76877A_Freethy, William & Mildred_20200901

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ACAMA / _ DREDGE & FILL _ €
9NERAL PERMIT Previous permit# 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 I SA NCAC
mules attached.
Applicant Name (J; It to t,,,, 't' /Vl : Id led J--ree kk Project Location: County C f„ if, `� k.
Address 19 2 /Ur,rc X, . sj�w,+ kpvJ / Street Address/ State Road/ Lot #(s) 19;;L 111� f cam
City AYJ le,-f State 1VC, ZIP 1?91 f3
Phone # 9 SWI?S3 -_V10 E-Mail _ Subdivision
Authorized Agent City ._Ay4jeTLJ— ZIP q-iAt6
Affected Cvb W 4TA ES PITS Phone # ( ) River Basin J ��
AEC(s): OEA HHF IH URA N/A Adj. Wtr. Body C"wltf czz_ cl {rat an /unkn)
i PWS:
ORW: yes no PNA yes i no Closest Maj. Wtr. Body Cry .4-r-c—'t 5.b cl
Ttpe of Project/ Activity AlCf,., i 1' k 131
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards I
Boat ramp ,
Soathous Boatlift` j (k I J
Beach Bulldozing
Other
Shoreline Length
(State: `t 3. J )
Af, l�ftzCd A ,,46:zed Refc%r
!I`N13 +I:ff Piet Irl faa SFE }bs�
Lt
1
T �e,,o..`1' &I kk.ct cf
AAo4- f o v3& ref fr-ccd
SAV: not sure yes I
Moratorium: n! �es no
Photos: t yam} no
Waiver Attached: ��'e�.���
A building permit may 5e required by: (Lt , 4l k cof,,,,4 �s
( Note Local Planning Jurisdiction)
Notes/ Special Conditions
o Uo— Tt(,Oyy I A cr .' �t t3l lis
Agent or Applicant -Printer Name
Signature '" Please read co plian,, statement on back of permit
t Qoo.c' V 1113
Application Fee(s) Check #
Im
Frc e 3 kki
See note on back regarding River Basin rules.
PermitOfficer�s Printed Name
--
Signature
9-1 -�C�
Issuing Date
j - I -- 2. k
Expiration Date

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date 08/28/2020
Name of Property Owner Applying for Permit:
William Freethy
Mailing Address:
192 Narrow Shore Road
Ayd Jett, NC 27916
Received
UCM-EC
certify that I have authorized (agent) Affordable Bill's/William Eger to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or
construct (activity) Install a 11x13 boat lift on existing pier , at (my property
located at) 192 Narrow Shore Road, Aydlett
This certification is valid thru (date)
Property Owner Signature
12/31 /2020
Date
CAMA Minor Application
Page 10 of 10

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERED
Name of Property Owner: William Freethy
Address of Property: 192 Narrow Shore Road, Aydlett, Currituck
(Lot or Street #, Street or Road, City & County)
Agent's Name #: Affordable Bill's/William Eger
Agent's phone #:
252-489-9555
Mailing Address: 300 W Albemarle Dr
Nags Head, NC 27959
eeeived
.;1
JCM_EC
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.
Zhave 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.
(Property Owner Information)
Signature
William Freethy
Print or Type Name
192 Narrow Shore Road
Mailing Address
Aydlett, NC 27916
City/StatelZip
252-453-8453
Telephone Number / Email Address
08/28/2020
Date
'Valid for one calendar year after signature"
(Adjacent Property Owner nformation)
J:: - �� Z ,
Signature *
Joshua Neal
Print or Type Name
184 Narrow Shore Road
Mailing Address
Aydlett, NC 27916
City/State/Zip
Telephone Number/Email Address
08/28/2020
Date"
Revised Jan. 2017

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM j
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERED
,.J C l -EC
Name of Property Owner: William Freethy
Address of Property: 192 Narrow Shore Road, Aydlett, Currituck
(Lot or Street #, Street or Road, City & County)
Agent's Name #: Affordable Bill'sWlliam Eger
Agent's phone #: [phone]
Mailing Address:
300 W Albemarle Dr
Nags Head, NC 27959
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.
1 �"ave 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.)
%%Z`_ 1 de -wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Z4 .
Signature
William Freethy
Print or Type Name
192 Narrow Shore Road
Mailing Address
Aydlett, NC 27916
City/State/Zip
252-453-8453
Telephone Number / Email Address
08/28/2020
Date
*Valid for one calendar year after signature*
(Ad' nt Property Owner Information)
Signature
Don Roberts (204 Narrow Shore)
Print or Type Name
PO Box 2746
Mailing Address
Virginia Beach, VA 23450
City/State/Zip
Telephone Number / Email Address
08/28/2020
Date
Revised Jan. 2017

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