76803A_Nowalk, Kevin_20200803

L---
MEM
Z-,bREOQE & FILL IN%' t 5U.3 A B C D
e/CAMA Previous permit #
"GENERAL P ' ERMIT Date previous permit issued
t�-New --Modification -Complete Reissue Partial Reissue
As authorized by the State Of North Carolina, Department of Envirom'nental Quality and the Coastal Resources Commission in an area of environmental concern, pursuant to I SANCAC
A Ucant Name,J* Project Location: County C_cj
pp
Address. Q—
Street Addresst State Road/ Lot
2AQ-1':TOt4-14
City, StateA)A- ZIP-- -4-(! Subdivision �,-- r --c,
Phone* —..E-Mail
AuthorizedAgent ktI:.. C1tyCX1--24J1.­­— ZIP
Cw 4w -�-;/PTA ES PTS Phone# River Basin_,, --.---
Affected OEA HHF - Hq LKLA 7 N/A Adj. Wtr, Body-��A­10
AEqs): 7 Pws; Closest Maj. Wtr. Body
ORW: yes (n.) PNA yes /(nb
Type of Project Activity
(Scale:
AITS
Pier (dock) Length
Fixed Piatkirm(s)
Platform(s)
d+rCe.
Floating
Finger pier(s)
I cc
Groin Ienrlh
A)
number
%prap length
Sulkhead]
I
max distance offshore,
Balm. k—;;-a)Lqz�?: Y111 1145
�Ne f31,fbhf*,4-
;6 h1Wk I
cubic yards. 1-7
Boat ramp ­-­..
Boathouse/ Boatfift-
Beach BuftdozinJf-­—­.-­
V.
Shoreline Length..!
SAY: not sure yes no
Moratorium: n1a yes no
Photos: yes no
Waiver Attached: yes no
See note on back regarding River Basin rules.
A building permit maybe required by:
(Note Local Planning Jurisdiction)
Notes/ Sperial Conditions
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,e e cifr
e nt on back of permit""'
re ea-serea morn fiance state rrt�
Check
Apocation Fee(s)
Peml�ut&r`S PMW NUM
Signature
-,
Issuing Date Expiration Date

NCD84R-
Nth Carolina Deftof Environment and Naftral Resw, rces
Wsion of Coastal Manwemew
Beveiv Eaves Pence, Govemof JWeS Ii. Gregwi, Direccor Dee F-acTan, s=fty
Date
WWW 01 Property Owner Applying for Permit:
A L K
PAdVft Address:
Wk-avi.,+ REAct.1 V.A 2
certify that 1 h2ve authorized (agent) �? JL. to act on my
behalf, for the p---pose of applying for sad obtaining all CAMAPemits necessary t,
inrtafl or C*Dstruct (a0iVW
zY (my property located
This certification is valid 1--. ru (date)
P"" Owner Signature Deft
r.
dW COMMWM Avenue, Momhead Ct-ty, Nonh Ca) fir.2 1,855
Phom: 252-808-2M i FAX [phone] t Intern{ fAWJ.nCc02sWMaP--gementnet

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER N(MFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
I hereby certify that I ovum property adjamt
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property located at
(Address. UA. Bkck Road, etc.}
;
Mfaierb
Ag enYs Name..
Agents phone #:
of Prqmty Owner)
(City/Town andlor CounW
Mailing Address:
He/She has described to me as shown below the devekgmient helshe is proposing ate focal,
and I haw no objections to the pmposal-
DESCRIPTION ANWOR DRAWING OF PROPOSED DEVELOPN EXT
(hxhvkhW pnpasing devekwmant must fill in descnpbw below or aftach a sills draw
f
if you hamoblecoons to what is being proposed, you amst daffy the Divishw a f CoasWilknageamg
(�}8f�a��� itii writing 96�t n � d� 3j ?i�li�ftreceipt of thiT� no6� iB�.� CorlespoadB,nce st outdb ib l335(7 US
f I South, Eif3 7 VJ � NC, 27909 sit/@ enLLsuYas �} a� be a M 2ff-3 . to
rQ tiS� is coaskkred the same as no ohjech� if you hfty bow rmiilW by CerOW MIFA
(Property Owner Inkffmafiott)
&V t ft AbLocd
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City/State r4l
Tekphone Number
Date
(Riparian Pnj Ihdwmation)
Print or Type A atae
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City/Staie/
rekphona Ntimbw

■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mallpiece,
or on the front if space permits.
1. Article Addressed to:
j,. 13 e IDSNAkT
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A. Signature
_ d Addressee
8. F�eceived by (Prin Nar7 e� C. D o Delivery
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D. Is delivery address different from item 14 es
H YES, enter delivery address below: No
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Insured Mail Restricted Delivery
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Restricted Delivery
PS Form 3811, July 2015 PSN 7530-02-000-9053
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Domestic Return Receipt
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960a�i -6(pk,r,,
Currituck County GIS Online Mapping
addresses
l
127
121.
Communities
NAydlstt
12128
/Ff
CJy
Daioo
Ccinioak
213
>
Corolla
2135 W
Currituck
>
Gibbs Woods
U1
Grandy
harbinger
Jarvieburo
Knott Wand
5
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Maple
Moyook
8
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35.7
Print harbor
Poplar Branch
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Powelh Point
Shawboro
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�j County Boundary �4 170
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106 2 �) t C.t/ Streets
4 -�
$$. Meior streets
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—ArMrisl_Ma1or
Coliselor_Major
' Parcels
" 100 ❑
L— 1100 ft Currituck County
j—' 100
Currituck County Ole This map should be used for general reference purposes only.
(252)232-nU Currituck County assumes no legal liability for the Information
www.co.currituck.nc.usldsographlc4nfometlon4ervlcss.cfrrl shown on this map.

Currituck County GIS Online Mapping
802
Currituck County GIS
[phone]
www.co.currituck.ne.us/Geographic-information-Services.cfm
�+
Addresses
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Communities
€
Aydlett
barco
rnl njer.N
Corulda
r=urrltuck
Gllobs woods
o rn Tidy
y
lists 111 rlt)CI
Jarvlaburq
Nnotb Island
M. pk-
Moyocic
Ibint Harbor
RT4nr Gmne.h
Ruvelly PLAW
O5
hawbNo
bllpo
t'
welnllijy
County Boundary
Streets
Major Streets
—Arta i I;a I_Pri nd wl
—Artarlal_ Major
— rnj Mr,Mr_ Mnjnr
Parcel Land Hooks
Parcels
Ll
Currituck County
Aerial Photography (2016
NRed: Hand_1
Nrrnr.n• RnnA,2
�Oluer OartJ 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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