78666A_Alphin, Leonard & Allison_20200522

04-
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'LAMA / DREDGE & FILL 78()6o Al B C D
GENERAL PERMIT Previous permit#
/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 rtX�'1 1 ,
:?Rules attached.
Applicant Name _(moo^ �,t. _ ' .._ � ? _ AI phtn Project Location: County L4/? _
Address r,q J /� n �J+� Street Address/ State Road/ Lot # s $(
City_-4s1tn� __. - ----- - State vk _ ZIP --
Phone # O_ E-Mail
Authorized Agent _L t!�G1. _ _ City_. -19sr ZIP aj,?%S C+
Affected cw vfSyy PTA ES PTS Phone # (_ -) w River Basin i`a3Z4� �,
OEA ,.:.i HHF iH USA -- N/A
AEC(s): Adl, Wtr. Body�t � 1, lTc. 1Q,/nran /unkn)
PWS:r
ORW: yes r Zo PNA yes / n Closest Maj. Wtr. Body —S,..S MNY at—
Type of Project/ Activity Crx Joe,? yyklc° dr �7 n 0.i ��t•yr }n.{ i;c'k i'a' 13c,4-/10
(Scale: }
Pier (dock) len 6,
Fixed Platform(,)
FloatingPlatform(s) _ _—
Finger pier(s)
Groin length _
number
Bulkhead/ .%prap length
avg distance offshore
max distance offshore
Basin, channel
.......--- ... _...... _ .
-_
4—
(afr��Pit_p
P t�i
rc A( . -S" /C- CJ
cubic Boat
ds__
ramp
Boathouse/ oadift ,t l�.t -
.1a__. k ._.
tt t
� 7LC .�a x� Net
Beach
XOcher
.....
Shoreline Length
SAV: not sure yes no
,r^,....
'EV° ,ol��rf i•, ' 3.5'
Moratorium. rya es tips
Photos: (5 no
Waiver Attached: yes
A building permit maybe required by:
t—CJF i`h
See note on back regarding River Basin rules.
( Note Local Planning jurisdiction)
�
Notes/ Special Conditions i�_
fle Ac ,g f, i 11
w, %1,,p,, is' o4- Ne Cy;=ov t
l g P 'J
i, 4, 71--
L,u;�,
Aceny6r lican Printed Name
Signature '^ PI a read compliance statement on back of permit"
Gam_ ._. _..... ��.
Application Fee(s) �#<i Check #
PermtOfficer s Printed- Name -
Signature
0 .- _-
Issuing Date Expiration Date

Name of Property Ovwner Requesting Permit
Mailing Address: 3 Ze4s 0inAsov I ( _..._
Phone Number: ?"—
Email Address:
l certify that l have authorized
Agent r Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary fDr the folbwing proposed development
i o..JjI r ` - - Wf4- x �G
at MY prOpe+#Y located at 19C &rum
in L�c i�rtlycr County.
l furthermore certify that / am authorized to grant; and do 'in fact grant permission to
Division of Coastal Management stab, the Local Permit Officer and their agents to enr
on the aforementioned lands in connection with evaluating informationterelated to this
em
permit appiicafron.
Property Owner Information:
i1 DI .
Trfle
1 0°tTl e,2 �
bate
This csrt oration is valid through 18 !

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to L-@y1 41 V �. V 's
N me of Property Owner)
property located at �� >',�jr 'Q.y .
r 'Address,lock, Road, etc.)
on �UM'N Ck �vrc� L B
in )CA0 4--.5 IS N.C.
(Waterbody) (CltylTown and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
x _ I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must tlU in description below or attach a site drawing)
Tq�j f0orr�t L�,
DT(it a I Lu Im I m I ( "I, I oi 4 (C
LA I
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.
x I do not wish to waive the 15' setback requirement.
(P Owner Information) (Adjacent Property Owner Information)
S' at e Signure*
Print or Type Names Print or Type Name QO CP
C�
ling Address Mailing Address Vr Q a3 Y S�
C y Late ip Z KCitylSta p. a, u 3�
Telephone Number/email address
Telleep�hof nne tNuumpber/ email address
Date Date*
(Revised Aug. 2014)
*Valid for one calendar year after signature*

I have Objections to this R • RR
R
OPiW
i.,
1;0—,d
y 4'
A a * w
i R R i A. pilings, f R
pier, raemp, • r
boothousg R.. �. R
i. digtonco
ofi
me R
setback RmustR ♦ ♦ R
rigtp blank below,)
setback
R
do
not with
R
WSIVIN the i
r
a
(Adjacent Property
R
0
FA
'Valid for one Calerwer Yost after $10nature•
23
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Currituck County GIS Online Mapping
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Currituck County GIs
[phone]
www.co.currituck.rc.us/Geographic-Information-Services.cfm
a �
Addresses
Communities
Aydlett
Barco
Coinjock
Corolla
Currituck
Gibbs Woods
y
Grandy
Harbinger
Ja rvisbu rg
Knotts Island
Maple
Moyock
�I
Point Harbor
«
Poplar Branch
Powells Point
Shawboro
Sligo
Waterlily
10
County Boundary
— State
--• Cou my
Streets
00
Major Streets
2
—Arterial_Principal
Ilk
--- Arterial_Major
— Collector_Major
Parcel Land Hooks
Parcels
- —
Currituck County
Aerial Photography (2016
ERed: Band_1
204.5
Green: Bond _2
Blue: Band-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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