77949A_Hally, John & Rosemary_20210122

K CAMA / � DREDGE A FILL
GENERAL PERMIT
XNew flModification --Complete Reissue DPartialReissule
N9 77949 (3 B C D
Previous permit #
Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality ry
and the Coastal Resources CommissiCommissionw Commission in an area of envirorwTtal concern pursuant to I SA NCAC q14- f/w
Dr RU— wn,.,hd
Applicant Name- 3p� $Z. ,,srrANZ�
Address
State t ZIP
Phone #(2.5-Z)3&Z-! �-7 E-Mail PiqeY--A�t;pwl�f.Cm�n
Authorized Agent
Affected D CW REW kI PTA WES R FITS
AEC(s): OOf-A 2HHF DIH F-.j LIZA r N/A
7i PWS:
OWW: yes /(9 Ill yes / Cn6
Project Location: County - - 0- h tv,�,-YA
Street Address) state Road/ Lot #(s) La # P.
Subdivision_.—___ M)Dtrt�i , le 'S ## 7-
City­ 624A61\ zip qq 32
Phone # River Basin RSIOT&A�allk-
Adi..Wtr. Body—
. AJ
Closest Mal. Wtr. Body —
Type of PrafeW Acl:Wky U, r\St'Yt,�, c f 14)' Ot C'.3 Iti-LIVE �qcd At' eF- ­ aL61-
(Scwe:
Pier (dock) kwoh
Fixed
Floati
Finger
Groin
Bul
Basin,
Boat
Boat
Beach
Othe
shoe
SAV:
Mora
Pbot,
wary
PlatforwKS)
khead/iRiprap
house!
T-­
ng Platform(s)
4.—
..7
P,
length
1
iumber
length
3V9 distance ofthiore
max distance aMhere
channel
cubic,
4.,
ramp
Boatliftt.
.4­
....
. ... . ....
Buldo2ft
r
- ---------
..........
i
X
dine Length TI I UI
l
I
not sure yes
Corium: yes no
rl/
Al no
1
yell
or Attached: Yes
A building permit may be required by: ho�Qc�,Y\ ccl'4ku ❑ See note on back regarding River Basin rules.
(Note Local PlaminglIurisdiction)
Notes/ Special Conditions
or ken! Printed N"
awm Pkuse reac1comphii—Ke statement on back
Application Feels) Check*
Perndt 's Printed Name
!sluing date Expiration 'Date

ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERED
I hereby certify that I own property adjacent to J �'n►'1 IC��� l nCt' U�� l (�s
(Name of Property Owner)
property located at
% 2 D�S� ►�&a Dr
(Project Site: Address, Lot, Block, Road, etc.)
/
N.C.
(Waterbody) (City/Town and/or County)
Agent's Name #: �d► c� 1 C Mailing Address:
ash -3--�-�---7-5sy
Agent's phone #: P C^ X S
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
(individual proposing development must rill in description below or attach a site drawing)
uorVert-� uA-( kkead, bpi R- I lclS9 15rdt��n� � �eC-�����
4z soun6 Co e ' e , Pra f'�s in -(� r ep�ac e
� � l l aps � s �-� ��� z J
5ek 04, l -A-k-\ v1y ejo(QCCMer4
,z--l�5 I --�,
1 TMI M" "I
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. Griffin St., Ste 300, Elizabeth City, NC, 27909. DCM representatives can also be
contacted at [phone]. No response is considered the same as no objection if you have been
notified by Certified Mail.
O In ati (Adjacent Pl!er�y� Oer formation)
e
Signature Signa e
Ja11 0 -e (� J9SII-eS
Print or Type Name I print or Type Name
M iling AddresY Mailing Address
�A �� W s �4. a y° Recei i YaEd
DCM-EC

E�� N1 x,.c. -� �Lc3)
City/State/Zip
Telephone Number/ E ail Address /n
►;?,/6 /Z0
Date
'Valid for one calendar year after signature'
2017
Sri S , �'ItiC11
City/Stat /Zip
V61-
Telephone Number/Email Address
Date'
Revised Jan.
Receivcd
DEC 2 j
DCM-EC

ReceivIed
DIVISION OF COASTAL MANAGEMENT DEC 2) X03
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERED WA -EC
I hereby certify that I own property adjacent toiA0 kc,,S-'thC-(v-C/ L&4s
(Name of Property Owner)
property located at
(Project Site: Address, Lot, Block, Road, etc.)
on7q/ li'1 ct(l P set, lY1 (k in Fd f✓J4Z � ;T
'
N.C.
(Waterbody) '(City/Town and/or County)
Agent's Name #:yCj� ��QU1 CMailing Address:
Agent's phone #: 30�K 7
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
(Individual proposing development must fill in description below or attach a site drawing)
u( rler14-- )0,,1.1 kh-C-CtA IJ LL ✓1 n C lk (,eac4 t n� I ffiz <-, w �{
C� ��otpSE j S cl� r '�� . bra 1005 i Y�cj I-e (c�.ce- SC��
j `f S l Y i n y l rc p (a c ern e rrt-- .
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. Griffin St., Ste 300, Elizabeth City, NC, 27909. DCM representatives can also be
contacted at [phone]. No response is considered the same as no objection if you have been
notified by Certified Mail.
rop er Inf rmation)
�/r /Iwi�ij Jd,4
Signature I I
Print or Type Name
(Adjacent Property Owner Information)
Signature *
Print or Type Name
la to 06W; ex-1 , Wz Cckh//vim kA
Mailing Addr6ss IMailing Address
<fd-ems a� , NZ- • �L

�4,
R �
3
.I
.

of .40
UlL s S �0�-es do/r N C 2- % 3s- 7
City/State/Zip City/State/Zip
33 4- Y�Xi QS+,9�0-bu . Coi
Telephone Number/ Email Addr4ss 5111a r CCU r'N Telephone Number / Email AdOess
.22-,
Date Date*
*Valid for one calendar year after signature* Revised Jan.
2017
Received
0E", 3 )
D("M-E0

1 • 4
AV
p 'a
S N�
,s ya�a•�9'`��� °ti
• t `tip
+'Y+^ �•1rrirLK
+s"
N � ,

(a �D OS prey
1:456
At.