75538A_Collins, Carl & Tracy_20200206

JOAMA / ,. DREDGE & FILL
GENERAL PERMIT
❑Neva ❑Modification ❑Complete Reissue El Partial Reissue
No. 75538
Previous permit #
(_(L'
(� B C D
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 ;� ! +
GZRules attached.
Applicant Name Project Location: County r6,f- t t-C
Address i 90S 1 x-v iS L `N Street Address/ State Road/ Lot #(s) jl (�, ( sP 1�'�i,r•.
City L-, State A ZIP
Phone # c 1) :7 5 C- 2 51 E-Mail L o 11; r-, 54A V! 6c, '
Authorized Agent I< , �► I, vs _�S
Affected El CW ItW dPTA eu ❑ PTS
AEC(s): [] OEA ❑ HHF ❑ IH ❑ USA ❑ WA
❑ PWS:
ORW: yes / no PNA yes /. no
�
-r' 1.
Subdivision % )� `{ Pi u�;G (36', C
City r�' _ Ay ZIP 3'J
Phone # O River Basin
Adj. Wtr. Body +c. C�y dNI R, 1 / at Allan` unknunkn)
Closest Maj. Wtr. Body r
LAfrc %L j_ .C)
MENNEN
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Agent or Applicant Printed Name
X 'zi-", - '� &, (?_
Signature Please read compliance statement on back of permit �
Application Fee(s) Check #
L) kt C�cthP '
Pe it Officer' ted Name
Signature
':)-C;-ate (�-C-0-G
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/ 1-888-4RCOAST 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

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: L- k✓' l ` - -RA LC NS
Mailing Address: t o �� D r� S -C D rj J e
Phone Number:
Email Address: Co (I t ►qs +cA P-) 6-4 4. 6- 6 V
I certify that I have authorized Aan C�yw S ,
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: 9'-e1[L hoca
at my property located at I /
in C,4,xr, 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:
Signature
�1y- col?.",5
Print or Type Name
%.2 C l.r—
Title
7-1
Date
This certification is valid through / I 130

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent
t8aof Property Owner)
A `t
property located at U-1C'��'A Cam' rl--4
(Lot, Block, Road, etc.)
on C—iAJrf E!:. S2t-tt , in - C-(•.I ('i (,.c (` , N.C.
(Waterbody) (Town and/or County)
Applicant's phone #:� � _ 1�J�--`�I Mailing Address: A�+-
PH �.. E...25a- 4 S -Ste$ �� C�—ram' c JC , 3 --K
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal.
4-
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by property owner proposing development)
(Information for Property Owner Applying
for Permit)
1 L—av'^,4-X
Madhig Aaaress
&r0
City/State/gip
a5D--L15.7-;!"6 �
t elephone umber
`Sigmre Date
(Rip&xWw" vp" Owner Information)
Q�
Signature
t or Type Name
8b`f 'zZq-?2Lfzo
Telephone Number
Date

rAN
---- - -----
'fin,
-At
I%,#
IPA

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to - cvr COW,", > 's
(Name of Property Owner)
party located at Wce! A 14 F- u (.A r Gr �` L,
(Lot, Block, Road, etc.)
on ti;tA , in C y t 1 �-hc. � , N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: 3" 1-151 6-7 $q Mailer
Evo -S � 52-45`7 -S�Sr7 �T�� I�IC, �'1.4% L,C
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To bejUkd in by property owner proposing development)
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
1 !? L-.r,AW
Mailing Address
(V L
City/State/Zip
ID502- L+S
Telep ber
12
Die
l)- - 3 --/y
Signature
/icE�%/�i��
Print or Type Name
Telephone Number
Date

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https://curntuCkncgov.com/I-reeance/UlienVHublicAccessl /pnntF-rame.htmi
Parcel ID Number
Global PIN
Number
Apt/Unit/Suite
Street Direction
Street Name
Street e
Street Suffix Direction
city
Subdivision
Legal Description
Township
Owner Name 1
Owner Name 2
Owner Name 3
Billing Address
Billing Address Continued
Billing City
Billing State
Billing ZIP Code
Acreage (Legal)
Acreage GIS
Tax Value: Land
Tax Value: Buildings
Tax Value: Total
Tax Value: Deferred
Last Sale Date
Last Sale Price
Qualified Sale?
Deed Book
Deed Page
Plat Cabinet
Plat Slide
Data Date
Owner Name 4
Owner Name 5
Owner Name 6
Owner Name 7
Owner Name 8
Owner Name 9
Owner Name 10
107AOOD00010003
1922-13-4845
112
WOODHOUSE
DR
3RANDY
WATERVIEW SHORES
WATERVIEW SHORES BLOCK D, LOT 1, SECTION 3
POPLAR BRANCH ML
COLLINS, CARL VANCE
COLLINS, TRACY DARLENE
5765 BOOTS LN
LA PLATA
,ID
20646
D
138
44800
52500
97300
D
2017-08-25
70000
Y
1417
210
11
2020-01-08
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