75508A_Bland, Rickie & Karen_20200210

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X7XAMA / 2DRIEDGE & FILL NO. 75508 B C D
GENERAL PERMIT Previous permit#
MNew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality r / and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC / N r' 1 G
® Rules attached.
Applicant Name K c, r,( r, 61c, r Ct
Address `19 7 01 j i RcI
city --A YA rw : 424z, State Ij ZIP
Phone # E-Mail
Authorized Agent
Affected ❑ CW K EW KI PTA K ES ® PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
ORW: yes / no PNA yes /
Type of Project/ Activity
Pier (dock) length
Fixed Platform(s)
Floating Platform(s) —
Finger pier(s)
Groin length -
number _
$u khea�/ Riprap length �1 j
avg distance offshore
max distance offshore Z '
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length I/. / Z
SAV: not sure yes v
Project Location: County 7e r u Yr a n
Street Address/ State Road/ Lot #(s)
Subdivision n i �oj►1 v
City 1`k r C< ZIP
Phone # ( ) River Basin k)o -DiaA l(
Adj. Wtr. Body r�.1. b>°mck, ie SU�, na " man unkn
Closest Maj. Wtr. Body ' E
C�
Moratorium: ',_.tV yes no
Photos: (Yes no r'
Waiver Attached: yes no
A building permit may be required by: 'P rDh1 Ca S C(,t n i t
u r n �
( Note Local Planning jurisdiction)
Notes/ Special Conditions
Agentor Applicant Printed Name
0
Signature * Please read compliance statement on back of permit*
-,k urn,
Application Fee(s) Check #
a
(Scale: j � ]SC )
❑ See note on back regarding River Basin rules.
C(\ C�
Permit Office s Pri ed Name
J
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 1) 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 locat;on 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

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICAT M FCIRIIA
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERED
I hereby c o" last I own proWt adjacent to �' 4 4[6
L'�
(Marne of Property Ownsry
prorm-ty located at • 3 �ti��� 6 ,� Ps��dp�l JJI� C
(Project $ire: Add Lot, soak, ff;oact, etc
(Water o6yj Q (CiyrlTown and/or County)
Agent s Narne # ,Jo C rl /�%,(rC� Melling Ackluess
2s'a -333 7��
hgerrt s pho�te a -1C.) 14,a 7 I Email .q..
!-WStw has dps rlW to mP as shcrwr. below the development helshe is propoaft of ttlat
ioc atwn, and I nave no objections to the proposal.
--------- ----- -- . --- <..........�...._
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in descnplion befow oiref lwh a *He drewing)
� � ��, • 1)"Ik A .I �1
M you terra ob}ecbmw to what is b"V proposed You must notify the-DIW&Vn Of Coastal
Mrnrgetwent (DCU) to wd" a t in 10 drys of receipt of this notice. Correspondenco shou+d he
mrf1ed to 461 S. CsrMtin St Ste aft Elitatseth City, MC, 27909 DCV representatives can also be
contwod at (257) 2"3901. No response rs considered die same as no objection if you have been
222n!d bbr CerLilfed Pail.
(P tfy ner Mformrtionj
Print "Type Nar:te
-�03Lt) &6S�
Avail" Ad&*
17'rr+�I-
v�
C;ty/srateap
i &iephon' a Number / Emoii Afton s
DOW
'Vend forone Calendar year aMer sigrature"
(A� Cetat Property 4-ti
otettat an)
0, tnai�
t or rype �l�,tte
Ada&V Ads
}e tz'T Fc� 2� /�1 � tL �► 9 '-��
CiEylStrtevZgo
o-1 5--53 e - y 1 g to = �� t S c�m►a�+. ��
T©iayhoov Alumber/ i=mai Rcldrpcs
rh ) , 2�zs--5
Dale'
Revised Jars 2017

RLk: C r
KO-Vi-w
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 C( - 's
(Name of Property Owner)
property located at - O� L�>c bh t c E L.
(Project Site: Address, Lot, Block, Road, etc.)
on #��rJi_3l Y Z Q_ 13ItA'J�t , in %- - 44���C� � '< _ N.C.
(Waterbody) (City/Town and/or County)
Agent's Name #> -,R)e rilCk; Mailing Address- PD • 6dy HEy-4%rd tic-
P-sa-333g8-
Agent's phone #: f�S a y a cv Email
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
. "v' a1 propos nng-developmen(must fll in description below or atfactta site.,drarving)
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 [phone]. No response is considered the same as no objection if you have been
notified by Certified Mail.
(Property Owner Inform Itio )
Signature 1
Print or Type Name
U 3 (, )-ekh 5 �
Mailing Address
)4,erf �rd A/C,) 7gL{L
Citylstatelzip
5.- yD- Li o 3
Telephone Number/Email Address
Feb
(Adjacent Property Owner Information)
S natu "
Print or Type Name
Mailing Address
Vor L) %r-
City/State/Zip
Telephone !Number/ Email Address
.;2, �
Date
Date *
"Valid for one calendar year after signature' Revised Jan. 2017

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2/10/2020, 8:55:56 AM 1.564
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For tax purposes only. Not a legal clocument or survey. Perquimans nor State of NC assume any liability resulting from use of this map.

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