HomeMy WebLinkAboutThe Preserve at Tidewater HOA 78819CCAMA /'_ DREDGE & FILLN9 78819 p BO D
��G!NEIIAL PERMIT Previous permit #
w OModification I-1Complete Reissue ❑Partial Reissue Date previous permit issued
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
les attached.
Applicant Name[- �[✓�1 �T A Project Location: County_-Q�I1 es a
Address - Diq�rn aIL�!3o Street Address/ State Road/ Lot #(s) COMM
City__A" State%ZIP � P, LA fmu_' OE
Phone # {Q)� L_Mall Subdivision P fr�p
Authorized Agent3"L ' i A ��E<-en - .GySp �1G City 1C"Os j( ZIP
Affected -*-w of ❑ PT5 Phone # (_) River Basin
AEC(s): OEA ❑ NHF ❑ ZH UBA ❑ WA Adj. Wtr- Body eat man unkn)
❑ PW5.
ORW: � no PNA rf yes Y no Closest Ma). Wtr. Body
Type of Project/ Activity
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(Scale: /I f 1 1 2
Pier (dock) length
Rxed Platform(s)Floating
Platform(s)
Finger pier(s)
Grin length
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j
number
Bulkhead) RiPmPlength
avg distance offshore !�
max distance offshore
I -
-
-
-
-
Basle. channel
-- - -.
cubic yards
--
Boat ramp
Boathouse/ Boadik
Ocher S
- I
Shoreline Length
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SAY. not sure yes no
Moratorium: n/a yes no
Photos. yes no
-
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-
-
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a'
Waiver Atmched! yes no I
A building permit may be required
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by: C J %} J[rL% it L�
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❑ See note on back regarding River Basin rules.
( Note Local Planning Jurisdiction)
Notes/ Special Conditions
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gent or ppli Print
a��a- ar1�U
Si re "Please read compliance statementon back of permit"
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plimuon Fee(s) Check #
Permit Officer's
signaturp
Issulro Date i/,..De