71204A_Wayne & Mary Brendle_20181113

CAMA / DREDGE & FILL" - NO 71204
B C D
9�ENERAL PERMIT Previous permit #
New Modification ❑Complete Reissue El 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 I SA NCAC
20 Rules attached.
Applicant Name 1Glk
L9.f/6 T /014d 6'U'bL'E
Address
City/iE�S,jE
/��! /) State-(J-ZIP G�4yy,,
Phone # (7V,) 23., -7fZR E-Mail
Authorized Agent
J i. d l s('t' 46i,L/
Affected ❑ CW
❑ EW O(PTA ❑ ES gPTS
AEC(s): ❑ OEA
❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
ORW: yes /,!q
PNA yes /&
Type of Project/ Activity
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Groin length
number
B head/ Riprap length /4Z,
avg distance offshore Z
max distance offshore -
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAV: not sure
yes
no
Moratorium: V
yes
no
Photos:
K"
Waiver Attached:
yes
no
Project Location: County / k4zldll�r
Street Address/ State Road/ Lot #(s)
Subdivision & +O-
City ZIP
Phone # River Basin 6900 1N�
Adj. Wtr. Body E / n man unkn
Closest Maj. Wtr. Body
(Scale: N P )
A building permit may be required by: /�40 4V 144fl J(A C�"'c' ❑ See note on back regarding River Basin rules.
—i
( Note Local Planning jurisdiction)
Notes/ Special Conditions Aif,yJ 6,E2 /id1 /�(/� Lv1Ql�_ i LL Zi'V V,')GL A�W /' /V� 71 �G �
/',w ,i—%4 .der -s
Ag or licant Printed Name
Signature ** P ease read compliance statement on back of permit
ram`'- in7�D
Application Fee(s) Check #
kt-Viu HIV rH< <
Permit Officer's Printed Name
Signature ,
ry '
Issuing Date Expiration D

NC Division of Coastal Mgt. Habitat impacts Compultar
Applicant: Permit*
Date: / A IW 8 (2z)`e
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet.
Habitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
tempimpacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
Dredge ❑ Fill ❑ Both ❑ Other
Dredge ❑ Fill Both ❑ Other ❑
Z 6 V J6
Dredge ❑ Fill [ Both ❑ Others
V0
Z��G
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
252-808-2808 9-8884RCOAST - v6—j.ncc*astaJmaannt.aat revised.- 02105,110

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.HEM raK cr 3
VICINITY MAP
O
ALBEMARLE PLANTATION
ROODIF W. MC)ION F
PC 2. OLD. )I (MAP 6) / O
♦ BLMARLE PLANTATION
'ROOOEIELD. SECTION r
N)!' !6' ATE -
/ P C 2. SLD I (MAP 6) /
\
A
AL AIL
p9 WETLANDS
WORM CREEK iLAL
�\
Cat
WO
iTL�EDHt
i
(� 0.6177AACRES PRMPOSED 8
bDD. �
do (
11L h.
fryr 1
AETLANDS ;
YEOPIM CREEK
W6'o MW. 9k '19 nr
NOTES:
�7
1.) ALL DISTANCES SHORN ARE NOTZONTAL GROIND DISTANCES.
2.) AREA COUP111ED BY USING COORDINATE LETI
1) THE PROPERTY IS LOCATED N ROOD ZONE AS SNOW ON ROOD
MAP PANEL 37207BI-I DARE MTOBER 5. 20M
6.) ONG044 FIELD NORK DONE NOW.K. A. MI6 PROPOSED - AND DNNEWAY
ADDED THIS DATE
1) RPFRMK�A� hem
PROPOSED DMELIWG 13M SF
PROPOSED WWWAY • SIDE'RMIX . 2042 SE
TOTAL - l OF . In NPERMOIS COLERAOE
C RK TABLE
CURVE ARC LENGTH RABUS TANGENT DELTA I CHORD BEARING CHORD IEHGTH
Cl 66.)6" 5D00' 19.A3 )6'3149• I S13" N' WIN 61 93'
/
ALBEYARLE RµIOTI
WDoO/TF
SECTION F
PSO .C. I. 4D. )I (YAP 6)
If
GRAPHIC SCALE
( IN FEET )
1 inch . 20 [L
ALKIIARLE PLµIAIION
WOODFELD. SECTION F
P C 2. AD )I (YAP 6)
MOM CAROLINA, T'EROUIMANS CDUNTI
I, _----- _---------------------- REMEW llr l O PEPUUWµ, �—,,
CERTIFY MAT THE YAP OR PLAT TO WNEM THIS CERTIFICATION I, ATFIYEO MEETS ALL
STAM MY REOMREMENTS FOR RECCMWC
REW[W W"R ______._._
I NCHOLAS M RACKLEI CERTIFY AT THIS YAP MIS MAW HIDER MY SPERNSON FROM AN ACM,
SURAY MADE UNDER MY SMPERMSCN FROM NE DEED MSCRPTION RECORDED IN DO 270. PD 636; THAT THE
BOINDARES NOT SLPAnO ARE INDICATED AS DRAWN: MAT ME RATIO OfPRECISION AS CALLTAATED ISINTO.".. THIS MAP WAS PREPARED IN ACCORDANCE NM G.S I)-M AS MENDED WTNESS MY DNf I4
SNNATURE. K—RATNN NLANKk AND SEAL THIS IN DAY OT NOEMWEW MI6
I. MCH0.AS M. IIACPLEY KS—, CCRTIFY.
FAND DOES MOT CREATE[ .A K* STREET ORAY IS OT AN CHANCEAN
EY-1OR ESWEET
IANp
LIFE)
M' 55"•
TO OR
CORER —
SOO�N�O��G
"`A CARO, c'rOQL (,5/Q
5
SEAL '
L-5N2
/VI�.A2t/��
NICHOLAS M RACNLEY
L s l062
02*
= "" JH•D 02 SS=
(TIE LNE)
i
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O
ALBEMARLE PLANTATION
- J
• II
ROODFEID. SECTION F
P.C. 3. YD. )s (MAP 6)
I
LEGEND
IL I 0 EASDNG RON REBµ
ERRING .AN
• CALOILATEO POINT
PROPERTY LINE
PROPERTY EYTENSON
RIOT, a WAY LIFE
-- - RYA ROW ZONE LIFE
- - - - PROPERTY Tit LINE
APPROMMATE WETLAND LINE PER
(P. C. ). SLO 74 MAP ))
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Perquimans County, North Carolina - Property Values
Page 1 of 1
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Disclaimer
Every Reasonable Effort has been made to assure the Accuracy of these maps and associated data. Perquinums County, North Carolina and Pearson Appraisal Assume no liability arising from use
of these Values or Data contained on this website. The values and property data is provided without warranty of any kind either expressed or implied, including, but not limited to, the implied
ra warntees of merchantability and fitness for a particular purpose.
http://www.co.perquimans.nc.us/taxcards/index.php?mode=printcard&id=3049 10/9/2018

