75614A_Moore, Chris_20191112

_�_JCAMA / DREDGE & FILL NO. 75614 a- Ur 1�
G��NERAL PERMIT Previous permit# `J B c °
Y✓New JModification ❑Complete Reissue ❑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
G�Rules attached.
Applicant Name Project Location: County
Address j S 1(`i Z 1� r c,j w -.I • a e I.c,--c{ Street Address/ State Road/ Lot #(s) Q_ I C Tc4 (k.-, r �
city_,,- - -4et :ye,, State ✓A ZIP 3<;-3
Phone # 33�1' E-Mail hri Ne'Subdivision
Authorized Agent I AR (} {� r nr� �r n5) is r i ion City ZIP 2 '1
Affected ❑ Cw CHEW Pr"A e(ES B'PTS Phone # (— ) River Basin
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
AEC(s): El PWS: Adj. Wtr. Body nc j -k, k,, f s kk l (j-,_7 (nat mean Yunkn_)
ORW: yes / no) PNA yes /\no) Closest Maj. Wtr. Body c,i i : kc k,
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Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit **
4(_ c. C)c'
Application Fee(s) Check #
L-'�eICc,j hott
Permit Officer' s Printed Nwne
Signature
tl - l J_ - ! ` 1 j- I - 2u
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
Neuse River Basin Buffer Rules
Other:
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

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date C lei
Name of Property Owner Applying for Permit.
Mailing Address:
L i—J r Z r1EV7
1 certify that 1 have authorized (agent) � s>� ��1 ��t�'�`�= C`'� �<A�'U'� to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or
construct (activity) w- 4oml., r4Fw 3— COL -IWD � r1S�%CIaT�:� k,-1%L, at (my property
located at) i 0,- <L
This certification is valid thru (date) ' i L V
Owner Signature
ay-/o-/CY
Date
LAMA Minor ApplicanOa
Page 10 of 10

T DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERED
Name of Property Owner: kac S
Address of Property: 2)1, Cf+ 7 r Q90 A 1 L �
(Lot or Street #, Street or Road; City & County)
Agent's Name #: Mailing Address: D b3D
Agent's phone#-. D t)r� ���)'� a J'►CN ��r� �3�(S�
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing with dimensions, must be provided with this letter.
. I have no objections to this proposal_ I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DC► V in writing within 90 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 Certified Mail.
WAIVER SECTION
I understarN that a pier, dock, moo 'ng pilings, boat r mp, breaKwater, poatnouse, urt, or groin
must be set ack a minimum distan e of 15' from my rea of riparian access unless waived by
me. (If you wi to waive the setbac you must initial he appropriate\blank below.)
I o wish to waive the 1 ' setback require ent.
,\
I do of wish to waive the ' setback requirement. }
(Property Owner Information)
Sigilrature
Prior or -iype Name
Mailing Address
#f__S� wI El-1) City/State.Op
$0.�93;7-33/S -
Tele hone umber / Em 7 Address
�IyS�L.. Cep P� La Ic-,5A
(AdjaF!nt, Property Owner Information)
j
Signature*
Print or Type Name
4- 61 1-1-�e_ - t�
Mailing Address
City/Stater ip
Telephone Nu ber/Email Address
Date Date' '
'Valid for one calendar year after signature' Revised Jan. 2017

