100850C - Murdoch

or�F`°""", ❑CAMA ❑ DREDGE & FILL N9 100850 A B C D
GENERAL PERMIT Previous permit
Date previous permit issued
��@I❑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.deq.nc.gov/CAMArules
Applicant Name Authorized Agent
Address rl l C .) ( � `'. I Project Location(County):
City V' State��, r' ZIP Street Address/State Road/Lot#(s)
Phone#(-)
Email Subdivision
City ZIP
Affected ❑CW ❑EW ❑PTA ❑ES ❑PTS Adj.Wtr.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
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/#
Bulkhead/Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/length
Basin,channel
Cubic yards
Boat ramp
Boathouse/Boatlift
Beach Bulldozing
Other
SAV observed: yes no �1
Moratorium: n/a yes no
Site Photos: yes no 5 1
Riparian Waiver Attached: yes no
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 COND TIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial) Sc
!�4-ar/91 C . V'K H fdOC
Agent or 4plicant PRINTED N Permit Officer's PRINTED Name
Signat re**Please read compliance statement on back of permit** Signature
C3/I Ala
Application Pee(s) Check#/Money Order Issulng Date Expiration Date

Statement of Compliance and Consistency
This permit is subject to compliance with this application and permit conditions. Any violation of these terms may
subject the permittee to a fine or criminal or civil action; and may cause the permit to become null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for
compliance. The applicant certifies by signing this permit that: 1) prior to undertaking any activities authorized by this
permit, the applicant will confer with appropriate local authorities to confirm that this project is consistent with the
local land use plan and all local ordinances, and 2) a written statement from the adjacent riparian property owner(s)
has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(s).
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
F-1 Tar- Pamlico River Basin Buffer Rules 1-1 Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules
for the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the
NC Division of Water Resources. If you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215).
Notes/Additional Permit Conditions:
Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
project area and disposed of in an appropriate upland location.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave Morehead City, NC 28557 943 Washington Square Mall Washington, NC 27889
252-808-2808/1-888-4RCOAST Fax: [phone] 252-946-6481
(Serves:Carteret,Craven—south of the Neuse River,Onslow Fax: [phone]
Counties) (Serves: Beaufort,Craven—north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Elizabeth City District Wilmington District
401 S.Griffin St.Ste. 300 127 Cardinal Drive Ext.Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax:[phone]
(Serves: Bertie,Camden,Chowan,Currituck, Dare,Gates, Hertford, (Serves: Brunswick, New Hanover and Pender Counties)
Pasquotank and Perquimans Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

00"'4 ❑CAMA ❑ DREDGE & FILL '-N ? 1()Q� n 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:
I SA NCAC ❑Rules attached. ❑ General Permit Rules available at the following link:www.dgq.nc.gov/CAMArules
Applicant Name Authorized Agent
Address Project Location(County):
City State ZIP Street Address/State Road/Lot#(s)
Phone#(_)
Email Subdivision
City ZIP
Affected ❑CW ❑EW ❑PTA ❑ES ❑PTS Adj.Wtr.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
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/#
Bulkhead/Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/length
Basin,channel
Cubic yards
Boat ramp
Boathouse/Boatlift
Beach Bulldozing
Other
SAV observed: yes no
Moratorium: n/a yes no
Site Photos: yes no
Riparian Waiver Attached: yes no
A building permit/zoning permit may be required by:
❑TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions
❑ 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 plicant PRINTED Name Permit Officer's PRINTED Name
Signature"Please read compliance statement on back of permit" Signature _
` � 1 (t
Application F'ee(s) Check#/Money Order Issuling Date Expiration Date

Statement of Compliance and Consistency
This permit is subject to compliance with this application and permit conditions. Any violation of these terms may
subject the permittee to a fine or criminal or civil action; and may cause the permit to become null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for
compliance. The applicant certifies by signing this permit that: 1) prior to undertaking any activities authorized by this
permit, the applicant will confer with appropriate local authorities to confirm that this project is consistent with the
local land use plan and all local ordinances, and 2) a written statement from the adjacent riparian property owner(s)
has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(s).
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
F-1 Tar- Pamlico River Basin Buffer Rules Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules
for the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the
NC Division of Water Resources. If you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215).
Notes/Additional Permit Conditions:
Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
project area and disposed of in an appropriate upland location.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave Morehead City, NC 28557 943 Washington Square Mall Washington, NC 27889
252-808-2808/1-888-4RCOAST Fax: [phone] 252-946-6481
(Serves:Carteret,Craven—south of the Neuse River,Onslow Fax:[phone]
Counties) (Serves: Beaufort,Craven—north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Elizabeth City District Wilmington District
401 S.Griffin St.Ste. 300 127 Cardinal Drive Ext.Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax:[phone]
(Serves: Bertie,Camden,Chowan,Currituck, Dare,Gates, Hertford, (Serves: Brunswick, New Hanover and Pender Counties)
Pasquotank and Perquimans Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