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to VVANJV1e gY04GV1d\-G s
(Name of Property Owner)
property located at
on
(Waterbody)
(Address, Lot, Block Road, etc.)
in _oaor R6Y , N.C.
(City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
Y.S �Vwv -6u*
'Au 6k loac
tU�2. Ineox k4Ovk- of God kevth w G �OtAKKeAd won't Av,e,
vou
WAIVER SECTION
I understand that a 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. (If you wish to waive the setback, you must initial the appropriate blank below.)
X E I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
(Adulafent Pro erty owner, Infor ation)
.'i nature
A
gn 1re
2tl Y�
Pj�t r Ty Name
T pe �kr/
a lin Ad ess d a
M fling A ress ^ r C ?--I a�
`v
ity/S ate i
L-t12� 2 5-'1LA2� Wbra►w,rdl
City t te/Zip
�u��yrZ.cp • 52r�,
Telephone Number/email address _`J Lpyy
Telepho e Number/email address
i0-101-It
I U-1 - 26100
Dare
Daly *
(Revised Aug. 2014)
`Valid for one calendar year after signature*

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to V oogyle eY-ov-hd\-C' 's
(Name of Property Owner)
property located at L..0't F"��
(Address, Lot, Block Road, etc.)
on , in A - -C if � , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
tiS� ��htcvr -F��r a'E 3-f-t' Iri+�tn o ader� �'AklneAd 0 V +hc t
l4A2 k-"Wa,"r k� of (off Wn h w ao&v\ VXA\KV.ead o44>nt Av"t
V
WAIVER SECTION
I understand that a 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. (If you wish to waive the setback, you must initial the appropriate blank below.)
>< I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
(Adjacent Property Owner Information)
Ix
Si t�ature '"�
�'Sll, crr"ury /
�r't�gTy�e lime
1 . �If; � AN4i
Print or Ty e Name
I �[ Y FC%el kL Of --
Mailing Ad ress
inc � d .�S a*apatlo
Maily� Ad
-HAFA, an h/•C 171
y/S telzi
btZ T;9-1421 W
City/State/Zi
lvc.. 20'426--2014?
Telephone Num er/email address
Telephone Number/email addres
4o
1 L"1A-�i
114611 i "!7 7 e-6 01- n1
Date
Date's
(Revised Aug. 2014)
"Valid for one calendar year after signature"

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 1-V— iiz�SY 0"eY 6 �e— 's
(Name of Property Owner)
property located at
L.o -*- Ir - 31
on
(Waterbody)
(Address, Lot, Block, Road, etc.)
in '(-GA , N.C.
(City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
BRA- s1 &4 of lo'r
\ ;yrV,o r
-Wkk, w�►
WAIVER SECTION
I understand that a 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. (If you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
1 do not wish to waive the 15' setback requirement.
,lProperty Owner Information) (A cent Property Ow er Information)
i 7crizcre Signature*
Print or Tyke e Print or Type Name
abak \ fie. / 4
Ma ling Ad ress Mailing Address
It State i City/State/Zip
T �ephone Numb / email address " J Telephone Nu ber/ em / address
l >(,te I)arn *
(Revised Aug. 2014)
'Valid for one calendar year after signature"

AGENT AUTHORIZATION FOR LAMA PERMIT APPLICATION
i M ��a v
t�ib`iie Ui uNet r-r'iy'VWitE3�' 'f4�ut�stilf1g Permit:
`Mailing Address: %W? %AfZ ALL. '
Phnntz Ni imhar
EiilaiI MaGress: iiti��rnev�% +� �•CdYr/ 1
� aLi ON lily a purpose uY applyin ,rof wid ubtaining a:i U4,1A permits
race+ssaPy for he fbi[IuMng-pfir};tGse d u3irejDU�Jitl�iZi�
IF-
j illfihbwfoiw i&ift r: eii. i om ouoiv►UOU W Qidh , aM vv m i' $Gf gAdnt pelM SSiOfl to
Division CW Cfoas'ai iV1aiiCVgV111wj1 otaii, ibbi Lue;a1 Peirrrkij U"fhGrsr UYAJ MtOil agefdS iu etnrer
on the aforementioned lands in connection with eaaluatinq information related to this
permit appttcabon, -
pr? 7r,; e-g
Signahme
Print or Type lVeme
/_xll1-19 Z jt 01VAlIZ411,
Title
o 1 /s I Ik
t)a.k:
This certification is valid through