73811_James and Linda Vencil_20190730

CAMA / L- DREDGE & FILL ? "
GENERAL PERMIT
XNew -1Modification ❑Complete Reissue El Partial Reissue
No. 73 811
6 B C D
Previous permit #
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
EX Rules attached.
Applicant Name �a ,,,� L . �� c, U r c �� Project Location: County �„ r ✓ • �� c k
Address I u y �;' �) c P t c k i� Street Address/ State Road/ Lot #(s) 9 p I G u t C-
City V�� (3I• StateA ZIP a3Li� 4
Phone # (3 ) "163- 9 S I E-Mail
Authorized Agent
ElCW
`^' EW
(Q PTA �S ❑ PTS
Affected
AEC(s): ❑ OEA
❑ HHF
❑ IH ❑ UBA ❑ N/A
❑ PWS:
ORW: yes /�rg�
PNA
yes
Loi
Subdivision Coro\Ja f.eac k
City c"ryl14 ZIP C),
Phone # ( ) River Basin Pch ^
Adj. Wtr. Body C.,., \ {o kr,wt}\ sc. f3o,t (nat c nkn)
Closest Maj. Wtr. Body Cv. f-iv K Soar C'
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Agent or ABplicant Printed N ��
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Signs r Please read c mpliance statement on back of permit"
4 v. -_- 40cb4 6333q
App ' tion Fee(s) Check #
Permit Off ted�d�me
ure
��3o/aulq 11/3v/�v(q
Issuing Date Expiration Date

SIC Division of Coastal Mgt. Habitat Impact Computer Sleet
Applicant: U e ✓l C A
Date:
Permit #: -.- M) 1
Describe belo',k� 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
temp impacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount)
Dredge Fill ❑ Both ❑ Other ❑
3 (o Oc)o
')-C7 000
l� . �•
Dredge ❑ Fill ❑ Both ❑ Other ❑
p 06X>
aiU 60 C7
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 ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
0, /- '�(r
C� �d CC�C0v C' �kw-\� --�
252-808-2808 :: 1-888-4RC©A5T :: www.nccoastalmanagement.n_et revised:02/03/10

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERED
n�,ntFs a- L,>>vr---�,A Vc��t l
I hereby certify that I own property adjacent to + w, I 1 r9rr) c-, DALE 's
(Name of Property Owner)
property located at �� � Pc �- C � Court✓ i
(Project Site: Address, Lot, Block, Road, etc.)
on C in C AlZo ✓!� , N.C.
(Waterbody) (City/Town and/or County)
Agent's Name #: Mailing Address:
Agent's phone #:
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
w e q ft, pn opos , * i5 --t) D Y,.o_4,c,_z Cq,,?,, ( -/o /7 e-ce c; -,v
u1 U-Ltyt wc,I /'Qn oLA"4 o "YL I-cr-r , %k--e
-1)n)Qt-0 5 4-o / ,v (oAY;,,) yd Lt o vLta / ✓7�n-fi, �
Ci >7 d 4V 4 `S. a
G� � � � io >� � o � o u.2 P►�-ev► � u1(-Y Pr�os�c� T��atli�
if you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 401 S.
Griffin St., Ste 300, Elizabeth City, NC, 27909. DCM representatives can also be contacted at (252) 264-
3901. No response is considered the same as no objection if you have been notified by Certitled Mail.
(PrcMerty Owner Ijformation) (Adjacent Property Owner Information)
I I C S Gyc= yl/c. t
nt or Type Name
/ o ? S h -e-n h-e�c cis
Mailing Address
K-:;i v+45 Al C 2 79S 0
City/StatelZip
7s -r 7(,, 3 9.sJ .s ✓�� l�tc e
Telephone Number / Email Address Y,4,4co , C mrl
Ju.r� /7 ) 201�
Date
*Valid for one calendar year after signature*
Signature*
J-a�,y .a- C- / , L. C 1 a17 S
Print or Type Name p �`
A y VI CI
Mailing Address
& n-is-rA IRt; c ✓L1/ , 02 G8a
City/State/Zip
Telephone Number/Email Address
J14 4-k
Date`
Revised Jan. 2017

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PPO ODUNE NOTIFICATION FORM,
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERED
tN,)I7A--;-I L.Oxz,E`/
I hereby certify that I own property adjacent to ?Ax,1,1 S d L. lnwA L/E/Uc-,r % 's
(Name of Property Owner)
property located at Cj 2 Ed2e. H Ch i CyQ1?6,aA 4/ L 2 7,F Z 7
(Project Site: Address, Lot, Block, Road, etc.)
on C, A.;,0y4 L , in C A.,�tQ 2/f7 , N.C.
(Waterbody) (City/Town and/or County)
Agent's Name #: Mailing Address. -
Agent's phone #:
He/She has described to me as shown below the development he/she is proposing at that location.
and I have no objections to the proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must it in description below or attach a site drawing)
t,� e �►�-� �n G/o cs � o � � -/'v � a2�. � S-2 -�-� C 4 n� J -7ry �-e� e �
i1�t lk �C1 fLLI,� 4 / 14/2oci Y1CI G U xl- Lo-T 5 7 ki t A- f'i'+C.Tic
+J✓L�bt>>r� �c f 2y-F. -l'U1lt) i=vyC,Y!% /tit( 0r (:Juk l!?�tY7t)Vn 4 rl 772Q
Rm�ur7-h ck Sc7n/ �U /7� Jj�Q���C�e W-qt (an4 4t15o
P--,�v) a Ltg pose- WaQ+ J Ff Q•,V Z.a,- q i
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of recelpt of this notice. Correspondence should be mailed to 401 S.
Griffin St., Ste 300, Elizabeth City, NC, 27909. DCM representatives can also be contacted at (252) 264-
3901. No response is considered the same as no objection if you have been notified by Certified Mail
(PrRperty Owner%i,(lfftfo/1flt/7/ianon)
�f1.9il.,�iA . /� 1 t A
7J"
at-u• re /- � /
;f it -5 S l-C
Print or Type Name
Mailing Address
lN—r10t1--S _L 5lci I �G(. lU Z7i5 C�
City/Statelzip
(Adjacent Property Owner Information)
Signature *
C r�j),/D tn) d t ll t<n2 S0 L/ �=
Print or Type Name
/7.3/ Bo �h� J&1
Mailing Address
VX . 2 3 5 08
City/State&ip
7 74- 3 s/ `T V Cn ct / h,I-�
Telephone Number/Email Address (19 yj1Wo- Coal Telephone Number/Email Address
T-L, I q
Date
*Valid for one calendar year after signature*
f )Y 71c�/9
Date"
Revised Jan. 2017

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NORFOLK, VA 23508
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