73688A_Blinken, Kari Pfau_20190726

S�ICAMA / �_' DREDGE & FILL NO. 73688 ® B c�D
GENERAL PERMIT Previous permit#
New -Modification CComplete Reissue C'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 -J `� 3 H . I loo
L�Rules attached.
Applicant Name ko r , h�r' uR l , ri V t ,
Address j a- Za 1 �
City State NL ZIP a�q�19
Phone # (152),apa,-6969 E-Mail
Authorized Agent rU F t"\c
Affected ❑ CW ❑ EW X PTA ❑ ES IWPTs
AEC(s): ElOEA ElHHF ElIH ElUBA El WA
❑ PWS:
ORW: yes / rj PNA yes no
Project Location: County ])4 r(_
Street Address/ State Road/ Lot #(s) I a3 2ek I p,iLk Lcru
Subdivision --
City S +i.,,., Shore ZIP
Phone # ( ) River Basin �GSAJUfc.�K
Adj. Wtr. Body .Tec^ 6VA. C rA'c k (nat /man /unkn)
Closest Maj. Wtr. Body �' �� c K sc, ,-c'
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ONE EMEMMMEMMMMME
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MEMME
Printed Name
sign ur "Please reaacompliance statement oA back of permit"
.�-400.00 _ _ ? s s
Application Fee(s) Check #
d i
Permit Name
CagKa-ture- I1 1410 140IQ
Issuing Date Expiration Date

Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become
null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The
applicant certifies by signing this permit that 1) prior to undertaking any activities authorized by this permit, the applicant will
confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian
landowner(s) .
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar - Pamlico River Basin Buffer Rules �] Other:
Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the
River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of
Water Resources. Contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the
Wilmington Regional Office (910-796-7215) for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave 943 Washington Square Mall
Morehead City, NC 28557 Washington, NC 27889
252-808-2808/ I-888-4RCOAST 252-946-6481
Fax: [phone] Fax: [phone]
(Serves: Carteret, Craven, Onslow -
North of New River Inlet- and Pamlico
Counties)
Elizabeth City District
401 S. Griffin St.
Ste. 300
Elizabeth City, NC 27909
252-264-3901
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover,
Onslow - South of New River Inlet -
and Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/ 17

NC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: b i) h k n, �1-1/ 1
Date:
Permit #: 7 3C y y
Describe belo� 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
S "✓
Dredge ❑ Fill ABoth ❑ Other ❑
C)CU
aG0
Dredge ❑ Fillfl Both ❑ Other ❑
I ( C> U
( O 0
Dredge ❑ Fill ❑ Both ❑ Other]
0190
3000
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
i
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 :: 1-888-4RCOAS7 :: www.nccoastaimanauement.net revised:02/03/10

DRAFT 6110119
NC COASTAL RESOURCES COMMISSION
July 17, 2019
NOAA/NCNERR Administration Building
Beaufo C
The State Governmen thics Act mandates that at the beg' g of any m ting the Chair remind all
the me rs of their duty to avoid
conflicts of int inquire as to whether any mem knows of any onflict ofr potetttTal confli with respect to matters to
come before the szsion. If any member know f a conflict of in rest or pote al co ict, please state so t this time.
Wednesd JuIv 17"k,
9:00
C SION CALL TO ER*
Renee Cg1i n, Chair
• Roll all
Chair s Co is
• Appro al o pril 17-18, 2019 M ting Minutes j
• Executi Secretary's Report ``
Braxton Davis
9: 0
1
V CES
• ollard - ( C-VR-19-05 Jacksonville, 30' buffer '
ara MacPhers n
stine Goebe , Esq.
9, sq.
• Stallings - (CR VR 9-06), Pamlico Cobn , 30' buffer
?
Christ a Goebeli Esq.
?, Esq.
• ? NCDOT - (C C-V-19-06), Ocrac e, San bags
? j
Christine Goe , Esq.
?, Esq.
11:
BREAK
11: 5
IC UT AND COMME T
Renee Cahoon, Chair
12:
LUNC \
1:15
C HE G \
Re a ahoon, Chair
• 5A NCA 7 .0304; 7H .0309 & 7H .0 - State Ports Inlet an ement AEC
• 5A NCAC .0309 — Use Standards for ean Hazard Areas — cean Outfalls
1:30
CTIO IT S
• Cons eration of Fi al Analysis 1 A NCAC 7 -Temp Struc�ires P
Kevin art
• C sid tion of Fisc Analysis 5A NCAC 7J . - Renewals
Courtney. Spears
• onsider 'on of Fiscal Analysi — Inlet Hazar ea
Ken Richardson
2:00
PETITION FOR R EMAKING
• Petition for Rul aking oced s (C-19-??)
M casse
• Petition for Rulem ing Amend 15 CAC 7H .0209(dx10 (CRC-19-??)
pley
• Petition for Rulema 'n — DCM S ommendations;( C- 9-??)
Christy
3:00
BREAK
3:
CRC SCIENCE PANEL
• Science Panel Member Ap intments
Re a Cahoon
• 020 Sea Level Rise Report bpdate — Science ne ge
T cred Miller
3:45
CRC RUL EVELOPMENT
• Shellfish and Permiftine