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Qom-. Certified Mail Fee
$ AND N
Extra Services & Fees (check box, add ate)
4 eturn Receipt (hardcopy) $
Lj etum Receipt (electronic) $ _---_ Postmark.D
0 ❑ Certified Mail Restricted Delivery $ r ��
Q ❑ Adult Signature Required $
❑ Adult Si O c
9nature Restricted Delivery $
Q postage A
$ o !%' y
m Total PO and Fees
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and Apt. No.. or' -- ��
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xtra Services & Fees (check box, add t e)
*turn Receipt (hardcopy) $ .
❑ Return Receipt (electronic) $
❑ Certified Mail Restricted Delivery $
❑ Adult Signature Required $
Adult Signature Restricted Delivery $ O
and Fees
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VERIFY SRE C0A{PUANW VATH ALL ORD.-N &ICES. ZONING. 6 SETBACKS
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REDL'tx.'LEr.?S P.R/CR TD i L' ISSLWXE' CP PER 'TS SL:RV=YOR,.ALES
NO CERTIFICATtC:s' AS TO CV..lFUAXCES EITHER . ' Di CLOSE IED
TD AlrY FACT•? THAT NAY B- DISCLOSED BY A
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�. TMS SU;ZVEY IS SLaj:-CT
TITLE SEARCH
FULL AND ACCURATE
INTENT OF THESE STOFWIATEA MPROVEA/ENTS IS TD COLLEGTAlL
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RUVOFF FROM PAOP0.5ED IMPERVIOUS SURFACES LOT- - SLS-
y TO ASSURE A'O RU.%WF V7Li ESCAPE :Tic' S "4CE
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GRADED AV A ViA
SURVEYORACCEPTSI.'OLIASILItYCc'HEPEFFOR:tACE OF
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PnCPERTY.
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THIS PLAN
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6. COVERAGE AREA
orl,aLLING AREA=&Ssq 7,
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COVERED DECK AREA-51757 (f
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•STCR,AYAATER CALCULATIONS
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CROSSSECTIOY AREA= fa".1f.1 x i 124fT.)EAS1N
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Oh::ERNAGENT HEREBY CERTu-Y THE
ON iH;S AND ATTAClED PAGES I$ TRUE aiND CORRECT
WFOM.fAr10.Y fNCLU0E0
BEST OF NV �NJLM-EDGE. ON TiF$RE FtiN ENTITLED LTE PUN FOR
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AC'ORClNG TO THES: FLANS AND SPECt;JCAnCNS AND APPROVED BY
COUNTY YEARLY WSPECTIONS ARE RECURED AS Pf!%
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CURNTVCK C.
THE S TORIMA TER P:AN THE OWNER tS REsPQ'V$r'BL•E FOR ALL AIAINTENA•NES-LN:
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MAINTENACE.ORPEPFCP:-rA1 OP THE STOFL.VAr H..PnJ1'E).'EkTS
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DATE OWNERTGENr
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VICINITYMAP
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PNR.,.r Zcpx CURVE TABLE
suo+w+. PLq� DISTANCE
kPPx;OI CURVE LENGTH RADIUS DIRECTION
Cf 8,.20 S0.00 S13'140TE 57.45'
1 TAA ffE c FIIRR- CERTIFY THAT UNDER MY
DIRECTION AND SUPERVISION THIS PLAT WAS
DRAWN FROM AN ACTC{nl FIELD SURVEY AS PER
RECORDED pESCIzt,D7'/OAI:' 77NA T'7HERATIOOF
PRECISIONASZALCULATED IS'.'70 - T THIS
PLAT WAS PRi'PARED.IBI- _ WITH
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Chris Moore
T• - 40'
Lot 17, Sec6on 4. Block 2
IEF Carova Beach
FRU/TV,LLEBE 1H 10V/NSHIP J CURR/7UCKCOUNTY I NOR7HCAROL/ANA
EASTERN
GEOMATICS, PLLC
"PROFESSIONAL SURVEYING SERVICES"
P.O. BOX 1026
KILL DEVIL KILLS, N.C. 2794E FIRM LICm' P-0733
PHONE / FAX: [phone]

Currituck County GIS Online Mapping
1
11
Currituck County GIS
[phone]
www.co.currituck.nc.us/Geographic-information-Services.cfm
Addresses
Communities
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Aydlett
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Barco
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Ciaulla
Currituck
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Moyock
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County Boundary
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Streets
Major Streets
—Ar to i la l_R I nO l c+l
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—Amaral Major
ei 214
— C',nl Ir;rtnr_Mnjnr
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Pnrcel Lnnd Hooks
Parcels
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Currituck County
-
Aerial Photography (2016
Fried: Bond 'I
-
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Clue Marx]-3
This map should be used for general reference purposes only.
Currituck County assumes no legal liability for the information
shown on this map.

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