75632A_Givey, David & Megan_20200116

__1JCAMA / /DREDGE & FILL No. 75632 Q B C D
GENERAL PERMIT Previous permit # 75CO1( R
New El Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued `l -13 - 19
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 1H, i Sbb
[?,Rules attached.
Applicant Name l
_y' f /tl V, ueV
Project Location: County
L (At i t,c �C
Address) 5c�s
Mscr l
Street Address/ State Road/ Lot #(s)
City V r t c ��
l X�GC State_ ZIP �� y�
I c'J 1 c�
Phone # (�� E-Mail "`—
Subdivision COIICr, v.
(eGCI'\
Authorized Agent
139c.0 k-
City L � 1 �25 11 C.,
ZIP Q_7 T) -7
❑ CW/
AEW [7 PTA 1J ES IJ PTS
Phone # (` )
River Basin Pa 0 4"
Affected
❑ OEA
AEC(s):
❑ HHF ❑ IH ❑ UBA ❑ N/A
Adj. Wtr. Body y
knAs 15Ic-.A 13ay (nat an lunkn)
❑ PWS:
Closest Maj. Wtr. Body CW
�
r'+tc Y� �a^
ORW: yes /,no
PNA yes /`oJ
mks) X
ing Platform(s)
r pier(s)
in length
-,head/ Riprap, length
avg distance offshore
cubic yards
ramp
not sure yes
Er
tos: no
`��■i■■■■■i■■■■�■■iiiiiii�■■�i■■iil■i
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V�■0■■��1����®■■�
I■ice
5404, r L N�
Agen r Ap lic t Prin
Signature 44 Please read compliance statement on back of permit"
r�3
plication Fee(s) Check #
Permit Officer's PriptediVame
Signature
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 I) 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 7106117

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Mailing Address:
l�i�trtia �ec�cl-� VEi-
Phone Number:
Email Address: G C4) Irke • C (M
certify that I have authorized ���� CA 30 1 � h e4 c k ,
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: ( c4,5
eck n, 5�'e c S
at my property located at ZZ 1 8 D &&�, Pe') (� U
in
County.
I furthermore certify that I am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
,:J,121::2
�] Sign/ ture
'v .LU% Q A. C-? i Uc1/
Print or Type ►Vame
� �w
Title
/ 6 / Z°Z
Date
This certification is valid through 'V / 9- 3 / .ev JD

■ Comp11. @ items 1, 2, and 3.
.�
A. Signature
■ Print y(Ar 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.
B. Recei ad
/
14 l G
Article Addressed to:
Ab&'� Cc14L)ItiJ I
Is delivery address dif
If YES, enter delivery
❑ Agent
❑ Addressee
C. Date of Deliver)
from item 17 ❑ Yes
ass below: ❑ No
T5%Ot X v A I
�SZ 3. Service Type ❑ Priority Mail Express®
0 Adult Signature Cl Registered Mail —
II I III'I III III I II I III I I I I I I I I I I ❑ Adult Signature Restricted Delivery El Registered Mail Restrict(
t�6ertfied Mair Delivery
9590 9402 2568 6306 2929 35 ❑ Certified Mail Restricted Delivery ❑ Return Receipt for
❑ Collect on Delivery Merchandise
9 Article Number (Transfer from service label) ❑ Collect on Delivery Restricted Delivery 11 Signature Confirmation^
lail ❑ Signature Confirmation
7 015 3430 0000 2881 7 5 2 8 ail Restricted Delivery Restricted Delivery
Dg Fnrm 3A1 1 _ .iuly pnl.r PRN 7.r,30-n9-non-9n53 Domestic Return Receint

USP
First -Class Mail
Postage & Fees Paid
r1l I USPS
Permit No. G-10
9590 9402 2568 6306 2929 35
United States • Send : Ple ff j jehr BrUjkf�IP+ in this box*
Postal Service QQ((::11'1 1u�
& Construction
Santos Elmy
106 Pinecone Ct.
Grandy NC 27939
252-207-6926
I')h/I,/Iil►,j,l",I/,iIn„I IINll„OwM,

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to I kQ c\ -� I
(N me of Property Owner)
property located at �a '-AQC P4� Pe � ` ( G%t'c' 13 eliCO
n/� (Address, Lot, Block, Road, etc.)
on 1.�:'fY cu OF- Stk>v QC in C©� I )C- , N.C.
(Waterbody) (City/Town and/or County)
The ap icant has described to me, as shown below, the development proposed at the above
locati
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)
`t 1 f-� Dr-e c�SJL
i� --JIM
Pro?�,t-�(
Lam- I _�� ..
1✓lcist':k�
,;2 8 bi c, aJcls
�v-ey I
t 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)
'�>"x
b(z - N�
a re Signature *
Cy" 5 C C (.viy
Azloel�
Print or a Name y Print or Type Name
t) (or
[cY1 c CP
ailing Address Mailina Address
r1 c !2B'D Q�
City/State ip City/Stat'e'�nn
25-Z--z--7 -2-
Telephone Number/email address Telephone Number %email address
2at4 -- - _ 7 � — -161 —3(6 7
Date Date
(Revised Aug. 2014)
*Valid for one calendar year after signature`

