75519A_Smith, Christopher & Laurie_20191220

I
__ CAMA / ' DREDGE & FILL NO. 75519 < B C D
GENERAL PERMIT Previous permit #
,P NeW 'Modification El 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
Ef Rules attached.
Applicant Name S-+" -4 .'4 Project Location: County C( ,,
Address Iv 1 Pat 4- C+ Street Address/ State Road/ Lot #(s)
City L,! 2 11 s State NC ZIP
Phone # ( ) E-Mail
Authorized Agent ke jl - ,,p,-,
Affected ❑ CW RIEW ErPTA LIES 1!1 PTS
AEC(s): ElOEA ElHHF ❑ IH ❑ UBA ElN/A
❑ PWS:
ORW: yes / . no PNA yes
Subdivision CCfLvu. 1 UGC �^
City ( Ct o l j0. ZIP
Phone # ( ) River Basin I cL K
Adj. Wtr. Body a o 1 is knr -) l�y (natnat (man
Closest Maj. Wtr. Body CC I i " +4r
=00103 IN
■■ilk■■■■■■■■■ ■■■■■■■■■■■■■■■■■U■■■■■
■■■■■ema
cubic yards
■C-'�1■■■■■■■�■■■■■M
Boat ram
Boathouse/ Boatlift
■■■■■
011 soonBeach Bulldozing ONE
�o
Other�ic�..■F71�.....�rlr...�3'7�
Shoreline Length i
SAV: not sure yes no --
Moratorium: /a yes no
Photos: (yes no
Waiver Attached: yes no I
A building permit may be required by: C� J� # L( k CCt,-4k/
( Note Local Planning Jurisdiction)
Notes/ Special Conditions /\L; ,Jic c_' Ae,-4 v I cL, oc 4 ,c
i U 7;6 Q ").
Agent r Ap icant Printed Name
Signature *Please read compliance statement on back of permit*
Application Fee(s) Check #
❑ See note on back regarding River Basin rules.
Cc,i fie+
Permit Officer's P inted Name -�
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 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

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Certified Mail Fee
$3.50
$
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W., :ZReceipt (hardoopy) $
❑ Return Receipt (electronic) $
❑ Certified Mail Restricted Dellw" $
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[] Adult Signature Restricted Delivery $
Postage $0.55
$
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Total Postage and F
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I A receipt (this portion of the Certified Mail label).
A unique Identifier for your mailpiece.
Electronic verification of delivery or attempted
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signature) that is retained by the Postal Service -
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■
IMPORTANT: Save this receipt for your records.

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■ 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 �j Addressed to: �lG J-, r rl
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9590 9402 3813 8032 3067 68
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a. eceived bj (PrOted Napie) C. Date of Deliver
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D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
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2 Articles Niimhcr Tro, s . s._� _-- - ❑Collect on Delivery Restricted Delivery ❑ Signature Confirmation'
15 1660 0 0 0 0 7522 3827 Cl Insured Mail ❑ Signature Confirmation
Insured Mail Restricted Delivery Restricted Delivery
I (over $500)
DC Fnrm gA11 .t, at, finis acne 7szn_nq_nnn-onsz nnma tir. RAtllm Rarain'

USPS,�RAGFWG #. .
First -Class ail
Postage & Fees Paid
USPS
Permit No. G-10
9590 9402 3813 8032 3067 68
United States
Postal Service
• Sender: Please print your name, address, and ZIP+4® in this box*
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NQTIFI.^.. mA iv ; N' F C; M
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERED
I hereby certify that I own property adjacent to 0 k Y. ) S�% 14k, .S
property located atd
4, (Name of Property Owner)
(Project Site: Address, Lot, Block, Road, etc.
Cyr on + s tj in �Y L V 0. N.C.
(Water(City/Town and/or County)
Agents Name body) t Ct. r�l St Mailing Address � J3 eo
Agents phone #:026D " � f-S-�- T (p cay
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.
GiY edj2, o'CL,41 aQ cif &C-A4-dCr,-0-S-514Y-a1v�
._ Y -- WW=T.uv.,a w wnac s pern9 pmpweMyou must notify the Division of Coastal Management
(DCAO in writing within 10 days of receipt of this notice. Correspondence should be mailed to 401 S.
GnWn St, Ste 300, Elizabeth 0 y, 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)
(iA
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Print or Type Name
161
dmg Address
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City/Stateop
Telephone Number/Email Address
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Date
(Adjacent Property Owner Information)
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Print or Type Name
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Mailing Address , / 1
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Telephone Number/Emaft Address
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Date*
*Valid for one calendar year after signature* Revised JwL=7

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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary
Date l b - 3 C , t'
Name of Property Owner Applying for Permit:
Ckjz-%", -S DI i
Mailing Address:
101 L/'� s-T flog I N C
SCUBA MIL, s / N & z 'r7 qT �
I certify that I have authorized (agen -e. t V�d S e to act on my
behalf, fo: the purpose of applying for and obtaining all C�jAMA Permits necessary to
install or construct (activity) ay f aI-je �C�.n 0U
at (my property located at) IZ) t 3 3
This certification is valid thru (date)
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] \ FAX: [phone] \ Internet: www.nccoastaimanagement.net
An Equal Opportunity \ Affirmative Action Employer— 50% Recycled t 10°% Post Consumer Paper