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date
Name of Property Owner Applying for Permit:
Mailing Address:
I certify that I have authorized (agent) l I., 1 1 ()X i n t-, to act on my
behalf, for the purpose of applying for and obtaining all CAMj
ermits necessary to
nfe law u u" 105� t
install or construct (activity) C iLl i --j3,� �-�rm
at (my property located at) I -DI 1 GLk \ ? 1 tic LA-)- '
This certification is valid thru (date)
q
Property Owner SignAture

■ Complete items 1, 2, and 3. A.
■ Print your name and address on the reverse X
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
Ch(6+0p ACC (� �V-A
L r,.)1 h�u,��rn M Si E 130
❑ Addresse(
C. Date of Deliver)
P 17 / 4I'1
D. Is deliv4 address different from item 1? /❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
❑ Priority Mail p ss�
I
IIIIII
III
III I
1111111
III
I
I
III
IIII
I I
❑ Adult Signature
❑Registered MajlaiITTM
❑ Adult Signature Restricted Delivery
❑ Registered Mail Restricti
PkCertified Mail®
Delivery
9590 9402 4940 9063 8588 51
❑ Certified Mail Restricted Delivery
❑ Return Receipt for
❑ Collect on Delivery
Merchandise
?. Article Number (Transfer from service label)
❑ Collect on Delivery Restricted Delivery
El Signature Confirmationn
❑ Signature Confirmation
7 019 0160 0000 7952
vlail
3804 nail Restricted Delivery
Restricted Delivery
?Q Fnrm RR11 .hair qniiz, acre 75sn_r»_nnn_cins.,A
Domestic Return Receipt

11111111111111111111111111111
United States
Postal Service
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4'J in this box*
,,.crthecstern Morin* Construction CO,
P. O. Box 42
Kitty Hawk, N. C. 27949
�, 261-3682

■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
Ike. I -en F�r
IDi TaII Pint Lr\
A.
X ❑ Agent
CS (/ ❑ Addresser
7B ate pived b�inted ) C. Dave of pI er)
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
❑ Priority Mail Express®
11
I
II III
III
III
II II IIII
I
I I
IIIII
I
I
❑ Adult Signature
❑ Registered Mail
❑ Adult Signature Restricted Delivery
El RegRIstered Mail Restricts
9590 9402 4940 9063 8588 68
Certified Mail©
Certified Mail Restricted Delivery
Return Receipt for
❑ Collect on Delivery
Merchandise
2. Article Numhar !r—f . — _ _
0000 7 9 5 2
i Delivery Restricted Delivery
3 81tail
0 Signature ConfirmationT'
❑ Signature Confirmation
?019 0160
ail Restricted Delivery
Restricted Delivery
(over $500)
oS Fnrm 3811. July 2015 PSN 7530-02-000-9053
Domestic Return Receini

USPS TRACKING #
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
9590 9402 4940 90L3 8588 68
United States
Postal Service
• Sender: Please print your name, address, and ZIP+4" in this box•
Northeastern Morin* Construction Co,
P. O. Box 42
Kitty Hawk, N. C. 27949
s 261-3682

qo\o�
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERED
I hereby certify that I own property adjacent to PC% k4,
(Name of Propirty Owner)
property located at
nk�
(Project Site: Address, Lot, Block, Road, etc.)
OrL C�.t � (rem m in � . �1'�O I S � R �� , N.C.
(Waterbody) (City/Town and/or County)
Agent's Name #: tie. Ill Q I' 1 rim Mailing Address: Po bo k
Agent's phone #: ��� ��� ' J� I C L 1
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
(IndivkkAi(proposling inust mp
OrU
05' -bo jaucJ
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.
Gruen 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.
(Property Owner Information) (Adjkceert Property
Signature
Print or Type Nam
arl TO-1l Pt' me
Mailing Address
City/StatelZip
1.51-� - �DQ -r'��f l c C'1
Telephone Number/Email Address
Date 1 )
*Valid for one calendar year after signature*
Print dr'rype Name "
Mailing Address
City/Si'ate/Zip
Telephone Number/Email Address
c
h,
Date'
Revised ,tan. 2017

j L - 2801
j aP� REGISTRAT40N NUMBER 0(�r
REGISTERED LAND SJRVEYOR
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