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■ 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.
I. Article Addressed to:
_ rytc.L L-LL
OcA A wLotr e YA10 � 1zDz-
❑ Agent
❑ Addressei
C. Date ol Deliver
Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
67�Rlk
3. Service Type
❑ Priority Mail Express®
❑ Adult Signature
❑Registered MailTM
II
I
IIIIII
I'll
III
I lI II
I
I III
I I I
I I I II
I IIII
III
I I
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❑ Adult Signature Restricted Delivery
❑ Registered Mail Restrict
Certified Mail®
Delivery
9590 9402 2568 6306 2929 42
❑ ified Mail Restricted Delivery
❑ Returnec for
❑ Collect on Delivery
Merchandise
ArfirAA N,,,T,b, rr sr_ _---• -
0000 2881
— Deliveryestricte Rd Delivery
7221 ail
❑ Signature Confirmation^
❑ Signature Confirmation
7 015 3430
ail Restricted Delivery
Restricted Delivery
I (over $500)
IS Form 3811, July 2015 PSN 7530-02-000-9053
Domestic Return Receipt

uses rnacllq�t�
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
9590 9402 2568 6306 2929 42
United States
Postal Service
• Sender in this box*
Beach Bulkheads
& Construction
Santos Elmy
106 Pinecone Ct.
Grandy NC 27939
252-207-6926

Tracking°
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Track Another Package +
Tracking Number: 70153430000028817429
Expected Delivery by
FRIDAY
21 by
2019 8:00PM
Delivered
June 21, 2019 at 4:52 pm
Delivered, Front Desk/Reception/Mail Room
BALTIMORE, MD 21202
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� ' ?Q✓ ��� e eC�
Cr Domestic Mail Only
y information, visit our website
.BI'MIT": MD 212C12
rq
�a Certified Mail Fee
CO $ rU
Extra Services 8 Fees (check box, add tee . ( ; te)
❑ Return Receipt (hardcopY) $ -
0 []Return Receipt (electronic) $ $O_ CIO
C3 ❑ Certified Mail Restricted Dellvery $
C3 ❑ Adult Signature Required $
❑ Adult Signature Restricted Delivery $
O Postage $1.15
-r Total Postage and Fees
M $ $7.45
tr7 sent C, C3 -------------------
---------Apt. No., qr --- ----- - --x--- -
O $/treat and o.
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(16/18/2019
June 21, 2019, 4:52 pm
Delivered, Front Desk/Reception/Mail Room
BALTIMORE, MD 21202
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June 21, 2019, 5:33 am
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June 20, 2019
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Register Your Business Online I Maryland.gov
EXPRE�
ness Home
J & I MCL, LLC: W158O5O13
General Information
Department ID Number.
W15805013
Business Name:
J & I MCL, LLC
Principal Office:
SUITE 2507
10 EAST LEE ST.
BALTIMORE MD 21202
Resident Agent:
JOSEPH S. MCLAUGHLIN
SUITE 2507
10 EAST LEE ST.
BALTIMORE MD 21202
Status:
FORFEITED
Good Standing:
THIS BUSINESS IS NOT IN GOOD STANDING
What does it mean if a business entity is not in
good standing or forfeited?
» Order Certificate of Status
Business Type:

Currituck County GIS Online Mapping
Addresses
PLC.
10E I
2250
rr 5
in
9
` * Jf i
Currituck County GIS
[phone]
www.co.currituck.nc.us/Geograph ic-Information-Services.cfm
Communities
Aydlett
13a roo
rnl njnrk
Choi la
Lurrnuck
G I bl s woods
nO
r1widy
Fi:MI l,lrrr�rr
Jarvlaburq
Knott Island
Moyock
v -..
I bI nt He rbor
rt,ldnr mmnr.h
I
PcNvnlls Rrinl
.R
b hawboro
4
bIloo
Wnk,riily
County Boundary
'
—C}v Inly
Streets
4. Ckc�fcllrY
Major Streets
—Ai W 11. l_Pl l ncl µf l
—Arterial Major
M1�c/
1
— C;ni lnrinr_ Mnjnr
`
Parcel Land Hooks
G�
Parcels
LI
Currituck County
i . a
Aerial Photography (2016
MHod: land 1
k
Mr.rrrn- nnnd-2
r
Blur. Bar xJ 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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