76913A_Shepherd, Jerry & Jane_20200622

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ZCAMA / - DREDGE & FILL
' GENERAL PERMIT
-_New (Modification El Complete Reissue ❑Partial Reissue
N9 76913 C)
Previous permit #
Date previous permit issued_
B C D
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 T !'1 o��G
Rules attached.
Applicant Name
./_ t _�_. Project Location: County(f.J1 %ki.Cl%Z.
Address _ Street Address/ State Road/ Lot #(s) 06 Te-
Ciryji,ck- Stateda ZIP�� lob- 3g
Phone # (,W)-3) S9S-93QS E-Mail SOWM- r nrSy Subdivision
Authorized Agent City r-tj1,'&r % ZIP.P-7W
Affected ❑ CW J/EW M PTA g ES l PTS Phone # ( ) River Basin IQ,
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
,tsG<< I�y (nit man�unkn
AEC(s): Adj. Wtr. Body Co p_S p)
❑ PWS:
ORW: yes /0 PNA yes / no) Closest Maj. Wtr. Body�!-
.,.i�■■Viri/�■■ _ MEMO■ i� i■■ ■ ■
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am._ .: 111 ■■■■■■ ■■
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=No / ■!.!%7 ON
ill' ■■/7■�#M■
Derr � n� n{w
Agent or Applicant Pr Na ted Name
Name
Signature Please read compliance statement on back of permit **
Application Fee(s) Check #
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 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:Hportal.ncdenr.org/web/cm/dcm-home
Revised 7/06/ 17

VCAMA / DREDGE & FILL t ` -- i j) i
GENERAL PERMIT Previous permit# A B C D
New Modification Complete Reissue 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 15A NCAC7/y I ;�_Oj cj
Rules attached.
Applicant Name_ ,,)161{ty i �►i �phed Project Location: County CGJt % C3i(
a
Address 1_ _ '1Ca ( /ji+ u� Street Address/ State Road/ Lot #(s) j C)6 L�;
City C4l.kok- StateAJC ZIP_ ;11
Phone # (?03) F)6-130S E-Mail }4j a L. Subdivision
Authorized Agent City �r;1I t� C %i ZIP ;?_A9Lcl
Affected CW t%EW ✓PTA ES PTS Phone # ( ) River Basin
OEA HHF IH USA N/A °1I to
AEC(s): PWS Adj. Wtr. Body,A_Y Ck0e- 1�.7r ............ (not mor unkn)
ORW: yes / no Y PNA yes / no Closest Maj. Wtr. Body C&'r�,'hc h'
Type of Project/ Activity n_<k Nri_1 )6'x ice` Deck- %a.' c!A,uNrc, Y�" 16' yak ', c.�d A4ek�2
+).'f 4' _ (Scale:
Pier (dock) length x 161
Fixed Platform(s)y
Floating Platform(s)
Finger pier(s) _ f
Groin length
number y
Bulkhead! Riprap length ---/ +G
avg distance offshore «»
max distance offshoref
Basin, channel
cubic yards
Boat ramp
Boathouse/ aatii� )�,t � )�,. r
Beach Bulldozing
Other i{`%_ry)6r i 'K , 1&;1 J
Shoreline Length ^-�+�,�
SAV: not sure yes C9.
h-4K-; 4ed i6'x i2t
DUZIC (1, -L"V r r
___ ;G
Le
r_ _
2 Ath+*t i&ee 1t5<I6r YL
®'Vlur✓
Moratorium: yes no tCl— 'f '
Photos: ye no
Waiver Attached: yeti `Eifp ' 1
A building permit may required by: !Lt �i, v^ 1. rt ,•7.� See note on back regarding River Basin rules.
( Note Local Planning Jurisdiction)
Notes/ Special Conditions (7) A1a &JF of tkp. d AclI-4r'&en jcr (34- rr) ,,;
Agent or pplicant Pr nted Name
X ��_4&4
S'gr a *Please compliance statement on back of permit�'�,y
AppocationFee %,) Check #
P itOfficer's Pnnted Name
Signature
6 -.-L;L - a -co
Issuing Date
10 -aa.-
Expiration Date

