78536A_Slater, Jody & Smith, William_20200305

LTCAMA / ❑ DREDGE & FILL N9 78536 CA B C D
GENERAL PERMIT Previous permit#
New ❑Modification ❑Complete Reissue El Partial Reissue 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 �! 1 ECG
[Rules attached.
Applicant Name f + � J; I j wProject Location: County C �c r 1'4 L r k
Address I S CYJC LN6,1
City 7-­AS 1 0c.. d State ZIP
Phone # (Ila ) 'I 1C - iql / E-Mail Acjf, 2— _122 Ea, t.cc—
Authorized Agent
Affected ❑ Cw 66EW APTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
ORW: yes /. no,,i PNA yes o
cubic yards
Boat ramp
Street Address/ State Road/ Lot #(s) ► SS �'o /c t, F
Subdivision
city ZIP S
Phone # O River Basin I a
Adj. Wtr. Body k" ,A oo.- / at Iman unkn
Closest Maj. Wtr. Body t"' tL
111,11irm mill. -III
Other S
■■�■■■■■■■■■■■■■■■■�■■■■■�!I'�
Shoreline Length Illy
Moratorium. , n/a yes no .
r1j. ..... _ ._.. __ ._. _ ..... _.. -
Photos: yesr no
Waiver Attached: ye;: no
A building permit may be required by: _G q JL r k C/A`t`i ❑ See note on back regarding River Basin rules.
( Note Local Planning Jurisdiction)
Notes/ Special Conditions Al , -I c>� %l._ %.; -��r l 4 �A`II Cjc,�s Ile �� v I / j r e �'� �t�i.<jPc� �4
Agent or plican rinted N e
Signature rea pliance statement on back of permit
�� cll
Application Fee(s) Check #
c.
Pe ' Officer's Print Name
Signiture
2C
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
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ I-888-4RCOAST
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)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(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

3/5/2020
North Carolina Secretary of State Search Results
• Upload a PDF Filing • Order a Document Online • Add Entity to My Email Notification List • View Filings
• Print a Pre -Populated Annual Report form • Print an Amended a Annual Report form
Limited Liability Company
Legal Name
Yungins, LLC
Information
Sosld: 1505577
Status: Admin. Dissolved
Date Formed: 3/18/2016
Citizenship: Domestic
Annual Report Due Date: April 15th
Annual Report Status:
Registered Agent: Registered Agent Solutions, Inc.
Addresses
Mailing Principal Office
1 pine pl 1 pine pl
Annandale, NJ 08801 Annandale, NJ 08801
Reg Mailing
176 Mine Lake Court, Ste. 100
Raleigh, NC 27615
Company Officials
Reg Office
176 Mine Lake Court, Ste. 100
Raleigh, NC 27615
All LLCs are managed by their managers pursuant to N.C.G.S. 57D-3-20.
Chairman of the Board
Bernard hanafin
1 pine place
Annandale NJ 08801
https://www.sosnc.gov/online_services/search/Business_Registration_ResuIts 1/1

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
-7V D i' 6-L rV L—
I hereby certify that I own property adjacent to Gvrt-LTA /a_ SM2TH L97 's
(Name of Property Owner)
property located at 1,5� �S GL o L,gti�
(Address, Lot, Block, Road, etc.)
on I�NG7'] s 7SLANk� iNn n�ivdZ in eiv(,773 N.C.
(Waterbody) (City[Town and/or County)
ikThe a licant has described to me, as shown below, the development proposed at the above
to t'
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
aojw(' 7-�VU &P % L.z�
Glv 04"- sz0
7� 6 Xis 71i-,/— /,2LCk, 6-/v6
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set back a minimum distance of 15' from my area of riparian access unless waived by
me. If AW wish to waive the setback, you must initial the appropriate blank below.)
LWO I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
e Owner Information) (Adjacent Pr perty Owner Information)
Sig Sin u-
/Jj' S" T8n .�, d✓lu,Sfi"+ A . SMI-T7/ �ZT
Print or Type Name P 'nt ras,,r9) O� , • �
Mailing Address Mailing Address O O,
�tzs NL 1 '7`f 5O
City/State/Zip Citttp 9L 2' 6
Ll)J' 7/b-YIN �S� �s�; yaa�s,�� . �u.. as
Telephone Number/email address s T=�ho� Nu�er/email address fr.s•
Date Date
(Revised Aug. 2014)
`Valid for one calendar year after signature`
Scanned with CamScanner