Wo` 9cNCAMA )ADREDGE & FILL N9 88696 A s
a = GENERAL PERMIT Previous permit
ENE
i Date previous permit issued
New ❑Modification ❑Complete Reissue ❑Partial Reissue
As authorized by the Stat of North Qrolina,Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC J�i/" Rules attached. General Permit Rules available at the following link:www.dgq.nc.gov/CAMArules
Applicant N Authorized Agent
Address Project Location(County):
City ibli State ZIP' Street
Aress/State Road/Lo (s)
Phone# � I1R 1.4 / 0 4-
Email Subdivisio 7
City ZIP
Affected ❑CW �41EW OINA ❑ES ❑PTS Adj.Wtr.Body (na a unk)
AEC(s): OEA IHA UW SPIMA ❑PWS Closest Maj.Wtr.Body WA
OR es/ o PNA:yes/(tb 1
Type of Project/Activity 1
(Scale: _
Shoreline Length
Access Length CIO 10�
Pier(dock)length RECEIVED 91 =
Fixed Platform(s)
Floating Platform(s)
Finger pier(s) CM-M H J CITY
Total Platform area'
Groin length/#--
Bulkhead/Riprap length
Avg distance offshore �q.�
Breakwater/Sill
styance/length xa�x 33 �y,� 1/
Boat ramp
Boathouse/Boatlift—' V/
Beach Bulldozing �'1 �/ 1 ✓J U 7
Other
SAV observed: yes o �
Moratorium: n/a yes
Site Photos: yes
Riparian Waiver Attached: yes
A building permit/zoning permit may be required by:
e TAR/ AM/NEUSE/BUFFER(circle one)
Permit Conditions
L f
tt See ote on back regarding River Basin rules
r,
c } See additional notes/conditions on back
1 I AM AWARE OF STATUTES,CRC RULES AND CON 110 'HAT APPLY O THIS PROJECT AND R WEDlC EM NT. (Please Initial) "
Agent or plicant PRINTED Nam Permi r' RINTED Na
C
Iignature**Please read compliance statement on back of permit** Sig t re
Application Feels) Check#/Money Order Iss ing�i TDate Expiration Date

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RECEIVED
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVE QQ
7ll CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELI Z024
(Top portion to be completed by owner or their ageQCM_MHD CITY
Name of Property Owner: Steven C. Murdoch
Address of Property: 111 Soundview Drive Newport North Carolina 28570
Mailing Address of Owner: 163 Bogue Dr. Newport N.C. 28570
Owner's email: [e-mail] Owner's Phone#: [phone]
Agent's Name: n/a Agent Phone#: n/a
Agent's Email: n/a
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent 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
description or drawing with dimensions must be provided with this letter.
I DO NOT have objections to this proposal. I DO have objections to this proposal.
If you have objections to what is being proposed, you must notify the N.C. Division of Coastal
Management(DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 400 Commerce Ave., Morehead City,NC 28557.DCM representatives can also be contacted
at(252) 808-2808. No response is considered the same as no objection if you have been notified by
Certified Mail.
WAIVER SECTION
understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or
groin must be set back a minimum distance of 15'from my area of riparian access unless waived by me
(this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign
the appropriate blank below.)
I DO wish to waive some/all of the 15' setba�ji►��
Signature of Adjacent Riparian Property Owner
-O R-
I do not wish to waive the 15'setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: Brenda E. Boardwine
Mailing Address of ARPO: 170 Bogue Drive Newport, North Carolina 28570
ARPO's email: [e-mail] ARPO's Phone#: [phone]
Date: b 20 "waiver is valid for up to one year from ARPO's Signature"
Revised July 2021

