77996A_Forren, Mark & Susanna_20210201

1Z R ✓
V;AMA / YDREDGE & FILL W 77996 0 B C D
GENERAL PERMIT Previous permit #
ew Modification -'Complete Reissue I .,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 0 (3
,-,Irftles attached.
Applicant Name1/V,,a.A, Project Location: County (:W t.
Address 11-3 L"Ft,,JCI Street Address/ State Road/ Lot #(s) 10D
City State %)Pc ZIP
Phone # (,S'qo ) 1l;3 —1-r-11 E-Mail Subdivision LJ_1(1\-L+ ls,6<3
Authorized Agent Sr.
City ZIP ;17;�43q
GIT
Affected Cw VEW -1PTA ---"ES FTS Phone # River Basin Fayc-,,��
AEC (s): OEA HHF 1H USA N/A Adj. Wtr. Body 4r, r-y. (nat unkn)
Pws:
ORW: yes /G.) PNA yes /& Closest Maj. Wtr. Body CLvc, f�,r
i
Type of Project/ Activity 40 glang t"go,4 14_1k_kL0C_,j
Pier (dock) length (Scale: Art 5
Fixed Platforms)­1
- — C
Floating Platform(s)
Finger pier(s),
Groin length
b
CS.'4rap length I C2
I k h !ea
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse-18oatfift
VL
Beach Bulldozing RV*C&,*,k
Other
Shoreline Length 1.
SAV: not sure yes (Jn
Moratorium: (n�
Photos: 0 no
Waver Attached: yes A
E-Y tes
]� 1,55
I
A building permit may be required by: C_,_JF;4u L ("cx,4, See note on back regarding River Basin rules.
( Note Local Planning jurisdiction) I
Notes/ Special Conditions Q, Ah, ?,w 7-
44& f2 Jar -
Agent or Applicant Printed Name
SigniWre Please read compliance statement on back of permit
t Yoo-c>o , I Is C11 T
Application Fee(s) Check #
"I R-_.0 l �
PermitOfficer Printed Name
Signatu
Issuing Date
p iration Date

tP-
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Bom'� Eaves Psrduo, Governor .lames Fl. Gregson, Director RR�
tfV: F�ft�Th�(l..�l�iLirf
Date _-r , .;All . (J 7e)
Name of Prop" Owner Appl ,ing for Permit:
Rlailinti address:
I certify that I have authorized (agent) /// /Q7</`�� to act on mv
behatf, for the purpose of applying for and obtaining all CARIA Permits necessar}• to
install or construct (activity)
at (my property located at) IZIT �Se'
This certification is valid thru (date)
Property Owner %nature
Date
400 Commerce Avenue, Morehead City, North Caroline 28557
Phone; 252-808-28081 FAX: [phone] Intemet: www.nccoastaimanagement.net
An Equal OPWVunity I Atrumelive Amon Emta4 M - 501b RecyCW 1 IQ* Poil Consumer Pwnr
Scanned with CamSc

t
OIV GM m comm MANACI Mim
I'll F- An"Caff CERTIFIEDIwAllp, t1C1WiN14MI,11►tI� toIRVIIYMZLDfitItl IIII iMAI KM M j�ll
y
I hereby cotlNy Thal I awl pto"Iy WynrAWd Iq
' (Napty ut t�nt,�fy Uantrtj
t properrttrlocoisx! a �0 L'(a._
(ProlvA SIN: Atftlts�e, UPI, DIock RON". 410
at
' (WaUrbody) (cllj Town Mltltnr CMntly)
NgwtloNam t. t I C ttl
ApWs Phone 8: fir
FlelSlte has d000ibed tone os shown belowH* dovoloptmdlwloito to ptc4x,nkKl nt (Iinl Inrnikrn,
and I have no objantlons to #a pmpoaoi.
DESCRIPTION ANDM DRAWING OF PROPOSED DEVELOPULNt.......'.
4 ( +rN p q devaorymant must 04 In dac*tton bdbw or affadr a slh tt *wjn j#
t
?I
1"�AMraOvef aft (6 **at Is bakv prapam4youmu tnaft*aot4ftpoft�wMfM rK
me" N Wrift W*hk 10 *p of rocow of Oft no*& Com►WWmvn" mm" be maNad fo �! S.
Grl M St. Ste3M CRY. Mr— 2700. WIN mPffmOnbdm can aba be eonlaelodaf (�sj !M.
t.39dl.1Va�+wsportstbeaartdr�dtleasanmasnaafMacSonayarMrrshoont+oWtederQatiJtO_a_t�r
e
(Property Owner Infamnatlal) A Inca
t Ikar k �el't r,d VU
Print or Type Na= p xr--jy .
.7* Q 3
UaftJANQ r
GP: r•n: 1%�1 2 � y31
�• �fID,T6Ty3al p. c�6�t+Nr�'kl.� MAFM �!
ZArirpftot:s tlArerttrerlErnei
©�
-,laid far om Calmmu veer alter gWft e• PonMtecQJrn 1A(T
Scan ed with CamSci

