75531AP.O. Box 2891_Agliardo, Bonita_20200115

�ZCAMA / $ DREDGE & FILL
GENERAL PERMIT
ew 'Modification ❑Complete Reissue El Partial Reissue
No. 75531 A
V 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
2rRules attached.
Applicant Name ix_-4\,,4rA,''af
Address 7OJ
City L +f f r > L_
State ZIP :2'f c
Phone # ( ) E-Mail
Authorized Agent `fir' : 4
-
❑ CW CAW/ CVPTA
i E5 ❑ PTS
Affected
AEC(s): ElOEA ElHHF ❑ IH
❑ USA [IN/A
❑ PWS:
ORW: yes / no> PNA yes fno�
Project Location: County �'r,.� , ¢t C k
Street Address/ State Road/ Lot #(s) ) I)q A - l 1, i j f e
Subdivision (mac 1A,4 1 ! rs f� 4 S
City ��. 1, zip 3�
Phone # ( ) River Basin
Adj. Wtr. Body ���r I '�o I Py 1y(nat /6ar�/unkn)
Closest Maj. Wtr. Body 1'(uk- 4`
Type of Project/ Activity It
•
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■Hai■■■■MEN
■■■■■■■■®■■i■N■■■■■■MIN
MEMEMEMMEMOMMEMEMEMEN
•■■■■■_■�■:�■■■■■
■■■ME■■■■■■■■■■ �R�■
Agent or Applicant Printed Name �—
Signature ** Please read compliance statement on back of permit
iqsCam. c, __ l`1lu
Application Fee(s) Check #
Lber + _Cot be+�
Permitpfficer's Print N� 770-
i
Signature
I- "S - ZC_11
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 - (Serves: Beaufort, Bertie, Hertford, Hyde,
North of New River Inlet- and Pamlico Tyrrell and Washington Counties)
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)
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'A
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 ) ` 2 — 2 0
Name of Property Owner Applying for Permit:
BQ1��irP `i �r o
Mailing Address:
I certify that I have authorized (agent) (/ � �%41�o/6 to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
I /i / A
install or construct (activity)
at (my property located at)
1,A1 �'�%916121 ' Lane,- �i uIJZ AC 27935
This certification is valid thru (date)
6C
Property Owner Sig
Date
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Internet: www.nccoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 1 10% Post Consumer Paper

DIVISION*#F 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 &M,� '411"gryo I
(Name of Property Owner)
property located at ! / � �Allal*rw
G (Pro.ect Site: Address, Lot, Block, Road, etc.)
on CUYVf'41eCk jl{!7 in !tea , N.C.
(Waterbody) (C /Town and/or County)
Agent's Name #:
Agent's phone #:
Mailing Address:
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)
5� r
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) /`
O�
ignature
� e i
Print or Type Nam
Mailing Address
City/State/Zip
7�Z- 16 /- �6
Telephone Number/Email Address
Date
*Valid for one calendar year after signature*
I
(Adjacent Prope Owner Information)
//
`Signature* Ci<I
M AQUA C—a e Dill qsf r,s s
Print or Type Name
L ` n,e
Mailin Addre s
� `�u7
City/State/Zip
Telephone Number/Email Address
) /
Date*
Revised Jan. 2017

w

0
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 Ab
ard0 s
(Name of Property Owner)
property located at
L (Project Site: Address, Lot, Block, Road, etc.)
on L �YYt 2T C6-5014#j� , in (9 , N.C.
(Waterbody) (City/T n and/or County)
Agent's Name #:
Agent's phone #:
Mailing Address:
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)
F0, 04f /64?,�4
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 In
Print or Type Name)
_70 'A ex oz?Yj
Mailing Add ess
City/State/Zip
4
(Adjacent Property Owner Information)
qj�,,Nni��
Signatu
Print or T e Name
I R Mu I la�� L
Mailing Address
Cxmr-Avk NC
City/State/Zip
25Z- 2 /- 5-6
Telephone Number/Email Address Telephone Number/Email Address
` 1-2- 2© in aQa�D
Date Date*
"`Valid for one calendar year after signature"
Revised Jan. 2017

0 0

R- ' d 0 O �M
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Currituck County, GIS Online Mapping
' Addresses
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128 Communities
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Coinjock
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Gibbs Woods
4 � Grandy,
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30
Jarvisbur9
Knolls Island
OMaple
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UP O 124 Poplar Branch
•r Pavells Point
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County Boundary
- state
�: - --county
Streets
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LIP
Major Streets
O - Q—Arterial_Princi{a l
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Collector_M1,lajor
Parcel Land Hooks
Parcels
3 Currituck County
Aerial Photography (2016
MRed: Band_1
EGreen-Band_2
Blue: Band_3
Currituck County GIS This map should be used for general reference purposes only.
[phone] Currituck County assumes no legal liability for the information
www.co.currituck.nc.us/Geographic-Information-Services.cfm shown on this map.

1/13!2nM__ ____ ___ _ h s:Hcurrituckncgov.com/Freeance/Client/PublicAccessllpdDtFrame.html._.
Parce Number " AA00140007 --
Global PIN 922-31-5149
Number
Apt/Unit/Suite
Street Direction
Street Name MALLARD
Street e N
Street Suffix Direction
Subdivision
LNUT ISLAND ESTATES SECTS 1-
WALNUT ISLAND BLOCK AA WESTERN 1/2 OF LOT 14
POPLAR BRANCH ML
AGLIARDO, BONITA J
O BOX 2891
ITTY HAWK
Le al Description
Township
Owner Name 1
Owner Name 2
Owner Name 3
Billing Address
BillingAddress Continued
Billing Citv
ZIP Code
Tax Value: Land
10200
Tax Value: Buildings
1000
Tax Value: Total
11200
Tax Value. Deferred
Last Sale Date
004-07-21
Last Sale Price
69900
Oualified Sale?
Deed Page 1
Plat Cabinet
Plat Slide 45
Data Date 020-01-13
Owner Name 4
Owner Name 5
Owner Name 6
Owner Name 7
Owner Name 8
Owner Name 9
Owner Name 10
https://currituckncgov.com/Freeance/Client/PublicAccessl/printFrame.html 1/1

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