20130268 Ver 1_CAMA Permit Application_20130319

Pat McCrory
Governor
March 14, 2013
MEMORANDUM:
l3 -oa.LD g
4.
NCDEE R
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Braxton C. Davis John E. Skvarla, III
Director Secretary
TO: Karen Higgins
401 Oversight
DWQ - Surface Water Protection
FROM: Doug Huggett, NC DENR -DCM Major Permits Co
400 Commerce Ave., Morehead City, NC 28557 (Courier 11- 12 -09)
SUBJECT: CAMA Major Permit Application Review
Applicant: William Vereen
Project Location: 365 Waterway Dr., adjacent to Alligator Bay /AIWW, in Sneads Ferry, Onslow County
Proposed Project: to install a second pier and platform out into Alligator Bay
Please indicate below your agency's position or viewpoint on the proposed project and
return this form to Doug HuQQett at the address above by April 8, 2013. If you have any
questions regarding the proposed project, contact Jason Dail at (910) 796 -7215, when appropriate,
in -depth comments with supporting data is requested.
REPLY: This agency has no objection to the project as proposed.
SIGNED
This agency has no comment on the proposed project.
This agency approves of the project only if the recommended changes are
incorporated. See attached.
This agency objects to the project for reasons described in the attached
comments.
DATE
127 Cardinal Drive Ext., Wilmington, NC 28405
Phone- 910 -796 -7215 \ FAX. 910 - 395 -3964 Internet: www.nccoastalmanactement.net
An Equal Opportunity \ Affirmative Acton Employer
MARlg1013

DIVISION OF COASTAL MANAGEMENT
FIELD INVESTIGATION REPORT
1. APPLICANT'S NAME: William Vereen
LOCATION OF PROJECT SITE: The property is located at 365 Waterway Drive, adjacent to Alligator Bay and
the AIWW, in Sneads Ferry, Onslow County.
Photo Index - 2006: 28 -6494, I, J -13 2000: 28 -387, I, J -15 1995: 28 -374, J, K -11
State Plane Coordinates - X: 85459 Y: 756101 GPS File: S- 031412A
Lat: 34 °30'32.89 "N Long: 77 °24'16.60 "W
3. INVESTIGATION TYPE: CAMA
4. INVESTIGATIVE PROCEDURE: Dates of Site Visit — 3/12/2013
Was Applicant Present — Yes
PROCESSING PROCEDURE: Application Received — Completed on 3/12/2013
Office — Wilmington
6. SITE DESCRIPTION:
(A) Local Land Use Plan — Onslow County
Classification From LUP -AEC areas are classified Conservation and Resource Protection.
(B) AEC(s) Involved: EW, PT
(C) Water Dependent: Yes
(D) Intended Use: Private
(E) Wastewater Treatment: Existing — Private
Planned -None
(F) Type of Structures: Existing — Residence and private pier
Planned — Additional pier and platform.
(G) Estimated Annual Rate of Erosion: N/A Source - N/A
7. HABITAT DESCRIPTION:
, • ERIM •_ E
(A) Vegetated Wetlands
120 sq. ft.
(shaded)
(B) Non - Vegetated Wetlands - open water
696 sq. ft.
(C) Other (Highground)
(D) Total Area Disturbed: 816 sq. ft. (shaded and open water)
(E) Primary Nursery Area: Yes
(F) Water Classification: SA -ORW Open: Yes
8. PROJECT SUMMARY: The applicant proposes to install a second pier and platform out into Alligator Bay.

