78684A_McDonald, Jay & Elaine_20200526

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XCAMA / O DREDGE & FILL
GENERAL PERMIT Previous permit # B c a
(.7�. Vew L Modification :Complete Reissue _Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality '7 l �j
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
(Rules attached.
Applicant Name ,, rt Ela, _1`�c�1_s�1 Project Location: County
Address_12-1 Street Address/ State Road/ Lot #(s)_�Z-
city- ___Ca"'J, e,., State_. ZIP !__ _---
Phone # { �}'?,?�� -'5464 E_Mail —__. _ Subdivision
Authorized Agent _-- — -- City_ c:l ,L_ - ZIP 2%___
Affected trw 'PTA DES C PTS Phone # {___._.__ } _..._..__—__.._� River Basin
AEC 5 : '-'� OEA C HHF �: tH � UBA 7WA
�- -�
{) :1 PWS. Adj. Wtr. Body p c, �dN `: j at man unkn)
Q�
QKW: yes / PNA yes / n0 ai. _N_ .i
Type of Project/ Activity„„ -t { u c E I t fD t •
(Scale:
Pier (dock) length
Fixed Platform(s)
Basin, channel
cubic yards
Boat ramp —
Boathouse/ Boadift .
Beach Bulldozing
Other
4-
_r ' 0 ----
t .
Shoreline Length_-
t +i
SAV: not sure yes C twjoF 4 j /i1
Moratorium: Ca } yes no f E'lc0A, � ,3
Photos:
Waiver Attached: yes no
A building permit may be required by:. C-0411 ezi Gt1 4 L_. See note on back regarding River Basin rules.
( Note Local Planning Jurisdiction) t _ /
Notes/ Special Conditions _2_ 1(M d r".
x_ L11I. Lewl's 6rb� Sh a -leers , krine
Agent or icantSm
Ag Permit rc nit ed NameSignature —PieHance statement on back of permit" Si at
tma
Application Feels) Check # Issuin ate E V D t

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AGENT AYTHPR ZAT!_QNFORM FQR PERMIT APPLICATIONS
Name cf Pn:=7, 2 x-_ A:; V Pe-,
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vaccnnywhof n "ecinows
lecessary Vre P000sel jene cc -en W
,_property Owner Information)
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Erna: Ad -dress

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MA"- zRE-*'-PN;R=-CE!;:7 -%Z DI , =-,R-=C
neret)y certry inal '-;'o0er* aCjace'-t to i"'?, !V C �c P CLI Ci
(Name of Property Owner)
(Project Site: Adoress. Lot Block, Road, stra.)
N,
(Watwbody) (Cityfl, own and/or County)
it ACCress, icloL k�
zn 'Ur�f
proposing a-"Iat o0 a r-
and I 'nave -to oo-.ectiorrs jc!#?e
------------ - ------ -
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fit/ in description below or attach a site drawing)
ead
,!' you have objections to what is being proposed. you must notify the Division of Coastal
Management (DCAf) in writing within 10 days of receipt of this notice. Con-aspondonce should be
mailed to 1367 US 17 South, Elizabeth, City, MC. 27909. DCA4 represen1*VV*3 can also be contacted at
f ?5Z) Z64-3901. No response is considered the same as no objection if you have been notified by
Certified Mail.
{Property Owner -Information,
7'N
k'Adjacent Property Owner Inforrnatjcin)
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er r-.�
7. t

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PRQPERTY OWNER NOTIFICATION FORM
iER7IF1;En— %4A?_ RE'*P>, RECE, RF i.=ES''E'= cr HANL) OEL".'dEREC
1 ^eretry certify Mat C!ocer : ao,acerr zc - 1 t F`' iL�`. C .!.1c f
(Name of Property Owner)
: rozezr,v 1ccatc:7 X—
(Project Site: Address, Lot. Block. Road. etc.!
(Waterbody) (City,?own and"or County
4yBt?? s Na-e 1: rew
-?''She nas .- ns ..De,= ^'r_ as sn •= i* `3elo..% tr'e --eve ° ^: °' a sne is ,:;-awCS ng at tr`at Ioca*icr'.
a1 + have "D ;ot-cc-vor's to ttyc proposa:.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
( individual proposing development must fill in description below or attach a silo drawing)
If you have obfectlons 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 t�e
rnsi/ed to 1367 US 17 South. Elizabeth City, NC, 27909 DCM representathres car also be conra~ at
[phone]. No response is ConsidoreO Me same as no objection i3 you have been notified by
Certified Mail.
;Property Owner Information)
y
(Adjacent Property Owner Information)
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