20170467 Ver 1_CAMA Permit_20170413

� �CAMA / �DREDGE & FILL � � � � A B C D
GENERAL PERMIT Previous permit # '
�New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued "�
As authorized by the State of North Carolina, Department of Environment and Natural Resources
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC �� �`� `����
❑ Rules attached.
Applicant Name ����` Project Location: County p`��'
Address � � � �1���'�=r ��• � ��� i�� � f�� Street Address/ State Road/ Lot #(s)��� ��i f-�� �`�' � � ��
City �� ��Tb� State � L;- Z�P � �"` �� ���'��`� � ��t�� �a ��� �°'�.,� i �� 1�►f:�- � � �
Phone # (��) �%� ' �� � E-Mail �'��i��������.� t`� Subdivision �""�`
Authorized Agent �t`���. �i �,..�- 11��``,� � City �tt��� � ZIP c�-� �
�cw �w �ra o Es ❑ PTS Phone # ( _ ) �� River Basin �f��G'�v�Pu�
Affected � oE,a ❑ HHF ❑ iH ❑ uB,a ❑ N/A �, ' � r
AEC(s): Adj. Wtr. Body �'� . � e � ��''�1����'w^at3,� �nat /�ii___�an�/unkn)
❑ PWS: r
ORW: yes / no PNA yes /�o
Closest Maj. Wtr. Body ��� I��� ��``°�
�? ft �
Type of Project/ Activity f���C.� �JC ��a l � ��� ��' �� � �� ��� I,� i%� `�� �� �C ``�,� �,/�� �s'`r ���--
¢�i,�C,�►�s���`�'�i�����` �'Ot�� w��t����- .���� `T� �����`i�-� ��5�-..c�—�— i��� (Scale: �g�A )
Pier (dock) length "` ' `
{ ; t � — I
..� , < � � .. �
Fixed Platform(s) j ° � ` � � a � � �
�� ' : j _. �
FloatingPlatform(s) � ( � �_
� ;._ � - -, # � _
_ _#
��� Finger pieris) `.�._' i i ; ; I E � � ��
� Groin length �""' � � � � � � � �- � �
I number �` q� j f�t��%v�' �i(�h�L���`�i �,� ���-�..��������-� 1� I�'A �`t'r�'"��j ��,,. I
I Bulkhead/ Riprap length � i �S ' �
� �
avg distance offshore "-' ( ' ` ' } j '
I ,
,
..s. i E � ���' i I �� ��1 �� ���� �� :�`�.%�6_ �
max distance offshore ; �
, _ . �;
� ; 1 � � i � � G t
, ;
Basin, channel a =- -� � � —�
� �
{ 3 , 3
_ � ; � ,
u� ; ; � �
: �
cubic yards '�` _ : � _ � _ � i
Boat ramp � � � � _ � i � � i __ � _ � _ - �
.� l � i � 1 �� � .
Boathouse/ Boatlift + ` � ! � '
;
� � � � � i
. _ � � � } � ��j
� � , �
k 1 1
Beach Bulldozing '� � ` � � � ' � � �� � �� � �`
s_ _ , -; ;
. I i_ . ' _ � __1 � t.
��c� ��� �I� ` �
Other t�` i 1 ; � � � �
�
:�j � "c=i"�� `'i��1� � � �_ � i I
,
:
;
a = - �
:
,
� 1 � � � 1
� � � � f i� ' �!
Shoreline Length ���'` � � z � � � �� � � �_ _ � i
' s ... , . _. �
_ _ __
SAV: not sure yes no ; } � � ` � � � � �
� , � ; �
� � � � �
_
Moratorium: n/a es no �� ' � �� � ' � � �
Y � ? . _ i � � � - �
� �
Photos: es ` no � ' � ' �
� � � ; __
,. � °�� � _ I
Waiver Attached: yes � ' i � � � �. � _ - �� -'
A building permit may be required by: �,1��� ❑ See note on back regarding River Basin rules.
( Note Local Planning Jurisdiction) .
Notes/ Special Condition�'l�i ��i�'F ���d��° J 9�a3ii"(� i� ���i�1t�t 4�� ���'1�".� � ��f%� y"� C�� ��+y .��d�u�
i��,�a� �'�� �����������t�3�'1� / ��� ,�t�`��'- �'c���i.,� � ���.,��,�ih t�� �i���� i/�t � �,�� 1 i �� a�v i.L�i`"�-��
c� �3���;`��"t�.� �a�T�i�+�' ..a�' �.L ���-�1ki � r�n�s°r�S'�i� �i-���i ��'��- ���,�.,� �,.���. �'��L� � T�� i,�%, .
�
Agent or
Signature ���leasereadcompliancestatementonbackofpermit��
��.� ��� ���'! 1�
Application Fee(s) Check #
�-�� �'� �'���� /
PermitOfficer's Printed N
Signature
�` i .1 I �i
Issuing at Ex irat n Date