William Vereen
Page Two
9. PROJECT DESCRIPTION:
The project site is located at 365 Waterway Drive, adjacent to Alligator Bay and the AIWW, in Sneads Ferry, Onslow
County. To get to the site from the Wilmington Regional Office, take US Hwy 17 N to Old Folkstone Road in Holly
Ridge (approximately 30 miles) and turn right. Continue approximately 6 miles along Old Folkstone Road (crossing
through at the intersection of Old Folkstone and NC Hwy 210) and turn right onto Chadwick Acres Road. Travel
approximately 1.5 miles and turn right onto Alligator Bay Road. Continue along Alligator Bay Road (which will turn into
Wateway Drive) and the subject property will be located at the far end of the road, on the left hand side, just before the
private bridge leading to the last residence on the road.
The lot is approximately 0.51 acres and existing man-made features on the property include a single - family residence, pier
and platform. The high ground portion is elevated approximately 2 -4 feet above Normal High Water (NHW). Vegetation
on the tract consists of lawn grasses, ornamental trees, shrubs, Coastal and "404" type wetlands (which exist adjacent to
the subject property on all four sides). Under - story/scrub vegetation consists of Yaupon (Ilex vomitoria), Wax Myrtle
(M)rica cerifera) and other ornamental plants. Coastal Wetlands species found on or adjacent to the property include: Sea
Lavender (Limonium, spp.), Glasswort (Salicornia spp) and Smooth Cordgrass marsh (Spartina alterniflora). The
applicant has approximately 169' of total shoreline along the AIWW and Alligator Bay, none of which is bulkheaded.
The existing pier along the eastern property boundary was authorized under CAMA General Permit #57386, on June 29,
2011. The work authorized a 5' x 120' walkway which terminated into a 10' x 24"'t-head" shaped platform. The existing
pier and/or platform do not have any associated dockage and is simply used for fishing, crabbing and/or other water
dependent uses. As constructed, the existing pier /platform appears to be in compliance with the conditions set forth under
the CAMA general permit.
It should be noted that the applicant originally applied for a permit to construct a second pier from his property back in
2011/2012; however, according to a survey provided by Charles F. Riggs and Associates, the applicant's property
boundaries did not extend out to the Mean High Water (M1M line of Alligator Bay. Upon being informed of this
information, the applicant withdrew his request and applied for a Quitclaim Deed on this unclaimed property, which he
later received and recorded in March 2013. At this time, it appears the applicant has fulfilled his duties in obtaining
riparian rights to waters of Alligator Bay, by way of the attached Quitclaim Deed.
The waters of Stump Sound, adjacent to the project site, are classified as SA -ORW by the North Carolina Division of
Water Quality. They ARE designated as a Primary Nursery Area (PNA) by the North Carolina Division of Marine
Fisheries, and they are OPEN to the harvest of shellfish.
PROPOSED PROJECT:
The applicant proposes to construct a second access pier and platform along the western side of the property, adjacent to
and extending into Alligator Bay. As proposed, the pier would originate along the western property boundary (just above
the Coastal and "404" type wetland limits) and extend towards the west approximately 100'. The pier would measure 6' in
width and would terminate at the junction of the planned 12' x 18' "t- head" platform. As stated in the application
package, the structure would be uncovered and used for fishing, crabbing and other water related activities. As with the
other pier /platform associated with this property, the proposed pier /platform would not provide dockage for any vessel(s).
According to the site plan, water depths at the terminal end of the pier /platform measure between -2' and -3', relative to
Normal Low Water (NLW).
According to the work plat drawings, the proposed development would be located outside of any channel, within' /4 of the
width of the waterbody and within the applicant's riparian corridor. There is no established pier -head alignment along this
section of Alligator Bay; however, there is an existing pier located immediately north of the property. The neighboring
pier extends approximately 100', as measured from the edge of the high ground to the terminal end out in Alligator Bay.

William Vereen
Page Three
10. ANTICIPATED IlVIPACTS
As proposed, the planned development would incorporate approximately 216 sq. ft. of Public Trust Waters. The applicant
has approximately 169 linear feet of shoreline allowing up to 1,352 sq. ft. of platform or docking space. As constructed,
the total square footage of the existing facility (platform) equals approximately 240 sq. ft, and the proposed 216 sq. ft.,
giving a total of 456 sq. ft. No impacts to Coastal or "404" wetlands would occur as a result of construction. As previously
indicated, the planned development would be located within the applicant's riparian corridor and within ' /< of the width of
the waterbody. Short term increases in turbidity could be expected due to piling installation.
Submitted by: J. Dail Date: March 13, 2013 Office: Wilmington