o AS,tom [ ,CAMA DREDGE & FILL A a D
Previous permit
GENERAL 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:
.
I SA NCAC 114C.• 1 Rules attached. General Permit Rules available at the following link:wwwderLgov/CAMArules
Applicant Nt :1 . l Authorized Agent
Address Project Location(County): (�51 Ar 1-4
.1 s
ti-
City 1l . State t+ f_ZIP-J — Street A dress/State Road/ (s)
Phone#( )
T-tom G
Email --- Subdivisiog,
City '' ---ZIP
Affected ncw EW OA ES PTS Adj.Wtr.Body (tad/unk)
AEC(s): OEA IHA UW SPIMA PWS Closest Maj.Wtr.Body
ORM(Jes/fho PNA:yes/r>I
� 1
Type of Project/Activity` - ' dz a'
(Scalp:
IF
Shoreline Length •'i. �-^- !OD
Access Length '"' ` l ! k, 1 !� ,' A
Pier(dock)length R COV E 1 J
Fixed Platforrn(s)_ j
FloatingPlatform(s) OC I r
3 1 2024
Finger pier(s)���----- —ACM-MHO CITY ,�-,•S , ._.._.._. _rn - 7.
.��� ---
Total Platform area--
Groin length/#
Bulkhead/Riprap length —
Avgdistanceoffshore
Breakwater/Sill
lidistance/length
t`Ba�in cfiane�x� f\
Cubic yards
Boat ram -� • r
Boathouse/Boatlift r! " r
(� o
Beach Bulldozing �t. '1/ r tiff "'qjr,.
Other V -
----
SAV observed: yes o 1
1 Jam' r�t`
Moratorium: n/a yes
Site Photos yes
Riparian Waiver Attached: yes
A building permit/zoning permit may be required by:t April
-,• TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions 1 'a 'l(}d') f' 1
i
l 41 c 1 r i( {,,, �h ) + . �. See rote on back regarding River Basin rules
ild FJ
See additional notes/conditions on back
I AM AWARE OF STATUTES CRC RULES AND CONDITIO Af-6T APPLY TO THIS PROJECT AND R WED C MPL TEMENT. (Please Initial) C
VVy Vd:Y
Agent or plicant PRINTED Na" Permi ffi r' RINTED Name
rgnature"Please read compliance statement on back of permit" -� SigA ture �
Application Fee(s) Check#/Money Order Isssi ling Date Expiratioonn
Date

N.C. DIVISION OF COASTAL MANAGEMENT RECEIVED
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIW3 1 2024
(Top portion to be completed by owner or their agent)
DCM-MHD CITY
Name of Property Owner: Steven C. Murdoch
Address of Property: 111 Soundview Drive Newport North Carolina 28570
Mailing Address of Owner: 163 Bogue Dr. Newport N.C. 28570
Owner's email: [e-mail] Owner's Phone#: [phone]
Agent's Name: n/a Agent Phone#: n/a
Agent's Email: n/a
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent 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
description or drawing, with dimensions must be provided with this letter.
X I DO NOT have objections to this proposal. I DO have objections to this proposal.
If you have objections to what is being proposed, you must notify the N.C. Division of Coastal
Management(DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 400 Commerce Ave.,Morehead City,NC 28557.DCM representatives can also be contacted
at(252) 808-2808. No response is considered the same as no objection if you have been notified by
Certified Mail.
WAIVER SECTION
I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or
groin must be set back a minimum distance of 15'from my area of riparian access unless waived by me
(this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback
Signature of Adjacent Riparian Property Owner
-OR-
I do not wish to waive the 15'setback requirement(initial the blank)
Signature of Adjacent Riparian Property Owner:
�J 6,% 4-1
Typed/Printed name of ARPO: Mallory W. Harbour
Mailing Address of ARPO:
109 Soundview Drive Newport, North Carolina 28570
ARPO's email: n/a ARPO's Phone#: [phone]
Date: ''aP?,,�'�aiver is valid for up to one year from ARPO's Signature"
Revised July 2021

CAMA DREDGE & FILL { +:, A B V D
' GENERAL PERMIT Previous permit
Date previous permit issued
New ❑Modification ❑Complete Reissue ❑Partial Reissue
As authorized by the Stateof North Carolina,Department of Environmental Quality and the�C,{gasal Resources Commission in an area of environmental concern pursuant to:
/�( G
I SA NCAC n Rules attached. [ eneral Permit Rules available at the following [e-mail]-yov1CAMAr-ules
Applicant Na 141 . 6L Authorized Agent p
Address ! � Y�o t1/In';A -1 U1.' 19'f. ( Project Location(County):
City l i. State 1 l;A• ZIP: !t%^ Street Address/State (s) s
Phone# { 'l�i'.f / �1//
c
Email `--- Subdivisiop f�
City ZIP '•"7.
r. 1
Adj.Wtr.Body : I J /! 4-" (rraad/unk)
Affected cWE4
EW ES PTS AEC(s): OEA IHA g�A
SPIMA El PWS Closest Mai.Wtr.Body
ORM/- es/,ho PNA:yes/ ) i
Type of Project/Activity
(Scale:
Shoreline Length 1.Access LengthRE
Pier(dock)length C EIaEn
Fixed Platform(s)
OCT 3. 1. 2024 v4 f
Floating Platform(s)
Finger Pier sO DCM-MHD CITY- -
Total Platform area--
Groin length/# -
Bulkhead/Riprap length
Avg distance offshore
Breakwater/Sill
/Madis`tainc�fel/IengthrKd�)(-3�
t'Basin� e�jOx� ,4>,L �'�L+'-♦',� E� y/
Cubic yards liC1` ,�
Boat ramp V
-- --� 'S v� li, + J��y�7 . t J
Boathouse/Boatlift I'`� r i
Beach Bulldozing
Other
SAV observed: yes
, 1
Moratorium: n/a yes o j
151
Site Photos yes oU
Riparian Waiver Attached: yes
It • ;
A building permit/zoning permit may be required by:t
TAR/pAM/NEUSE/BUFFER(circle one)
Permit Conditions )AH •- %— -
r— `u :(rb" ��.. L, ►i. See note on back regarding River Basin rules
1 Y4 ^ See additional notes/conditions on back
l �„\
I AM AWARE OF STATUTES CRC RULES AND CONDO HAT APPLY TO THIS PROJECT AND R WED C MPL1 TEMNT. (Please Initial)
r
F�y yi
Agent Jorplicant PRINTED Na mf Perm•�VRINWTEDrgd
r nature"Please read compliance statement on back of permit" Sig ature
Application Fee(s) Check#/Money Order IssifQ Date Expiration Date

