« rJJTzI e-1���JL Authorized Agent
Address ! � -s k n 5 e-4- e-s wz- 1 Project Location (County):
City MI')�n�
State tJ<=-
ZIP 9'79Sy
Street Address/State Road/Lot#(s) `%'=' -S �Lrl-5
Phone # (.J 7 t'�") -3 q
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Email « orr n /7�r
Q,awkQ �A-�i2e�' n
Subdivision In S
IQn
City d. /1 ram— ZIP 2'7 15 y
/ / I
Affected ❑ CW
EW PTA
❑ ES ❑ PTS
Adj. Wer. Body C q n a—� (nat/ an/ k)
AEC(s): ❑ OEA
❑ IHA ❑ UW
❑ $PIMA ❑ PWS
11// II
Closest Maj. Wtr. Body a a n e K c
ORW: yes no
PNA: yes�io
Type of Project/ Activity to S (( ` y S
Shoreline Length T �'
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/q
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathous Boatlik L` I L (v
Beach Bulldoz
Other
W�
SAV observed: yes no \«
Moratorium: n/a es
Site Photos: es no y� A�
Riparian Waiver Attached: �. no
A building permit/zoning permit may be required by:
Permit Conditions
(Scale: N j } )
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14J
`lam
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
I AY A\yARE OF STATUTES CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
PRINTED Name
x
compliance statement on back of permit"

1*00Mr", OCAMA ❑ DREDGE & FILL N9 89224 A` B C D
aPrevious permit
�
I GENERAL PERMIT Date previous permit issued
Q 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: www.deomc.gov/CAMArules
Applicant Name
Address
City State
Phone # (_ )
Email
ZIP
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS
ORW: yes/no PNA: yes/no
Type of Project/ Activity
Authorized Agent M -i- h 4- �� S 1, r" .,,, r,,
Project Location (County): Ds^ -
Street Address/State Road/Lot #(s)
Subdivision
City /)I ",. "I F' Zip
Adj. Wen Body - ,t (nat/f;tan/)nk)
Closest Maj. Wtr. Body
(Scale: N-f) )
Access Length
Pier (dock) length
Fixed Platform(s)
EMO
W
Fail
ON
ME
:
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.:
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.
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.
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0
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.
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Cubic yards
Boat ramp
Beach
d
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■:■■■
■'.:v
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:�.��:�.::.....:.Other
SAV observed: yes no
Moratorium: n/a yes no
Photos: yes no
■:
■■■■n■■®:r�
..■■:■■■■■■■■■■■■■:Site
i
I
A building permit/zoning permit may be required by: T •� �� ^ a -t-- ✓b� <z. n
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"
Application Feels) Check p/Money Order
Signature
Issuing Date
Expiration Date

3ve authorized Matthew Sherman
Regent l Contractor
half, for the taurpose of applying for and obtaining all CAMA permits
10 following proposed development: ems.•- ��� C
Dcated at �'Q at/ASG %` 11OabG�i illRr %CP A/r� �PS"1L
,County.
NNY that t am authorized to grant, and do in fact grant permission to
rtal Management staff, the Local Permit Officer and their agents to enter
rationed lands in connection with evaluating information related to this
>n,
formattion.

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i'HOP'ER'fY OW74ER'9 CERTIF{CAT"
taaA iacan r^rdEn:m+C •'
SMIM oeRrecribed to ue.anY Jatignt l0, strove reksgr�he deftioXIMMA Viduai fo[thix �
p5+"mtt has to mo; as storm} on ttw attmhed dnav/ng, Uaa they
d - on ordraw6ro fr�Uetwim}s. m t ba o— ;:.n this fir. . '
100 WT have obiectaxis tom Pepsi_.__, _I00 haft - ID" popol
N You h8iro io !s YIX+ Mott sent the N.C. or Coas4a
Managornen! (OLYU) to wrrN,rg wA'hGi fd days gfracafprol Ntla ngffca. darxa shouts be
mailed fo 401 S. Griffin St., Sta. 3W, Ellzabafh City, NO, 27909. UCdt can also as
COnfactOd
b at (264 26439©t. No nialwrua Is cons the some as no atifil oer N you ham boon
notllfa Y Conyl Mad
WAtYER SECTION
I "emtarttl chat any Proposed Pier, dock, moms pilings, twat ramp, bmakewa s, boalhoute, W tx
groin mutt to set back a Minimum distai of 1ti' from my area o1 riparian access unless waived by me
(this does not apply to burdtesds qr NAP lieveirnel (If you wish to waive Wa sebal you MMILOa
tha appropriate blank below-)
t DO wish to wallas Sorruelfall of thelS setback
Signahxe ofAlso ffbporian P"Mty owner
.pR.
rt^do not,.wfstt to warm the tit setback r t (kaHlat
Y
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A#alffng Adi of ARIPIO.1 GL'.. rf - '. t >,: cP"-J :12 o
r
ARPI enlaill C i "%(RPQ a onel! F ,
Date: `t °rlralver is valid for up to one year from ARpp's f4ignaturel
ReVI J44Y 2021
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