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Certified Mail Fee c -
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::3 1 ORetum Receipt (Iardcopy) $ P� r t_r+_r
❑ Retum Receipt (electronic) $ s1 An OCT
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❑Certified Mail Restricted Delivery $ s
❑Adult Signature Required $
❑Adult Signature Restricted Delivery $
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i,erimea maii service proviaes ine Tonowing oenewis:
A receipt (this portion of the Certified Mail label).
for an electronic return reglpt, see a retail
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delivery to the addressee specified by name, or
to the addressee's authorized agent
important Reminders:
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or Priority Mail' service.
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the following services:
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IMPORTANT: Save this receipt for your records

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: (�
DQ,j1 `� J;o c,,1
b7� e.
A.
X
❑ Agent
❑ Addresse
B. Received by (Printed Name)
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❑ Yes
If YES, enter delivery address below:
❑ No
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3. Service Type
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Registered Registered MatlTM
9590 9402 3813 8032 3067 99
❑ Adult Signature Restricted Delivery
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Delivery
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015 1660 0000 7522 3 810
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7 Insured Mail Restricted Delivery
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Restricted Delivery
cover ssoo)
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First -Clash Mail
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USPS
Permit No. G-10
9590 9402 3813 8032 3067 99
United States
Postal Service
Sender: Please print your name, address, and ZIP+4® in this box*
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a 131
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 Oity 1 S,Srn I r) 's
property located at. _ 3 S C
(Name of Property Owner)
� --� A(Project Site: (Address, Lot, Block, Road, etc.)
or�-Cl 7 S� (t ram-', in L" OYc I I C,- cG '1( IJ N.C.
(Waterbody) (Cityliown and/or County)
1
Agent's Name �Q ` C� Mailing Address: -od 3Z�7
Agent's phone #:► �� _. - U 7'� LYE 16,4
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.
C�Yec gam. C0-4--k0-( A o--11 bu) 66c4 aco256 vL:
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 Certified Mail
(Property Owner Information)
r
atur I -S S t,
re
Print or Type Name
/01 n C-+
Mailing Address
CflY)S1at&0P
CX5a L435-�`1�i�
Telephone Number/Email Address
d •-�o -1 I
Date
Valid for one calendar year after signature*
(Adjacent Property Owner Information)
Signature"
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Print or Type Name
ovi Vic4t)-f(%n
Mailing Address
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Telephone Number/Email Address
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Date*
Revised Jan. 2017

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NCIL111CU IVIf111 bUFV1(4C F/IVVIUC, LIM IUIIUVVIIIU UCIRVIIS.
I A receipt (this portion of the Certified Mail label). for an electronic return receiyt, see a retail
I A unique identifier for your mailpiece. associate for assistance. To receive a duprcate
Electronic verification of delivery or attempted
delivery.
A record of delivery (including the recipient's
signature) that is retained by the Postal Service"
for a specified period.
'mportant Reminders:
I You may purchase Certified Mail service with
First -Class Mail®, First -Class Package Service®,
or Priority Mail" service.
Certified Mail service is notavailable for
international mail.
Insurance coverage is not available for purchase
with Certified Mail service. However, the purchase
of Certified Mail service does not change the
Insurance coverage automatically included with
certain Priority Mail items.
For an additional fee, and with a proper
endorsement on the mailpiece, you may request
the following services:
- Return receipt service, which provides a record
of delivery (including the recipient's signature).
You can request a hardcopy return receipt or an
electronic version. For a hardcopy return receipt,
complete PS Form 3811, Domestic Return
Receipt; attach PS Form 3811 to your mailpiece;
return receipt for no additional fee, present this
USPS®-postmarked Certified Mail receipt to the
retail associate.
Restricted delivery service, which provides
delivery to the addressee specified by name, or
to the addressee's authorized agent.
Adult signature service, which requires the
signee to be at least 21 years of age (not
available at retail).
Adult signature restricted delivery service, which
requires the signee to be at least 21 years of age
and provides delivery to the addressee specified
by name, or to the addressee's authorized agent
(not available at retail).
■ To ensure that your Certified Mail receipt is
accepted as legal proof of mailing, it should bear a
USPS postmark. If you would like a postmark on
this Certified Mail receipt, please present your
Certified Mail item at a Post Office'" for
postmarking. tt you don't need a postmark on this
Certified Mail receipt, detach the barcoded portion
of this label, affix it to the mailpiece, apply
appropriate postage, and deposit the mailpiece.
IMPORTANT: Save this receipt for your records.

l 34 ?-P— 'rf, I
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERED
av,fGS�r C,C
1 hereby certify that I own property a cent to Kf t S &rn 1VA Is
, (Name of Property Owner)
property located at o 13 3 �CC!-� _
1'
1 (Project Site: Address, Lot, Bloc
k, Road, etc.)
onCOLT4i f �/ �rA� 151��k, in �� I �t Yy V Q I N.C.
—j
(Waterbody) (City/Town and/or County)
Agent's Nam lta _IX0 Sell Mailing Address: k 3 (v
Agent's phone #: ��bf ol
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.
dY�d9e:cc�,na.Q "� allaw ,b�-� arccess �-�-rav
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 notifiedby Certified Mail
(Property Owner Information)
rna.ture
Print or Type Name
Mailing Address
- -1 � h M 1' 1s a
City/StatelZip
Telephone Number/Email Address
fb`3D��
Date
(Adjacent Property Owner Information)
S40riahure
Print or Type Name
Mailing Address ✓ i �� /e, 3 —,2, %.k
V4� �4 , --?3 S
CitylStatelZip
3 r fi'�9�- (� A -„A, - ,ern
Telephone Number/Email Address
Date*
*Valid for one calendar year after signature* Revised Jan.2017

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Currituck County GIS Online
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