78638A_Tant, Timothy & Joan_20200803

9
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LAMA / DREDGE & FILL
A') B C D
GENERAL PERMIT
Previous permit ---
..New . Modification .. Complete Reissue - Partial Reissue
Date previous permit issued_—.
As authorized by the State of North Ca roll rta. Department of Environmental Quality
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
Ukules attached.
ApplicantName I V,*_
Project Location: County CurL-cnl,*'
Address Dti.?e
Street Address/ State Road/ Lot #(s) JftA,
-
city, ctif.. hak' I-- State, N C, ZI P.
Phone E-Mail - ttq^
Subdivision
Authorized Agent , Bs'-)Ck­ 10�d 5-
city 4'! l�' k ZIP
Affected CW JEW ✓*TA 4S PTS
tip
Phore# ( _ , ) River Basin
AEC (s): OEA - HHF 1H USA N/A
Air;; /k;� 1 k
Adj. Wt,. Bodyoit�xi__7jV ttf&'Wu III
PWS-
Closest Maj. Wtr. Body C4 30tA --
ORWI yes PHA yes
Type of Project! Activity v-L1 Qc, kk,.;,-.J Q
... ........ (Scale:
Pier (dock; length
Fixed Piatform(s)
Floating Piatform(s)
Finger pien A)
Groin length
number '4V
(Bulkhead) Riprap length ',N,,
E�) r
,wg distance offshore J,
rnax d,swnce offshore
Basin; channel
cubic yards
goat ramp
anathouset Boatlift
POP
leach Bulldozing
Other
Shoreline.. ength .
SAY: not sure r-S
rno
Moratorium: 7.,) yes no
Photos:
Wliver Att3rhed: yes
A building permit may be required by: LtIrl 21'ck'
(Note Local Planning jurisdiction)
Notes! Special Conditions
-e11'd Name
ll
- - �m
Signature - Please read (Coa-,-t.."t-n back of permit
Application Fee(s) Check
4.
See note on back regarding River Basin rules,
bz
PermtOfficer's PH-ited Name
Signature
Issuing Date Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Mailing Address: //10 w l
Phone Number:
Email Address: Ule -
I certify that I have authorized ��:(%�� C v1 I keltd S ,
Agent ! Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development- + A
A
at my property located at
in Ct)M County.
I furthermore certify that 1 am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
�--- -1 Signature
Print or Type Name
tom' CAI A,2 /r
Title
.3 1i I 1 2d zo
Date
This certification is valid through /Z :3 ( i

A246CiP�N �QPERT�YWNET ENT
I hereby mitify that I awn property adiacenito_ iAiq
WOP"lioicatedat ike'l (Narrile of Ptopiirty Owner)
(Address, Lot, BIOCK Rqad, etc.)
in N.C.
(Waterbody) (CftyrTown and/or County)
The applicant has described to me, as shown below, the development proposed at the above
locab
)4- V1- I have no objection to this proposal.
I have objections to this proposal
DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in descilption below or attach a site dr&wing)
yip
ct, V." \
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be se back a minimum distance of 19 from my area of riparian access unless waived by
me (ff you wish to waive the setback, you must initial the appropriate blank, below.)
I
1 do wish to waive the 16 setback requirement,
A) A- I do not wish to waive the 15'setback requirement.
(Property Owner Information) (Adjacent P29 ppAy�Owqa;;ffiformation)
X
5- re
—ilr4114 -- )c
Print or Type 1J e Pnift or T Nauru
Z" tj TAJ 0 Lf S
7
dog 4ddmg Mailing Addre 5VI-Statelzo cl 'tatelzip
Telephone Number/entail address Telephone Number /email address
Y
Dale Date*
(Revised Aug 2014)
'Valid for one calendar year after signature'

AUJAUth I KIVAKIAN FKUFEKTY QWNL-R STATEMENT
t*rz-bi mttj 1hat I own property adjacent to h , , s9i Is
C. 'D-1 - of rty Owner)
r—
cy St i"Iress, LCA, &�X* eb--)
—, in & , N.C.
Materbody) (City/Town and/or County)
7y\e aWmant has described to me, as shown below, the development proposed at the above
\Omtirjn'
- - 1 have no objection to this proposal,
I have objections to this proposal.
DESCRIPTION ANWOR DRAWING OF PROPOSED DEVELOPMENT
(Individ"OlPrOP05dag development Must fill In description bellow or attach asite drawing)
C", V'C'k
I U-101A\
ti
,&— TZAA-,,Prn
Ali
Cli
A
- WAIVER SECTION 7�
dock,)
1 understand that a pier, lock, 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.)
1 do wish to waive the 16 setback requirement
I do not wish to waive the 15' setback requirement.
--W�
(Property Owner Information) (Adjacent Property Owner Information)
Ptint or TYAr offle
clty� at'qrzo --
2)T7—
T & I & P ofre mz M it W / a r; T d- w a o d re S
Dare
b-"
� T,
n A�7-17G —11 17*
Date*
*Valid for one calendar year after signature* (Revised Aug 2014)

Currituck County
GIS Online Mapping
P i00
Addresses
1 2` '' • F u- �.
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Communities
ABydlett
y
106
arco
Coinjock
Corolla
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Currituck
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Gibbs Woods
Grandy
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Ja rvisbu rg
Knolls I•land
Maple
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Moyock
+
22`J
119
e
Point Harbor
a
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/• - S 11
Poplar Branch
,
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Powells Point
(3 0 aA )
Shawboro
• - 4
Sligo
y ^r
Waterlily
h
w County Boundary
i •
a,.
�.
— state
—'- County
1231
Streets
Major Streets
—Arterlal_Princlpal
4
- •
11
—Arts ria l_Major
— ColleckW_Major
Parcel Land Hooks
fi �,s'�
Parcels
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Currituck County
1.
6
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Aerial Photography (2016
(3.02A)
i,•- t
119 Red: Band -
-
Green: Bond _2
-
yx;
r....
EBlue: Band-3
urrituck County GIS
This map should be used for general reference purposes only.
(2r52)232-2034
Currituck County assumes no
legal liability for the information
Www.co.currituck.nc.us/Geographic-Information-Services.cfm
shown on this map.

2020-03-27
2020-03-2"TA
2020-03*-27
Aw.
le
2020-03-27