i
RECEIVED
DCM WILMINGTON, NC
MAR 1 2 2013

DCM EF4
APPLICATION Mr
Major Development Permit
Gast revised 12127106)
North Carolina DIVISION OF COASTAL MANAGEMENT
1. Primary Applicant/ Landowner Information
Business Name
Project Name (if applicable)
Applicant 1: First Name
1-L 1,4011
MI
E
Last Name
Last Name
E '
MI
Applicant 2: First Name
MI
Last Name
City
If additional applicants, please attach an additional page(s) with names listed.
ZIP
Mailing Address
65 wA72'ew,9 P 22e.
Phone No. 1
-
PO Box
City
nIEW -1Fa
State
/V'.0
ZIP
Country
/vs 1, 0
Phone No.
71 D - ext.
FAX No.
Street Address (if different from above)
ZIP
City
State
ZIP
Email _ j /+ p L
A) `W C i J Eb
L)
2. Agent/Contractor Information
Business Name
Agent/ Contractor 1: First Name
MI
Last Name
Agent/ Contractor 2: First Name
MI
Last Name
Mailing Address
PO Box
City
State
ZIP
Phone No. 1
-
- ext.
Phone No 2
- - ext
FAX No.
Contractor #
Street Address (if different from above)
City
State
ZIP
Email
<Form continues on baclo
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DCM WILMINGTON, NC
LIAR 1 2 1013
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Form DCM MP -1 (Page 2 of 4)
APPLICATION for
Major Development Permit
3. Project Location
County (can be multiple)
Street Address
State Rd. #
LotJ
3CS(.JA7"X&) 7
NWL (normal water level)
Subdivision Name
City
State
Zip
06 &Aj 14 C .Fs
NE
g. Identify and describe the existing land uses adiacent to the proposed project site.
Phone No.
Lot No.(s) (if many, attach additional page with list)
%0 % t) ext.
I I I ,
a. In which NC river basin is the project located?
b. Name of body of water nearest to proposed project
C' P. e'
v or A
c Is the water body identified in (b) above, natural or manmade?
d. Name the closest major water body to the proposed project site
Natural []Manmade []Unknown
e Is proposed work within city limits or planning junsdiction7
f. If applicable, list the planning jurisdiction or city limit the proposed
❑Yes ❑No
work falls within.
ONSL 0 v '"
d 01.3 Co Ok)7P
4. Site Description
a Total length of shoreline on the tract (ft.)
/&?
b. Size of entire tract (sq.ft.)
.22" .211
c. Size of individual lot(s)
d. Approximate elevation of tract above NHW (normal high water) or
NWL (normal water level)
(If many lot sizes, please attach additional page with a list)
❑NHW or 04NWL
e. Vegetation on tract
4 S7,_4Z GCE AJI ti� sc ' al
f. Man -made features and uses now on tract
o L
g. Identify and describe the existing land uses adiacent to the proposed project site.
h. How does local government zone the tract?
i. Is the proposed project consistent with the applicable zoning?
(Attach zoning compliance certificate, if applicable)
_
Yes []No []NA
1. Is the proposed activity part of an urban waterfront redevelopment proposal? ❑Yes No
k Has a professional archaeological assessment been done for the tract? If yes, attach a copy. ❑Yes No ❑NA
If yes, by whom
I. Is the proposed project located in a National Registered Historic District or does it involve a ❑Yes No ❑NA
National Register listed or eligible property?
RECEIVED
<Form continues on next page> DCM WILMINGTON, NC
MAR 1 2 2013
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Form DCM MP -1 (Page 3 of 4)
APPLICATION for
Major Development Permit
m. (i) Are there wetlands on the site?
Yes []No
(u) Are there coastal wetlands on the site?
]Yes ❑No
(m) If yes to either (i) or (ii) above, has a delineation been conducted?
[]Yes -N No
(Attach documentation, if available)
n Describe existing wastewater treatment facilities.
o Describe existing drinking water supply source.
p. Describe existing storm water management or treatment systems.
5. Activities and Impacts
a Will the protect be for commercial, public, or private use? ❑Commercial ❑Public /Government
\4nvate /Community
b. Give a brief description of purpose, use, and daily operations of the protect when complete.
oasE,PVRrlz)� �iEs�Dzc Av7i4 L " 1f� 0
c Describe the proposed construction methodology, types of construction equipment to be used during construction, the number of each type
of equipment and where it is to be stored.
/7 f7 G�)4s,�%17 I /L��cJ�S', A�� �Qrj���E�T' �3�" sT �eJ
p n-) r' Fsf DEAi Ti A C 7 W1 �1,9 G, A Y
d. List all development activities you propose.
e. Are the proposed activities maintenance of an existing protect, new work, or both?
40 Z..7 o k
f. What is the approximate total disturbed land area resulting from the proposed protect? Sq.Ft or ❑Acres
g Will the proposed project encroach on any public easement, public accessway or other area ❑Yes No []NA
that the public has established use of?
h Describe location and type of existing and proposed discharges to waters of the state
A/
i. Will wastewater or stormwater be discharged into a wetland? []Yes ISNo ❑NA
If yes, will this discharged water be of the same salinity as the receiving water? ❑Yes No ❑NA
I. Is there any mitigation proposed? []Yes JgNo ❑NA
If yes, attach a mitigation proposal.
<Form continues on bacb
DCM WILMINGTON, NC
MAR 1 2 1013
7, 57- a0a- ?80 13 .. '?- 888- 42COA5' W Vv.nCCai: - ,�aIwpr.a—J& M ' - =nt .x'-,t

