78504A_Greenlee, Richard_20200204

nCAMA / ❑ DREDGE & FILL
GENERAL PERMIT
1XNew ❑Modification El Complete Reissue ❑Partial Reissue
N9 78504
it rL' L__
B C D
Previous permit #
Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality -y
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
{� I�Rules attached.
Applicant Name ,-\L /%A(c\ iti Project Location: County Cbcc
Address'—►V1_1
w JS� S�yto4
City X, IL QeV��
State NC ZIP
��15
Phone # (ZSZ) Z��-�?� E-Mail
Authorized Agent Ate-
Mai ` , f�tU! G\t CA S
>j CW
rKEw 'K PTA ❑ ES ❑ PITS
Affected
AEC(s): ❑ OEA
❑ HHF ❑ IH ❑ USA ❑ N/A
❑ PWS:
ORW: yes / no. PNA yes / no
V\w \V�A \ r
Agent r pli t PH ted Name
Signature Please read compliance statement on back of permit
1z�
Application Fee(s) Check #
Street Address/ State Road/ Lot #(s)
4
Subdivision W f %! ,yk ' WOK d 5
City t \ ZIP
Phone # ( ) River Basin C1 00A1aNk'(
Adj. Wtr. Body Ccki N+ J'6N CreeK (ri% /�)
Closest Maj. Wtr. Body K' Ilt.a H4 W jC L'S4 u
QV_1 S
Permit i is
Sign ntr
w-! / Z(�6 2,sz (o%G y/pro
Issuing ate Expiration Dati

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 7106117

.Ut �1► � ♦ � � � i � ir,►
Name of Property Owner Requesting Permit alvi)1-f-t
Mailing Address
Phone Number: - . --k
Email Address:
i certify &hat I have authorized
Agent, Contractor
to act on my behalf, for the purpose of applying for and obtaining all LAMA perm!ts
necessary for the following proposed development <,
at my property located at
County
I furthermore certify that / am authonzed to grant, and do in fact grant permission to
Division of Crastaf "✓,anagement 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 Owne.* Information:
Sign m
ant or Type NaryfG
CAW vN—v
ola
Date
This certification is valid through

■ 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.
Article Addressed to:
�Ow ok
3,w; cd iumv l'ct A,)-O
�-b H I N LL Z -1 `'I q V
of Deliver
D. Is delivery address different from item 17 1J Yes
If YES, enter de6ery address below: No
AD AD b r,'-"� \\J U�/o v "
3. Service Type
❑ Priority Mail Express®
II
11IIIII
IIII
I'I
( IIII
I
III
II
I I
I III
❑ Adult Signature
0 Registered MailT"'
❑ Adult Signature Restricted Delivery
❑ Reglstered Mail Restrict
9590 9402 4561 8278 1380 76
0 Certified Mail®
Certified Mail Restricted Delivery
Delivery
❑Return Receipt for
❑ Collect on Delivery
Merchandise
2. Article Numhar (rranafer frnm condra ration
rl Cnl ert rn Delivery Restricted Delivery
0 Signature ConfirmationT
❑ Signature Confirmation
7 017 3040 0001 1044
lail
9 018 ail Restricted Delivery
Restricted Delivery
)G Fnrm RA1 1 .luly 9015 PAN 7530-02-000-9053
Domestic Return ReceiD

First -Class Mail
Postage & Fees,Paid
USPS
Permit No. G-10
9590 9402 4561 8278 1380 76
United States
Postal Service
• Sender: Please print your name, address, and ZIP+4"1 in this box*
Albemarle BuNcheads
& House Pilings, LLC
Wllham'Whit' Patterson
PO Box 50
Kill Devil Hills. NC 2794e

CERTIFIED MAIL . RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner: � 1( V,\,c l (k
Address of Property: 1 LA0LA W -�A- ( S`4
I (Lot or Street #, Street or Road, City & County)
Agent's Name Mailing Address: - CQ 60) SD
Agent's phone #: 5Z -2 lr? l --1 L44 tt' � � `� �.�1►1 i� l ids , ML
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.
V 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
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at http✓/www.nccoastalmanagement.net(web/cm/staff-listing orby calling 1-888-4RCOAST.
No response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift 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)
Signature
Print or Type Name
ILJ0�l
Mailing Address
K `III Dxg. I I- *&�, Mt ,
City/State/Zip
Telephone Number / Email Address
Date
(Riparian Property Owner Information)
X,,,�2c,(—
Signature
R&M -� bq-kf v i V-k
Print or Type Name
1,{o1 E [ a W4 t-\ ` -i-
Mailing Address
Z-�6)L
City/StatelZip
Z S Z- ZV1-V/g J Gtc&.*,0ac eCSo6X.cc,,-,
Telephone Number / Email Address
a kY l4
Date
(Revised Aug. 2014)

This map is prepared
from data used for the
inventory of the real
property for tax
purposes. Primary
information sources such
as recorded deeds. plats,
wills, and other primary
public records should be
consulted for verification
of the information
contained in this map.
1404 W First ST
Kill Devil Hills NC, 27948
Parcel: 004046046
Pin: 988417117707
Owners: Greenlee, Richard P -Primary
Owner
Greenlee, Donna K -Primary Owner
Building Value: $107,900
Land Value: $210,300
Misc Value: $0
Total Value: $318,200
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Tax District: Kill Devil Hills
Subdivision: Wright Woods
Lot BLK-Sec: Lot: 46 Blk: Sec:
Property Use: Residential
Building Type: Traditional
Year Built: 2018
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Albemarle Bulkheads and House Pilings
Post Office Box 50
Kill Devil Hills, NC 27948
[phone] Office
albemarlebulkheadsobx@gmail. com
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Whit Patterson
Owner/Operator
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