Corbett, Robert W
From: Renaldi, Ronald
Sent: Wednesday, January 27, 2021 10:36 AM
To: Corbett, Robert W
Subject: FW: Adjacent Riparian Property Owner Notification for Mark Forren C/O Darren Smith
Attachments: 3724_001.pdf
FYI. Condition the permit that the western section of bulkhead may not extend into the DOT
Right of Way. He won't be able to do the full 46' that is shown on the notification.
Ron Renaldi
District Manager, Northeastern District
NC Division of Coastal Management
NC Department of Environmental Quality
Ronald. Renaldi(d,)ncdenr.gov
[phone]
401 S. Griffin St., Ste 300
Elizabeth City, NC 27909
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
From: Trowell, Steve J <[e-mail]>
Sent: Wednesday, January 27, 2021 10:17 AM
To: [e-mail]
Cc: Saunders, Reginald L <[e-mail]>; Renaldi, Ronald <[e-mail]>
Subject: Adjacent Riparian Property Owner Notification for Mark Forren C/O Darren Smith
Darrin
Per our phone conversation see attached signed adjacent riparian form for your clients bulkhead located at 104 Base Hit
Drive in Grandy on a man made canal off the Currituck Sound.. Please avoid encroaching into the right of way for SR
1186 and avoid/maintain the drainage swale with the return wall adjacent SR 1186. Either Reggie or myself can meet
you to ensure you are comfortable with this requirement.
Steve J. Trowell
Division Environmental Specialist
Division One
NC Department of Transportation
[phone] office
[phone] mobile
[phone] fax
[e-mail]
113 Airport Dr.
Suite 100
Edenton, NC 27932

OIVIBION OI' COAOTAI. MANA01:141I'N"1
e�ACCNT IZPAtt1AHJJ' 1Q fiUY..QVVHCtt NOTI " UIVI Vail ronm
CERTIFIED MAIL - F;CTUtiN itl'r l P I I41-Wlt°1, I LD in I lAt 11) WI I IVlt t1't )
r '
I hereby certify That I own protmrty ntijnc•,rrl lrr 4
' 1 (Nptrw (it Prupatly Owner)
property located at
(Project Stto; Address, Lot, Block, Wind, all;.)
on ! l M) %"` t l ..11�1r�,�lC•�...,._ silt.
(Watarbody) (CltytTown iandlor cr,unly)
Agont'a Namefit; /' 1 `f!r /Tl Maili�K1/1tldrgAa, 1 'el
Agont's phone #:
No/Sho has described to me os shown below the dovetopment helehe In proponaKt fit thnt lornfign,
and I havo no objections to the proposal.
DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOI.*ME NT
(Individual proposing development must till In dtscrlption below or affactr a si(a drowirtfl)
7/
/f l f a7� 121rIiMle.te
N you have ottjtedons to what Is being proposod. you must notify tho Dl vialon of Coastal Mene(Wmint
(DCM) In writing within 10 days of rocalpt of this notice. Cormspondonco ahovid he molted to 401 S.
GHMA St.. Ste 300. Elzaboth City. NC, 27009. DCM raprosantativos can also bo contactod at (2s2) 264•
3901. No response Is considered rho some as no oW2E1JOn N you have boon noWlodby C g111od Mall. '
(Property Owner information)
Signature
i Ay' k Farf r,�
Print or Type Name
. _/?3 Lg- e I i t sw
Madt1V Address
2 y y'-1
Ci5;Mararzip
(Adjacent Property Owner Information)
1
1 i,i XJ �r
Signal
Print or Type Name
Mailing Addrou
Crty/StatofLr�—
r11t {? . �' �.` 0 L I-A�) C fit,
syt1J67y3a1 ,,, c ,�l. '1�7-33+�l,- loll
Talaphone Number/ Ems# Address Tsitphone Number/Emal Address
/'Vl6%° 2 0
Date taste•
'Valid for one calendar year after sionature• Revtsnd Jan.2017
e..o411
Scanned with CamSci

urrituck Countv GIS Data Viewer
Currituck County GIS
Phone [phone]
E-mail: [e-mail]
Addresses
(
ConxtxxlNies
I,
Aydlett
v.
Berm
Cxllnjack
corolla
&
Curntu .k
♦
Grandy
fV11
`
Harbinger
\
!Maple
Mock
��-
Pant Hartlor
•
Pwar brarwil
�•
1
rkU lis Point
'�
Sh—bmo
SllpD
VOalerlily
county Boundary
—state
—Countf
57 Streets
*(_Q, Major Streets
` ¢ ��—Arterial
O �,—Arfillel_Mslor
`\—cdlcct� Mmler
Parcel Land Hooks
Parcels
L / Currituck County
112 ? Aerial Phntography (2016
■Rad: Band 1
®Careen Kana_1
�Bluc: Band-3
; map should be used for general reference purposes only. Currituck County assumes no legal liability for the informat
wn on this map.

imp ri
--W7