f
Form DCM MP -1 (Page 4 of 4)
APPLICATION for
Major Development Permit
6. Additional Information
In addition to this completed application form, (MP -1) the following items below, if applicable, must be submitted in order for the application
package to be complete. Items (a) — (f) are always applicable to any major development application. Please consult the application
instruction booklet on how to property prepare the required items below.
a. A project narrative.
b. An accurate, dated work plat (including plan view and cross - sectional drawings) drawn to scale. Please give the present status of the
proposed project Is any portion already complete? If previously authorized work, clearly indicate on maps, plats, drawings to distinguish
between work completed and proposed.
c. A site or location map that is sufficiently detailed to guide agency personnel unfamiliar with the area to the site.
d A copy of the deed (with state application only) or other instrument under which the applicant claims title to the affected properties.
e. The appropriate application fee. Check or money order made payable to DENR.
I. A list of the names and complete addresses of the adjacent waterfront (riparian) landowners and signed return receipts as proof that such
owners have received a copy of the application and plats by certified mail. Such landowners must be advised that they have 30 days in
which to submit comments on the proposed project to the Division of Coastal Management.
Name f r7DG e77 VC 7,, 9 -,f Phone No.
Address A © f� 2YR y'iVti Znd ;VR TACkSOiV vjLcE A)-C.
Name 'POAJ /iI '� ,Phhone No.
Address tom- �!% / a s/t4E&,V �r�d��✓ N 5Z 2 ;Sf:�_Z)
Name Phone No.
Address
g. A list of previous state or federal permits issued for work on the project tract. Include permit numbers, permittee, and issuing dates.
h. Signed consultant or agent authorization form, if applicable.
i. Wetland delineation, if necessary.
j. A signed AEC hazard notice for projects in oceanfront and inlet areas. (Must be signed by property owner)
k. A statement of compliance with the N.C. Environmental Policy Act (N.C.G.S 113A 1 -10), it necessary. If the project involves expenditure
of public funds or use of public lands, attach a statement documenting compliance with the North Carolina Environmental Policy Act
1 7. Certification and Permission to Enter on Land
I understand that any permit issued in response to this application will allow only the development described in the application.
The project will be subject to the conditions and restrictions contained in the permit.
I certify that I am authorized to grant, and do in fact grant permission to representatives of state and federal review agencies to
enter on the aforementioned lands in connection with evaluating information related to this permit application and follow -up
monitoring of the project.
I further certify that the information provided in this application is truthful to the best of my knowledge.
Date �� "� ' Z+ Print Name W • E. V 4E_FE6 AJ
Signature w 4�?- y
Please indicate application attachments pertaining to your proposed project.
[]DCM MP -2 Excavation and Fill Information []DCM MP -5 Bridges and Culverts
❑DCM MP -3 Upland Development RECEIVED
❑DCM MP -4 Structures Information DCM WILMINGTON. NC
MAR 1 2 2013
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Form DCM MP-4
STRUCTURES
(Construction within Public Trust Areas)
Attach this form to Joint Application for CAMA Major Permit, Form DCM MP -1. Be sure to complete all other sections of the Joint
Application that relate to this proposed project. Please include all supplemental information.
1, DOCKING FACILITYMAR/NA CHAP.ACTEMSTICS' ❑Th►s season not applicable .
a (i) Is the docking facility/marina- b. (i) Will the facility be open to the general public?
❑Commercial ❑Public/Govemment :NPrnvate /Community ❑Yes -@No
c (i) Dock(s) and /or pier(s)
d (i) Are Finger Piers included? ❑Yes
(ii) Number !
_WNo
If yes -
('iii) Length
(u) Number
(w) Width
(iii) Length
(v) Floating []Yes *0
(iv) Width
(v) Floating ❑Yes []No
e (i) Are Platforms included? ,QYes []No
f. (i) Are Boatlifts included? []Yes ANo
If yes
If yes.
(ii) Number
(ii) Number
(iii) Length
(iii) Length
(iv) Width / Z /
(iv) Width
(v) Floating ❑Yes kNo
Note. Roofed areas are calculated from dripline dimensions.
g. (i) Number of slips proposed
h Check all the types of services to be provided
—&—
❑ Full service, including travel lift and /or rail, repair or
(ii) Number of slips existing
maintenance service
Z
❑ Dockage, fuel, and marine supplies
❑ Dockage ("wet slips ") only, number of slips:
❑ Dry storage; number of boats:
❑ Boat ramp(s), number of boat ramps*
❑ Other, please describe-
i Check the proposed type of siting: j Describe the typical boats to be served (e g., open runabout,
❑ Land cut and access channel charter boats, sail boats, mixed types)
[]Open water, dredging for basin and /or channel
Open water, no dredging required
[]Other, please describe
k• Typical boat length � I. (i) Will the facility be open to the general public?
❑Yes _XNo
m (i) Will the facility have tie pilings? RECEIVED
❑Yes.,MNo DCM WILMINGTON!, NC
(ii) If yes number of be pilings?
MAR 2013
211,2 - A0A -2Rn8 :: 1- 88"RCOAST :: www.nccocastaimanauement.net rauicarl. 17/77inrz

