76968 Evans_56173 Elizabeth Ave. Hatteras

V6AMA / 7 DREDGE ILL
'at
71,- , 9 6 11 68 C D
11 1I A
GENERAL PERMIT
Previous permit #
',",cwriplete Reissue 4`.PardW Reissve Date previous permit issued_____::__,
As authorized by rho Stize of North Carolina, Deraitment of aMronmenmr uality
RA��s*urces Q>mrn&ion ln '2� aml of envirann4t� concern pursuant to 15A NCAC 0-7
unci the Coasmi
Appficant Name
Project Locatiom County-,
Address
StreetAddress/ State Ro
State,16 ZIP
Phone # (i E-Mail
Subdlvision
Autborized Agent z
City, ZIP c2'y
jcw ew ,(PTA ES J P'TS
Phone # River Basin
Affected
MA ­HHF E 1H USA iN/A
AEC(s)�
Adj. Wtr. Body "a rakrn}
Pws4' . ......
00sest Mal. Wtr, Body
OW yos FNA yes
Type of' Project/ Activity LN��' 6F st
Vt OOLN 5 WL41 X 15
o' :, I
'CIOT�c 41mojklf'All 11'A ret 11
,DXkY�4(4 %Al
to
CC f, 5 (Scale.
-rv"
Ner (dock ) Wigth
SOVI
'a)
Finger per(s)
Groin WnF
. ....... ...
,th
nurnber
Buikheadi Nprap �errh
rrox disoince offsbore
J?10',�i4r
ran'q�
C 014 V-4-�L'
Bezch BuDdovng, . .. ........
P- 11
Shorchne Ler�g7h
2
SAVw not sure yes
Wa yes (n�)
A
F. 4194 r) �
Na�yer Attached� ye� �10 ut, t
A t�jdiq�' perpl�t rnay be requireeJ by�
1-'I'See note on back regarding River Basin rules.
(1,4ote L=li Flianningrjwlsditflon)
OT t'
O'Otes Special condons :1*01
Yi
i.'!% roo-
---- --A--
Name
A,gcm or App�� , cant Princed Name
00'
Oermit. cer's Prinwd
2
sigrature
it Oin backof perm t
n, gnatki" lease, read comph .. zt
2q ��40
App,d�cirian Fee(�) Clhe�k#
tssuhig Date Exp�ration Date

[-�'CAIVIA / L _J D REDG E & FILL 76,968 A C D
GENERAL PERMIT Previous permit #
A ew ElMo,dification LIComplete Reissue LIPartial 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 15A NCAC 07� -,�000
po.rJ "✓ s ­-] Rules attached.
C' VA�N"s F - . F tt
Applicant Name b�4 � C, Project Location: County
Address Street Address/ State Road/ Lot #(s) 5 73
City lct­ C,
Phone Vol—> E-Mail Subdivision. ­4��s -Tesl'
Authorized Agent -�194N �Op6z.l' Oty--J.J L
ZIP­,----,c:,)--71 t3
Affected 7, Cw i'q/EW [?�PTA CI PTS Phone # River Basin
AEC(s): El OEA [I HHF LIH 0 USA D N/A Adj. Wtr, Body—l���'..
F-
J PWS:
ORW: yes no PNA yes Closest Maj. Wtr. Body o T':>
'G VJ4CO'VIE9Cb
Type of Project/ Activity TN�M 0 tJ 6 IF TV-' 0 ( -1) Sw I I %� K
Do(kwL%RcwTirfs 4fLAkF-tw1T-d )S')(A"AC05> fi6f-. (Scale:
Pier (dock) �ength'
Fixed Platform(s) . .... . .
Floating Plarform(s)
Finger prcer(s)
Groin length . . ....
number
Bulkhead/ Riprap length
avg distance offshore —
max distance offshore
Basin, channel
Beach Bulldozing_—- -
Othergb!X-O's" --6ftTJ'-4 �Tja­
Shoreline Length
Waiver Attached:
yes no
(3s no
yes no
A building permit may be required by:
( Note Local Planning jurisdiction)
Notes/ Special +Condition s 6) T o-r 1. SAti4iL-) vyR-r--T Is La—)Xom A
3)TAl5 FFi4a DbtcJ�jdf Ors -a kq
0 *0
jr7f---%eLAL I
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit"
;00.00 A 1 44
. .... .. . ...
. . . . . . .. . . ...........
Application Fee(s) Check #
'V .1 See note on back regarding River Basin rules.
PermitOfficer's Printed Name
Signature
-0 0710 4C 1 —ODA-0 101 , 190 1 J4
Issuing Date Expiration, Date

j U Gy, 'M Lah, 2 Im a V. Z TA; V
Name of Property Owner Requesting Permit -
Mailing Address.
Phone Number:
Ernail Address
cerdfv that I have authorized Agentl ontractor
to act an my, behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the foll,owsng proposed developmeft- dkS
1
5
,It my property located at
in
County.
I furthermore cejjif�rthat I 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
4)ji the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner information:
.........
7�„ inane
print air Ty�9e JVaa'fiae
Date
cv r" C"
This certification is valid through