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERED
Name of Property Owner: , F 11 Ji MF SNEPN (-� — 0 — -
Address of Property: d (o UEAL Lilt LuIZRI-! U c. 92 9
(Lot or Street #, Street or Road. City & County)
Agent's Name #:
Agent's phone #:
Mailing Address: SIJAC
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 initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
3 S 71% i'\
(Property Owner Information) (Adjacent Property OwngVinformation)
i urrrre �S7 tare*
J'ci-AK / A S9t'ehEX17
Print or T pe Name
10& TEAL_ 0
Mailing Address
�ur22rTr��-lam IA- 21121
('itv/.State�Lin
'J✓ 3 3 `7✓
Telephone Number/ Ernail Address
Dale
Mailing Address
Gcll? , i GtC_ fVL 2�jSZ`l
City%State2ip
7 T 7 - ,moo?-=-77J D
Telephone Number/Email Address
Dale*
*Valid for one calendar year after signature` Revised Jan. 2017

0
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERED
Name of Property Owner: >TFPLAV 9 .1i4 t46 SH 6r? E& 1212 _
Address of Property: (,p D'A C&iAAr u `k 1V C., z 1 1Zc?
(Lot or Street #, Street or Road, City & County)
Agent's Name #:
Agent's phone #:
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.
fI 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-
3904. 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 initial the appropriate blank below.)
C�" y
'(ic. I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
1aq Tires e- 12A.
(Property Owner Information) (Adjacent Pro rty O ner Information)
i t ahrt c Signature
Jc�2�2V iliC��1�Cd Imo- 94" g YHA&V 6-AiU)4i
Print or type Name Print or Type Name I If
Mailing Address
C. 1-t AAr � ter` lc- Rt- 2 -7 5 Z
CitylStatefZip
lo3
Telephone Number/ Email Address
_-TawL' 1 I o Z U
Date
'Valid for one calendar year after signature`
111 L1&--42 Drlt.-k. On
Mailing Address
S-t4Bltr Ti t c--x X c- 2 r7 5 Z I
City/State/Zip
�6 71 �1�,f,��; � v tit, v C
Telephone Number/Email Address
Date*
*
Revised Jan. 2017

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Currituck County GIS Online Mapping
Addresses
�,','-„ �* Glammunities
Aydlett
tsarco
G I bte Woods
it Grandy
Her Vlnyrr
- Jarvlaburq
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Point Harbor
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ShpO
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County Boundary
— biota
--r vinty
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106 -
Major Streata
—Artvl lal Pr Imlµal
Currituck County GIS
[phone]
www.co.cu rrituck.nc. us/Geograph ic-Information-Services.cfm
—Arterial Major
— f',nl Inrtnr_tvinjnr
Parcel Lond Hooks
Parcels
' Currituck County
Aerial Photography (2016
ERed: E:ond 1
- Enmean- Rnnr1-7.
'a " -s �91rre. Batxl 3
This map should be used for general reference purposes only.
Currituck County assumes no legal liability for the information
shown on this map.

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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERED
Name of Property Owner: Mmi v t 'MA 014Fi,S R j jiZAL 12
Address of Property: td LZ4'
(Lot or Street *, Street or Road. City & County)
Agent's Name #:
Agents phone #:
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 descriotion 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 :hat 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.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Ivy TWA e— 12A
(Property Owner Information) (Adjacent Property Owner Information)
r crrrrt L Signature
print or ype Name Print or Type Narr7e /
Mailinc Address
1­
rtylstateizip
no3 SKIS'-- Gf_3Oo;—
Teiephon Numberl Email Address
= z,1 -2�.
Mailing Address
e—kla.J,rrA&e1-4� z g
City/Statelzip
Telephone Nu berl Email Address
-iaTw; %� 12- c-�2 c

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONfWAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERED
Name of Property Owner -���
Address of Property: 1040 TESL 09 C, (4iZ 2r 1 u 4-1e Ale, ar)1 Z 1
(Lot or Street #, Street or Road. City & County)
Agent's Name #:
Agent's phone #:
Mailing Address: „f AAt
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 mustnotify 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 initial 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)
. ! C7ttfY4'
Print or T pe Name
1 m Trot, i2&
Mailing Address
r ifV4,Statelzio
rt v
Telephone Number/ E-mail Address
I* r- 6- / .z = /zC.>L (-
( e ?rop Ow r I rmation)
L
1cr
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Print Name
14a 12FA I- Lz&
Mailing Address
C_yd rid e_ [C AV.= 2i'I 5 Ct
Citty/Statelzip
ot5,s 7;;ZDoP.`-G -1-`7
J
Telephone Numb r 1 Email Address
: DP% GVk,3gaozo