78529A_Privott, William & Rose, Lisa_20200227

jDCAMA / C DREDGE & FILL N9 78529 k B C D
GENERAL PERMIT Previous permit # 66S
W —Modification VComplete Reissue ❑Partial Reissue Date previous permit issued 7:�I 2c�4
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
C2Rules attached.
Applicant Name Lv, II,aPI. k3lr 4.
Address 1 �; f5c
City StateA)C ZIP a 7cjS;�
Phone # Q5__1 -33- SAL, E-Mail ICN ]L;R �% Y. �,I,c,
Authorized Agent (,„\ r�s�
Affected ❑ Cw ®EW PPTA 2ts ❑ PTS
AEC(s): ❑ OIEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
ORW: yes / no',' PNA yes no )
Project Location: County )1 -4L,C K.
Street Address/ State Road/ Lot #(s) ) qk 1,� n, ily, }'
Subdivision
City CL,/�1�L� k_ ZIP aiyI) 9
Phone # ( ) River Basin Pc911.1-Ac.-
Adj. Wtr. Body i v tf Ffi at/rt,an /unkn)
Closest Maj. Wtr. Body lI f fcc ar-w111
Type of Project/ Activity ,,-} j, , Ik Kcrd I
(Scale: j : Go' )
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Groin length
4E
number
'� Bulkhead prap length
avg distance offshore
max distance offshore 2
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boat
Beach Bulldozing
Other
Shoreline Length
SAV: not sure yes no j
Moratorium: n/a / no
Photos: `' yes no
Waiver Attached: yes no
A building permit may be required by: Cc it ; 4e r k, ( (�4L / ❑ See note on back regarding River Basin rules.
( Note Local Planning jurisdiction)
Notes/ Special Conditions ILL, hL. j kk&,_A nog. n.4 .2 l...a 4El r.ex-! 4 62(; c-1 .'no ham. l K {w� J c.s
Agent or Applicant Printed Name
x
Signature Please read compliance statement on back of permit
� YC.).00 '��(4 3
Application Fee(s) Check #
Pe Officer's P '7V�,�7
Signature
-)-_� - :)c�
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 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 - (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.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date 2 12. -y la
Name of Property Owner Applying for Permit:
L-.: sc- � . i'�ose
Mailing Address:
k0vt()(-k NG 2-1p5-.?
I certify that I have authorized (agent)
Rove %lose
to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) U l t. tk exd
p
at (my property located at) ! q x gant Y,
This certification is valid thru (date) l 'Z( 3V [ 2,o2.o
t n _
Property Owner Signature Date

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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERED
i. I hereby certify that I own property adjacent to o kx o
� 5 � S
nn (Name of Property Owner)
property located at ' (� $ fZ o m w� t'O ilti'�'
(Project Site: Address, Lot, Block, Road, etc.)
on C ��'Ci�4-L<< SOUv%J in N.C.
(Waterbody) (City/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
(Indivfdual.propossing develop ent°mustrill in:des.00 ions.below.orattablZ,asiterdrawing)
We propose to construct a new bulkhead 200' in length and 2' in front of our
existing bulkhead. See attached sketch.
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
op�ty O er Information)
O5e_
Signature
le-1 A e
Print or Type Name
P.C. Box ?—
Mailing Address
< k, of C
Clty/State/Zip
252-333-Soy6
Telephone Number/Email Address
,2l zer 120/9
Date
`Valid for one calendar year after signature'
(Adjacent Property Owner Information)
Signature
;MS
Print or Type Name
T.C, ws. yto
Mailing Address
Nl. a1CIE-k
City/State/Zip
23-2-33T- 3-2-
Telephone Number / Email Address
_ 6Aoe:>1tc\
Date
Revised Jan. 2017

ASTAL MANAGEMENT
W
TY OWNER NOTIFICATION FORM
"Al LEiTI
t
REQUESTED or HAND DELIVERED
MOYOCK,-
27958
MMOUNY1�
r000
27929
05v3�
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Ln
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ljacent to 1�o n �-: s a o s e s
(Name of Property Owner)
10
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4 dress, Lot, Block, Road, etc.)
N.C.
s�Q;a
u�
N =�
(City/Town and/or County)
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Mailing Address:
4
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m
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le development he/she is proposing at that location,
C!S
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- -
PROPOSED DEVELOPMENT
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II in description below or attach a site drawing)
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Id 200' in length and 2' in front of our
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you must notify the Division of Coastal Management
notice. Correspondence should be mailed to 401 S.
wl representatives can also be contacted at (252) 264-
bbjection if you have been notified by Certified Mail.
W W
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v�iy/JCOt Gl Ll�:J -
25 2-33 3 - Q) (4 c)
Telephone Number / Email Address
,2 l z/e
Date
(Adjacent Property Owner Information)
Signature*
Print or Type Name
Mailing Address
City/State/Zip
Telephone Number / Email Address
Date'
Revised Jan. 2017
P
`Valid for one calendar year after signature'

on
Currituck County GIS Online Mapping
Addresses
is
Communities
Ayd left
132 Barco
Coinjock
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Corolla
ro a
777, Currituck
r. w
Gibbs Woods
t /
Grandy
Harbinger
t' s Jarvisburg
Knotts Island
Maple
Moyock
-� ^ Point Harbor
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Poplar Branch
_ Powelis Point
•� x'y Shawboro
Sligo
Waterlily
- � County Boundary
--State
County
Streets
Major Streets
' s • Arterial_Principal
-Arterial Major
•� *i. � _ — Collector —Major
Parcel Land Hooks
s , Parcels
Currituck County
Aerial Photography (2016
' �� ERed: Band_1
Green:Band_2
Blue: Band_3
urrltuck 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.
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