76999A_Pond, Gary & Nancy_20200803

1,/CAMA I ADREDGE & FALL V, `,�
GENERAL PERMIT Previous permit # C% B C D
'-Xew 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 �-{ , (��j (:r ,
',;?Rules attached.
Applicant Name Gt+_t- I Project Location: County _fnJ. t J4,
Address _ 3g _ �-f k, t?r. Street Address/ State Road/ Lot #(s} lei.
city.a,�. _ . State FL, _ ZIP
Phone # (cj�{_ );,ZC 23,59_ E-Mail _ . __ _ - _ Subdivision +.,fit. JA t:J- _._ jc.�,1, _ t S Stc i_
Authorized Agent _i�Gti.� S^- } _ City -jet" ZIP 1 a
Affected Cw 'AEW PTA ✓ 5 P�rs Phone # (_.._ .-.) _ - River Basin i` t,.v)
AEC s : oEA wH� iN vea NrA Ad'. Wtr. Bod (... i� _ (Gnat 1 '1j; /unkn)
O 1 y,6,,C�
Pws:
ORW: yes / no) PNA yes ! no Closest Maj. Wtr. Body
Type of Project/ Activity �1 ,n, il-Wer cl
{Scale: ;`` I G t }
Pier (dock) length
Fixed Platform(s) j —` y, _ try
Floating Piatform(s) i -t v
_. .. ._
Finger pier(s)
Groin length 41cf,
number
<-8u kheal dfl } praP length _ �1
avg distance offshore _
max distance offshore ,'.�.9r•`LG� 1""C
Basin, channel
cubic yards -- — — — — —
Boat ramp
Boathouse/ Boadift t 'M1
Beach BulldozingL
Other
r
Shoreline Lengthk
SAV: not sure yes no
Moratorium: 7i{J•G.f C001
Photos: no IV �iri ff"f `
Waiver Attached: yes no
A building permit may be required by: Ci. i , l t_c k, Q:4 w,�J See note on back regarding River Basin rules.
( Note Local Planning jurisdiction)
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature�1.,empliance statement on back of permit"
, 400,_I2.�ftl
Application Fee(s) Check #
e i- _ccf!X4___
Permit Officer's P 'nted Name
Y
Signature
- 3 o _ _ . _...._._.
Issuing Date Expiration Date
J 1_ �d1J 5'c'C K

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly =ayes Perdue, Governor James N. Gregson, Director Gee Breennan, secretary
Date
'dame of Property Owner Applying for Permit:
Mailing Address:
I certify that I have authorized (agent) �t%f fit' �� �t to act on my
behalf, for the purpose of applying for and obtaining all CATMA Per necessary, to
install or construct (activity) L/'
at (my property located at)
This certification is valid thru (date)
7I312-02-0
Property Owner Signature
Aeo �;e �51 /1 '14- 4-�e
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Internet: www.nccoastalmanagement.net
An Equal Opportunity ! Affirmative Action Employer - 50% Recycled 110% Post Consumer Paper

DIVISION OF COASTAL MANAGEMENT
�c
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERED
1 hereby certify that I own property adjacent to Yn rd ,s
v
(Name of Property Owner)
Prop" located at J1 �
1� (P ' Site: Address, Lot, Block, Road, etc.)
on�Wri1 u L , in ro=&4N.C.
MIa� Y) (city/Town and/or County)
Agents Name # Z�''J cal l�i+41 Mailing Address: _p0 �� c9
Agent's phone #: R -+ Q ? if jVG C90Gq 39
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(UroAvidua/ proposing development must flit in description below or atfach a site drawing)
.361
41 OL f - a a F &LI th ecj
/f you have ob/ectlans to what is being proposed, you must notifythe DhIsion of Coate! Agnnagament
(DCM) in wrifing whin 10 days of receipt of this notice. Correspondence should be mailed to401 S_
Griffin St. Ste 300, Elh wffi City, NC, 27909_ DM raproserdadves can also be contacted at-(252) 26 -
(NOPOFEr owner 118fim >ation)
PMt or Type Name
A&WB►Ads
) 2� _Z3 s 6 ee/"
one r Ads
'1/alad far one calendar year after Vie`
I 1 a Init-- Lane,(
(Adiacent Property Owner
- 6-11J
Signature'
-- n t a P. �an
Print or Type Name
re-e�
A&N Address j
C#Y&'b�cP
7S % - It
telephone Number/Eml Addrew
b `7 --- 3 v •- -2 v Z 4D
Dale*
R&A3ed J8M 2017
i41

S` I, CJ
Currituck County GIS Online Mapping
\ T 4®
6 q
Currituck County GIS This map should be
[phone] Currituck County a[ �
www.co.currituck.nc.us/Geographic-Information-Services.cfm shown on this map//
for general reference purposes only
s no legal liability for the information
Cr\ CN
Addresses
Communities
Aygbn
Barco
Gan**
carolle
curntuck
Gibbs Woods
a ra ndy
Hier hl n®er
Jarvlaburq
Knoth bland
Maple
MOyock
Potnt Harbor
"inr Bmnch
pumillm RAW
Showboro
Shoo
Wak-rlily
County Boundary
1 ....state
-- rir I ly
Streets
F Major Streets
—ArW rl3l_Prind WI
—Artanal Malor
— r.6 lertar_MAYW
Parcel Lend Hooks
Pareols
Currituck County
Aerial Photography (201
NRWd: Band_1
Woreen• Mnd-2
Ehlue. aura 3

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERED
I hereby certify that I own properly adjacent to
{Name of Property Owner}
property located at ( �� ;����
�. (Project.,Site: Address, Lot, Block, Road, eta.)
(Waterbody) (C41Towriandlor County)
f�Y
Agent's Name #: r. l d'd -'` f Mailing Address: i C f 1
Agent's phone #: � "" %i t _ �f ? '. A/C.
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT z
(Individual proposing development must fill in description below or attach a site drawing)
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.
Cnfn 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 Certifited Mail
(Property Owner Info )
` Signature
%� c r�2'7
Print or Type Name
i 77
Mailing Address
r ?
C) S� r
city/Sfate/Zip
IIN'
ehhone Numberl Email Address
A 2-
Date
*Valid for one calendar year after signature"
(Adjacent Property Owner Information)
Signature
V4-
Print orType
Mailing Address
rtylState2 p
(e —707 —1 qq1
Telephone Number/ Email Address
Date'
Revised Jan. 2017