DocuSign Enveiope ID� 00056A4D-E678-4121-9938-BB3BF565EFAE
Name roperty Owner Requesting Perrnit: UZI LL M
MaOing Address: 5 -((rc
Email Address: erW),
certify that I have authorized ;7;eA-
/Agent i Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
riecessary for the following proposed development:
6,
V7, >
at my property located at "o I �L-21
41 ounty.
furthermore certify that I 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',
aDocuSigned by:
M6P574204 I D
11 am Marti n F-vans
Print, cw'Type Name
owner
Title
5/129/2020
Date
TNs cerdfication is valid through

> >
ra
&

.C.ERTIFIED1LI
,L-D MA_,,.Lk. URN RECEIPT2EQgSTEP,
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER, No'nFICATIONIWAIVER FORM
Narne of Property Owner: d
V
/-',,,ddAres" ofPrwerty':
(i-ot oT Stret #, r Xt or Road, City & County)
Maing Address-
nec Agent's Narne,
Agent's ptione #: L
I hereby cerfify that k own property, adjacent to the above referenced property. The individuai
applying for this permit has described to me as shown on the attached drawingjhe development
they are: proposiriCj. ,r 6_ge ilItL QQor dK —aWb9—AMh-dLT—e—r1S—i0r1S EOUSI be Le-29-r
I imve no ()b1MCtioK1s to th!is prop.,)sai, 1, have objections to this proposal.
If you have objections lo what is beirig proposedyou artist rpotify the Division of Coastal Management
(DCAI) in weiting within 10 days! of receipf of this notice, Contact infOrm3flOn for DCM offices is
4RCOAS
avvilable at or by calling 1.888 T.
No s same as n
)n Ole, onsidered fhe .M�� t'Eu _.__
WAIVER SECTION
understand that a pker, dock, rnoodnq �pfflnqs, boat rarrip, bre,akwater, boathouse, or lift must
be set, back a rninimurn dkstance of 16farm rrry area of riparian access unless waived by rne. (ff
you yvi:sh to waj,ve the setback, you Mpgst LilLltl Ik the appropriate bkank beiow,)
_
i do wish to waive the 15' setback reqO'ernerrt
do riot Msh to waive the 1' setback requirernent.
(Property Owner mformation)
S7 'atun"e
rrtrt or Type Nalne
Uaflh7g Addrpss
citylstatelzip
/1", Z., C-/—,
e'lephone Number li"ma# Addrf,,ss
Dwe
(Riparian Property Owner Information)
F-Innt r-
ir,
F'RL7,1)V,R'1'CK 4111� �21702
- — I Ail 11"P1,11"",
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r5iyl�
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. . .. . ..
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Date

2E-KrIFIED MAIL - RETURN RgC &±T t999E—STEQ
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY'OWN5R NOTIFICATIONIWAIVER FORM
N,4,ne of Property Owner
Addream of Property:
(LoFoi`�treeTi Ftreet or Road, City & COUnty)
AffiAdd egent's Narn#, _-.L Mng
3IL
7 4 11
ptjtme 241 —_
Agent's
--,&
ffiwiwi- Fr.
� herigby ceqik/ that i own property adjacent to the above referenced property. T* individual
applyirmq for this pertrift 'has described to me as shown on the attached drawingjhie development
they are proposinij, A kqrjptu_11oiLr�a111g!A tt� SL L Mded with thi
MerisbrLs:, n j�s leffer.
L
I have no objections tio this proposal, I have objections to this proposal,
if you t?sve otyeedi to, whatisbetry gpiropewed, you InUsty'00Y the Division of CoastaiMmare ment
(DCM) In vvilthig within 10 da,Ys Of lvceiPt Of this rlOdce- Contact intbrMadon for DCM offices is
or 4V calling 1-888-4RCOAST,
No responsepis considered the sayne as p7o otionIL12Mhgve been nodfie¢ �rtftfied MaiL
WAIVER SECTION
� understand t-n t.a piper„ dock, rnenoring 90ings, boat r-arrip, breakwater, boathome t,, r lift must
be set backa �Ydnimorn distance of 15, frorn may area of riparian iunless, waived by me. (if
yo u wnsh to ryNhfe the setback:l you rn ILgin t lfiak&m appropriate, Uank beiow.)
do wish to wa�ve the 15' setback requirernent,
i do not wish to waive the '15' setback requirernent.
(Property Owne'r information)
0'
gnalure
r°iraE
t or Type Mare
Maihng Address
rai uniNgr ErTloil Addre,13S
ale
(Ripadari Property Owner Information)
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Do Na delivery afferent hLOM it 1
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