Forma DCM MP -4 (Structures, Page 2 of 4)
� 2. DQCKIN,Gf t4CILT Y /M�R/NA ;O# TIONS. � - . ; . _ ' Ttus. 7-777777--, �' - 1
a Check each of the following sanitary facilities that will be included in the proposed project
❑ Office Toilets
❑ Toilets for patrons; Number , Location•
❑ Showers
❑ Boatholdmg tank pumpout; Give type and location
b Describe treatment type and disposal location for all sanitary wastewater
c Describe the disposal of solid waste, fish offal and trash
d. How will overboard discharge of sewage from boats be controlled?
e (i) Give the location and number of "No Sewage Discharge" signs proposed.
(ii) Give the location and number of " Pumpout Available" signs proposed.
f. Describe the special design, if applicable, for containing industrial type pollutants, such as paint, sandblasting waste and petroleum products.
g Where will residue from vessel maintenance be disposed of?
h Give the number of channel markers and "No Wake" signs proposed.
i Give the location of fuel- handling facilities, and describe the safety measures planned to protect area water quality.
1. What will be the marina policy on overnight and live- aboard dockage?
k. Describe design measures that promote boat basin flushing?
I. If this protect is an expansion of an existing marina, what types of services are currently provided?
m Is the manna/docking facility proposed within a primary or secondary nursery areas
❑Yes ❑No 'N. lr
252 - 808 - 2808::1- 888.4RCOAST WWW.nccoastalmanagement.net revised: 12 /27106

Form ®CM MP -4 (Structures, Page 3 of 4)
n Is the marina/docking facility proposed within or adjacent to any shellfish harvesting area
❑Yes []No
o. Is the marina/docking facility proposed within or adjacent to coastal wetlands/marsh (CW), submerged aquatic vegetation (SAV), shell bottom
(SB), or other wetlands (WL)? If any boxes are checked, provide the number of square feet affected
❑CW ❑SAV ❑SB
OWL ❑None
p Is the proposed marina/docking facility located within or within close proximity to any shellfish leases*7 ❑Yes ❑No
If yes, give the name and address of the leaseholder(s), and give the proximity to the lease.
BO MQUSE, (including covefW lilts) ' j _ This section_ riot applicable 1 .1
a (i) Is the boathouse structure(s)
❑Commercial ❑PublidGovemment ❑Pnvate /Commundy
(n) Number
(ni) Length
(iv) Width
Note: Roofed areas are calculated from dhplme dimensions
4. GROlN ( e .g- ,'w_ood,'sheetpile,`etc. =lla rack groin; use MP,, -2, Excevabon and #N.) 7/iWsec9on notapplicetile
a (i) Number
(n) Length
(iii) Width
�,'S $REAKWATER (e.g.; � wood,; sheefpile,_ etc:) , . _ ' .. - ,� _ -, - , ' � , _ : .�{Thts section "r►ot.app7iaab(e
a Length b Average distance from NHW, NWL, or wetlands
c Maximum distance beyond NHW, NWL or wetlands
8. -MOORING P14JIVOS *hd BU4Y5 f' - whis sect r►ot�l G
on pp cable
a Is the structure(s).
❑Commercial ❑PublidGovemment ❑Pnvate /Community
c Distance to be placed beyond shoreline
Note. This should be measured from marsh edge, if present.
e Arc of the swing
b Number
d. Description of buoy (color, inscription, size, anchor, etc.)
- ' dCNI WfLNI ►NGTON, NC
MAR 1 2 263
252 -808 -2808 :: 1- 888- 4RCOAST :: wwwmccoastalmanagement.net revised: 12/27/06