RUN CHART & XmR CHART FORM
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90> Are there any points above the ucl or
80> - below the Id?
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13. CALCULATE X u3SL/13SL AND PLOT
14. CALCULATE mR u3SL AND PLOT
15. ANALYZE
Once you have explained how the upper and lower 3 Sigma Limits are calculated,
complete the drawing and analysis of the process behavior chart
Analysis
Start by applying the 6 rules for the X portion of the chart (same as the Run Chart)
1. There are 11 runs and there should be between 10 and 19 (from the table of runs) —
no signal
2. No structural trend — no signal
3. There are no sequences of 8 or more points above or below the center line — no
signal
4. There are no sequences of 6 or more points above or below the center line — no
signal
5. There are no repeating patterns — no signal
6. There is no evidence of fudged data — no signal
7. However, there are three points outside the 3 Sigma Limits — signals for special

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
:y 0 q i- S Z-AiUIv
I hereby certify that I own property adjacent to /a s /"i ref UT s
_ (Name of Property Owner)
property located at 15 � �S �� � L,B/✓�
(Address, Lot, Block, Road, etc.)
on I< NLrrs Jet �w� C� w/vff-L , in_ elVv,l 773 T 1 L,41kQ N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
i//v V6P" sib
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
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.)
L� I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
e Owner Information)
Sig
S" Ttm cC !✓lu,� A , 5,-►.,17V ZZ
Print or Type Name
15S -SvL& LAA4--
Mailing Address
k?L&M JZsL lomv NG a 7yS0
City/State/Zip
Telephone Number/email address
Date
(Adjacent Property Owner Information)
Signature*
Print or Type Name
%S SGL L
Mailing Address �c
le „- G-fS iS
City/State/Zip
Telephone Number/email address
Date *
(Revised Aug. 2014)
"Valid for one calendar year after signature'

3/5/2020
hrips://currituckncgov.com/Freeance/Client/PublicAccessl /printFrame.html
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
076000108E0000
002-73-1033
155
SOLO
N
NOTTSISLAND
CARTER LOT 3
RUITVILLE ML
SLATER, JODY GAYLE
SMITH, WILLIAM A III
155 SOLO LN
NOTTSISLAND
C
7950
1.67
1.67
126600
12600
39200
019-03-29
70000
1477
91
4
020-03-05
hfps://currituckncgov.com/Freeance/Client/PublicAccessl/printFrame.html 1/1

Icurrituck County GIS Online Mapping
100 ft
Currituck County GIS
[phone]
www.co.currituck.nc.us/Geographic-Information-Services.cfm
Addresses
Y
Communities
Ayd sett
Ba rco
Coinjock
Corot la
Currituck
Gibbs Woods
Grandy
Harbinger
Jarvisburg
4
Knolts Island
Maple
hloyock
Point Harbor
Poplar Branch
Povells Point
Sha vboro
Sligo
Wate rl i ly
County Boundary
..
1
--- stare
-- Count,,,
Streets
Major Streets
—Arterial -Principal
Arte ria lMajor
— Collector_hlajor
Parcel Land Hooks
Parcels
EJ
M
Currituck County
Aerial Photography (2016
Rail Band_1
EGreen Band_2
Ba nd_3
This map should be used for general reference purposes only.
Currituck County assumes no legal liability for the information
shown on this map.