N.C. DIVISION OF COASTAL MANAGEMENT In CEIVED
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY
T 1 202
(Top portion to be completed by owner or their agent)
Name of Property Owner: Steven C. Murdoch DCM-MHO CITY
Address of Property: 111 Soundview Drive Newport North Carolina 28570
Mailing Address of Owner: 163 Bogue Dr. Newport N.C. 28570
Owner's email: [e-mail] Owner's Phone#: [phone]
Agent's Name: n/a Agent Phone#: n/a
Agent's Email: n/a
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent 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
description or drawing with dimensions must be provided with this letter.
�c I DO NOT have objections to this proposal. I DO have objections to this proposal.
If you have objections to what is being proposed, you must notify the N.C. Division of Coastal
Management(DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 400 Commerce Ave.,Morehead City, NC 28557. DCM representatives can also be contacted
at(252) 808-2808. No response is considered the same as no objection if you have been notified by
Certified Mail.
WAIVER SECTION
I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or
groin must be set back a minimum distance of 15'from my area of riparian access unless waived by me
(this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback
Signature of Adjacent Riparian Property Owner
-OR-
I do not wish to waive the 15'setback requirement (initial the blank)
\,
Y Signature of Adjacent Riparian Property Owner: CA-t
'\ Typed/Printed name of ARPO: Cynthia E. Stokely
Mailing Address of ARPO: 2406 Surry Rd. Wilson, North Carolina 27896
ARPO's email: ARPO's Phone#: [phone]
Date: 10 "waiver is valid for up to one year from ARPO's Signature"
�T Revised July 2021

�d`°AST4,k*OCAMA DREDGE & FILL 9 88696 , A B 6 D
,41 41 GENE L PERMIT Previous permit
Date previous permit issued
New ❑Modification ❑Complete Reissue ❑Partial Reissue
As authorized by the State.of N(or�th CC lina,Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I SA NCAC ` �L" Rules attached. XG-eral Permit Rules available at the following link:www.dgq.nc.ggv/CAMArules
I
Applicant Authorized Agent
i
Address Project Location(County):
City n /State ZIP Street Ai dress/State Road/L (s)
Phone# 1�iu���-F-� 1�-��d4 44---v/=� 2 b 4
Email Subdivisio
City ZIP
Affected n CW EW O(TA DES PTS Adj.Wtr.Body (n )
AEC(s): OEA 1:1IHA UW SPIMA PWS Closest Maj.Wtr.Body
OR1114s%o PNA:yes/li' i
Type of Project/Activity �/
(Scale:
Shoreline Length i�J
Access Length RECEIVE
Pier(dock)lengths �91
FixedPlatform(s) OCT 3 1 2024
Floating Platform(s)
----'' DCM-MILD CITY
Finger pier(s)
Total Platform area- _ ^ - -
Groin length/# 7 �� , .
Bulkhead/Riprap length��
Avg distance offshore
Breakwater/Sill
stance/length
�7
7( . . t+,xa�x-3
Basin ISanie�e �� �.'. xry x 3 J�. �� VI-11
Cubic
Boat ramp
Boathouse/Boatlift V.,
Beach Bulldozing
Other
SAVobserved: yes 0
L-00
Moratorium: n/a yes Site Photos: yesRiparian Waiver Attached: yes �(
A building permit/zoning permit may be required by
�• � �TAR/ M/N AEUSE/BUFFER(circle one)
Permit Conditions
L f
See ote on back regarding River Basin rules
} See additional notes/conditions on back
c' Rd NA VAbA
1 ,
I AM AWARE OF STATUTES,CRC RULES AND CAI ffHAT APPLY4 THIS PROJECT AND R WED C 1A TEMENT. (Please Initial)
Agent or plicant PRINTED Nam Perm' ffi r' �RINTE6Na
iignature**Please read compliance statement on back of permit** Sig at re
qF)C) -31 d 9- act
Application Feels) Check#/Money Order Iss ing Date Expiration Date