89239A - Gordon, Mike

❑CAMA ❑ DREDGE & FILL N9 89239 A; B C D
t GENERAL PERMIT Previous permit k-;;v
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:
I SA NCAC t ) 1 t{ . t 2... O ( , ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq nc gov/CAMArules
Applicant Name iA t k-C (Ira cAn U.
Address I IF C" hy o °SAD r i.__ Q) LJr'.
City .; z i 1 +,;; - State zip ..i
Phone # 4- 19
Email -� �rL /t C dc,-hnr).�.r 1�•.
Affected ❑ CW DEW 2 PTA ❑ ES ❑ PTS
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS
ORW: yes/no PNA: yes/no
Authorized Agent NAtr% i-V II - J c-� �v-- t 1:-.. t
Project Location (County): C U t k ti f t r L
Street Address/State Road/Lot#(s) I \ L 1- k t v "> ,. - (-
Subdivision cD f l l e I ,5, 1 F',
City ( t I Y V. L�i . +
. I .r k� zip ! -1 'J 7
Adj. Wtr. Body C n hao C. fir:. tr— nat/mma�unk)
Closest Mal. Wtr. Body [. Lt.YY 1y "C.-
Type of Project/ Activity 11� 4 .
(scale:l�--30 )
Access Length
Platform(s) I/
OEM
.■��-
.NSEE
:..'
JNiom
Floating Platform(s)
WL.Fixed
.
■J
.
...0No
III
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Max distance/ length
Basin, channel
. .
M.
M.
:.:..:
Other
■�.■.
:
:.■�■..IM
C
IM1EMI
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NONE
..
..InE�,wl��w�■mgA
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�■!■III■
.Ift��
:
...
...gym■.
;.
::N■:Moratorium:
�.■■
■■■,■■
�:
SAV observed: yes o"
n/a no `
no
Phot
: ;.r ; :.. Ad. he a
■■yes
i:�iiM■Site
■■i�..■■
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s■
■■■■
■:N■■■i■■■■
A building permit/zoning permit may be required by:
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)
� l
Agent or Applicant PRINTED Name
Signature **Please read compliance statement on back of permit**
Application Fee(s) Check p/Money Order
Permit Officer's PRINTED Name
Signature rY"031
Issuing Date Expiration Date

N.C. DIVISION OF COASTAL MANAGEMENT '
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
�.crc 1ricu nuv - rcc r umri Rtuty I Kt Qutb 1 tD or HAND DE
(TOP portion to be completed by owner or their agent)
Nerne of Property Owner
Address of Property -
Mailing Address of Owner:
Owners email•
�lre d
0 \Jn. OD , Co /Ipwner's Phone#- Qo a S y
TLdc- IV c ? 7 �t --ko/
Agent'sNarne:.. rl[aA-fT_e)'t``cYrl Agent one# r1
Agents Email Sfyncy1 — iJf S I C I'ufti CD / M
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIRcATION
{Bottom portion to be completed by the Adlac mt Properly Owner)
t hereby cerMythati own property adjaoerdto the above referenced property. The individual applying for this
permit has desabed to me, as shown on the attached drawing, the development they are proposing- A
d....,- "onord %vhh diunensiommast be 'provided with this letter:..
k
i DO NOT have objections to this proposal. I DO have objections to this proposal

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONtWAtVER FORM
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top porno I, be comyplet by owner or th it agent}
Name of Property Owner. I tY
Address of Property
Mailing Address of Owner.
Owner's email: 61Jd z 6 (OM Owner's Phone#: q �9?10-�
Agent's Name: t)` ieem a>1 Agent Phone#-. n`
Agent's emait%IWIzAh-1'iElf�u.��"`
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(go loin porifon to be completed by the Adlacent Property Owner?
I hereby certify that I own property adjacent to the above referenced property. The individual applying for this
permit has described to me, as shown on the attached drawing, the development they are proposing. A
--.�...+,. 4r .nsiavuu 1vrm unLensiuns, mus[ cre pronaeu wnn mu Feuer.
> 1 DO NOT have objections to this proposal., 1 DO have objections to this proposal
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