78599A_Lane, Edgar & Deborah_20200501

(4- L
ILCAMA / ❑ DREDGE & FILL N9 78599 B C D
-. GENERAL PERMIT Previous permit #
SINew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality �� /a GU
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
0 Rules attached.
Applicant Name r i Delor c, 1, L a r Project Location: County a o k
Address $ 3 Z k(c. Cl or iL t (�cl _ Street Address/ State Road/ Lot #(s)
City State ZIP 31 Z
Phone # P -11t S E-Mail �'I , r c 1 � S'V a of O Subdivision
Authorized Agent City c )1 to L-%Jr 4iA � � � ZIP AZ'`l Oct
ElCW R EW O PTA ❑ ES ElPTS
Affected AEC(s): ElOEA ElHHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
ORW: yes / no PNA yes / no.
Piee(dock) length
Fixed Platform(s) I x
Floating Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards_
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAV: not sure yes 5-
Phone # (In r H L River Basin I7r:
Adj. Wtr. Bod,-e.y (nat /man /unkn)
Closest Maj. Wtr. Body ).1 i 6C tru : I E S01A 1
Moratorium:yes no
r
Photos: ("yeS� no Waiver Attached: c
A building permit may be required by: f�c S 41 n -1 C, r h l cyo IN i
( Note Local Planning jurisdiction)
Notes/ Special Conditions
Cd G CA r
Agent or;Applitant Printed Name
Signature a Please read compliance statement on back of permit
(Scale: I� - c10' )
❑ See note on back regarding River Basin rules.
Permit Officer's- Printed Name
r, fV
Signature
S / rI2V `�
Issuing Date Expiration Date
Application Fee(s) Check #

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/ 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

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
BRAXTON C. DAVIS
Director
May 1, 2020
Edgar & Deborah Lane
1832 Head of River Rd
Chesapeake, Va 23322
NORTH CAROLINA
Environmental Quality
Attached is General Permit #78599A. To validate this permit, please sign the permit in the bottom
left hand corner below your already printed name, as indicated. Retain the white copy for your files
and return the signed yellow and pink copies to us in the enclosed, self-addressed stamped
envelope. If the signed permit copies are not returned to this office before the initiation of
development, you will be working without authorization and will be subject to a Notice of Violation
and subsequent civil penalties.
If you have any questions regarding this correspondence, please don't hesitate to call our office at
the number below.
Thank you, we appreciate your attention to this matter.
Sincerely,
Cynthia Rountree
Field Representative
Division of Coastal Management
401 South Griffin Street, suite 300
Elizabeth City, NC 27909
252-264-3901 Ext. 234
D _EQ��
D�pr4rniMF Yawe1b10�b\ /--
-- - Department of Environmental Quality I Division of Coastal Management
- - ce 1 943 Washington Square Mail I Washington, North Carolina 27889
— — -- 252.946.6481

Received
AD.
w23L�4F
DIVISION OF COASTAL MANAGEMENT
ENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
FIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERED
Name of Property Owner:(�
Address of Property: 9 Ir©AL �Q (ZIV F_ I C �� Z {�.p�E`1�l �ITY, �!^ p� 1 `� 0 1
(Lot or Street #, Street or Road, City & County)
Agent's Name #:
Agent's phone #:
Mailing Address:
I hereby certify tat I own property adjacent to the above referenced property. The individual
applying for th permit has described to me as shown on the attached drawing_the development
they are pr osing. 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. 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.
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 ive the setback, you must sign 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 Inform
atio )
Siindfure
Lt,6NR tij
Print or Type Name
3a ReRt)bP­RivE2'RtiAD
Mailing Address
City/StatelZip
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Telephone Number/Email Address
Dale
*Valid for one calendar year after signature*
Tire,
Wnafure
Print or Type Name
C;2,1L -7 (2&9 4,v2--
Mailing Address
77
l
City State/Zip
Telephone Number / Email Addre
Date*
Revised 2017

Received DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
,DR 26 ' CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERED
DCM-EC
Name of Property Owner:
Address of Property:
Agent's Name #:
Agent's phone #:
a- u r-_i5bkA+l �-- P� o E
P BAR L )P N C-:_ . 1 La-Nt5eTR
(Lot or Street #, Street or Road, City & County)
Mailing Address:
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. 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.
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 sign 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)
Siindfure 1 r
EpG�.R W
Print or Type Name
Mailing Address
City/State/Zip
MWW-A�15_�i O 15 ao1�orn
Telephone Number / Email ress
q- 21- a®ao
Date
(Adjacgnt Property Owner Information)
Signature
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Print or Type Name
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Mailing Addres
City/State/Zip a "7 `t a 9
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Telephone Number/Email Address
17(-Ig_a0a0
Date*
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*Valid for one calendar year after signature* Revised 2017

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