78564A_Vardaro, John & Rosalind_20200317

iCAMA / 'DREDGE & FILL
GENERAL PERMIT
. New Modification LIComplete Reissue E]Partial Reissue
A,- 1�1_�
N9 78564 AB C D
Previous permit #
Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality 1
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
Rules attached.
Applicant Name Project Location: County ( - : , ' _ c I (
Address - ),Ap�
City Statue ZIP
Phone # (?S K'$I - CL:� — E-Mail r, Q, C,z-c I
Authorized Agent ;ck_ FJu 1, ,
ed
0 CW [,fEW &(PTA S/ES EJ PITS
AffectD OEA El HHF El 1H El URA El N/A
AEC(s): ❑
E PWS:
CIRW: yes / no PNA yes t no
Street Address/ State Road/ Lot #(s)- r�c.,
Subdivision
City Zlp�
Phone# River Basin PC_qr,,,4
Adj. Wtr. Body ll L Cna0man Lunkn
Closest Maj. Wtr. Body
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Aji§nt or Applicant Printed Name
Signature a Please read lco riance statement on back olpermit
Application Fee(s) Check #
Qr,bf ( + CC
Permit Officer's Printed Name
Signature
3-1-9—-7 —1-9
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/ 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
AGENCY FOILM FOR PERMIT APPLICATIONS
do hereby authorize
(name ^. ,._-n - acting as agent)
-d at:
to act as my agent for the purpose of obtaining =- n Cc stal Area Management Act and/or
Dredge and Fill Act permits, that may be needv _o. " t --cnosed development at the above -
indicated property, which entails:
n ( t.
(describe proposed developmenr Or which permits are being sought)
This agency authorization is limited to the specific activities described above, and will expire on:
L
(date on which agency authorization expires)
(printed name of owner)
(date)
(title, if officer of corp. owner or trustee for property)

CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONfWAIVER FORM
Name of Property Owner:
Address of Property:
(Lot or Street #, Street or Road, City & County)
Agent's Name #!' J LAe Mailing Address: t :3 is 4vik- (fCee k
Agent's phone #: 33 7-034 Z -7 5-F_
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.
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
availableathttp://www.nccoastalmana-gement.netlweb/cm/staff-listing orbycalling 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.)
W2 I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Informati
Sijnature
.�sa/:✓�
Print or Type Name
Mailing Address
o 61-� //�
City/St te,0p
aYo4",*14W 7757- 67q -
Telephone Number s Telephone Number/Email Address
Date Date
(Riparian Property Owner Information)
Signat re
x
rint or TypeName"
Mailing Address
X City te/zip � 1
(Revised Aug. 2014)

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CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONNVAIVER FORM
Name of Property Owner:
Address of Property: l `"�` �'✓
(Lot or Street Street or Road, City & County) l
Agent's Name#: 21,c1k L}..�5�, Y�� 44f�v,,tMailingAddress: 1�iS lls ire �d�
Agent's phone #: [phone] I we�K V -, 2i `I 5Y
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.
1o^ 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.nccoastaimanagement. netlweb/cm/staff-listing or by calling 1-888-4RCOAST.
No response is considered the same as no objection if you have been notified by Certified Mail.
X 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.
or Type Name
�)9v 1,41teg-
Mailing Address
(Riparian Property Owner Information)
Signature
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O
Print or Type Name
x �5�/ 6 "�
Mailing Address
ity/Stl t /Zip 1 ity/St te/Zip
Telephone Number/ E ail Address Telephone Number/Email Address
P,rCe-/
oy4,> 661
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Date Date
(Revised Aug. 2014)

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Currituck County GIS Online Mapping
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Addresses
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Communities
Ayd Iett
Ba rco
Coinlock
Corolla
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Currituck
Wry
Gibbs Woods
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Harbinger
Jarvisburg
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Currituck County GIS
[phone]
www.co.currituck. nc.us/Geographic-Information-Services.cfm
Q Krxft Island
Ma pie
ai • Moyock
Point Harbor
Pbplar Branch
Powells Point
Shawboro
Sligo
Wa le r1I ly
County Boundary
-- Stale
— County
` Streets
Major Streets
j—Arteriai_Principol
' — collector_Wlajor
Parcel Land Hooks
Parcels
Currituck County
Aerial Photography (201
.. ERed. Band_1
78 EGreen Band-2
Blue: Band_3
This map should be used for general reference purposes only.
Currituck County assumes no legal liability for the information
shown on this mpp.
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