Form ®CM MP -4 (Structures, Page 4 of 4)
a Proximity of structure(s) to adjacent riparian property lines
4/ -- RM 1,0'
Note: For buoy or mooring piling, use arc of swing including length
of vessel.
c Width of water body
'
T thp i
e (r) Will navigational aids be required as a result of the project?
❑Yes Amo ❑NA
(ii) If yes, explain what type and how they will be implemented.
b Proximity of structure(s) to adjacent docking facilities.
-I/- 15'0/
d. Water depth at waterward end of structure at NLW or NWL
.el,5y
This sec'U'ort not applicable
a Give complete description-
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WALKWAY AND PIER
Double 2 x 8
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x DWAV 2x8Jobs 3•.y�
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NOTES
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, Bala. 2000 NC Bulking Codes
S
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PLAN VIEW
. All Stringers to be 2x12
e A0 Band&Mdan to be Strapped to POeps when mare drsn 50% of plalg
to notched Strappkg to be Oelvanbed, r Wds by 121 (ffdn ) log by
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e AO bsbners b be ho%40 W galvanbW
7 AN Bob to be SW and include wsahm on bob and nut aka
e Nails to be a rt m dntinu of 12d. Mg shank
e 8orswe b Ds a minlrrerm o12.F, gaN
d
Contractor to to vailly length of ag pilings prior to oMeMg
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KCAMA DREDGE & FILL
GENERAL PERMIT Previous permit #
CN ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As aut by the State of North Carolina, Department of Environment and Natural Resources
pursuant to I SA NCAC
and the Coastal Resources Commission in an area of environme ntal concern
A&licartt
Address
KY
Pbone 4� Cl- 1-6)
7-7-77.
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Audidt ized Azbnt" IOU -
(Itt, W,
-4 AA
m w -
Ekw 'KEW
Affected '
)MPTA 0 ES
0 PTS
AEC(s): ❑ OEA ❑ HHF
❑ 1H ❑ URA
❑ MIA
❑ PWS-.
❑FQ
ORW: yes/ no PNA yes C no CritHalb. yes/ no
Type of project/ Activity
CO Rules attached.
Project Location: County : : i i
Street Address/ State Road/ Lot #(s)
Subdivision f -
City
ZIP
Phone# River Basin
Adj. Wtr.Body t
(nat Anan /unkn)
Closest Maj. Wtr. Body V
Finger pie s
Groin length
number
Bulkhead/ Riprap length_
avg distance offshore
max distance offshore—
Basin, channel
cubic yards_
Boat ramp
Boathouse! Boadift
Beach Bulldozing
Other
Shoreline Length
SAV., not sure Yes, no
Sandbags: not sure yes
Moratorium: (n/' no
Ph&tos: t yes no
WalverAttached: yes
(Scale:
A building permit may be required by:
- , i
Notes/ Special Conditions
read compliance statementoribackof permit"
❑ See note on back regarding River Basin rules.
j
Eor#on Date
MMUMMMUMENHIMMUM
■WKWEEM
ONE
M■■■■■
■■■■M■E■OMFMANOW
No
NEESE
■MEMNON
MEN
KNEUMMMEM
A building permit may be required by:
- , i
Notes/ Special Conditions
read compliance statementoribackof permit"
❑ See note on back regarding River Basin rules.
j
Eor#on Date

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