78792A_Cowell, Edward & Carol_20210105

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-VCAMA / ' DREDGE & FILL 9 � 87
GANERAL PERMIT `?
B C D
e`N i- _ Modification :_ ;Complete Reissue -Partial Reissue Previous permit
Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an area cf environmental concern pursuant to 15A NCAC_�jQ
Applicant Name attached.
Project Location: County
- - --
Address�j t eC� �,_. -'T of ( _ Street Address/ State Road/ Lot # s
City k;POW(;_StatW%ZIP_ _�� `tra.
Phone # {�) E-Mail Subdivision _
Authorized Agent
-- _
citYc.Bi1_at.e___... ZIP ?J��_..
EwTa Es +'Prs
Affected CVr — - Phone # (_ }� Pover Basin c
AEC(s): oEA HHF IH UBA NIA — -
PWS: Adj. Wtr. BodyC,__aL_.
ORW; yes ,' no P N A yet na Closest Maj. Wtr. Body-.Ctnl..LaLea%-.��jCiy1
Type of Project/ Activity d x fir J
Pier (dock) length (Scale: ! v
Fixed Platform(s)
Floating Platform(s) .»— .--
F nger p:er(s)1Ace
Groin length
�J
number
But�khe�Riprap :ength
avg distance offshore
3
max distance offshore 4J C� � �%' kr.'oDttiy'�C4
Basin. channel
Alf
cubic yards_
Boat amp —+
Boathouse/ Boatlih hr
Beach Bulidozing
Ocher - r
Shoreline Length
SAV: not sure yes
Moratorium: n(a s no "jrNni `J(O
Photos:
i
Waiver Attached: yes
A building permit may be required by, i ..�il l!/t
( Note Local Planning iunsdiction) See note on back regarding River Basin rules_
Notes/ Special Conditions
AP,gnt,Qr piicant P ix arse
x _
-- --- ---._._.- _....__.—.._____..._....._— _
Signs re *Please read compliance statement on back of permit
Application Fee(s) Check #
P rrnicOftfcor's Printod
Signature
Issuing Date V Expiration Date

1, WILLIAM S. JONES, JR., R.L.S., CERTIFY THAT UNDER MY DIRECTION AND SUPERVISION THIS PL44r
AN ACTUAL FIELD LAND SURVEY MADE BY ME FROM INFORMATION 4S REFEAEN ED HERE N �'z.r
PRECISION IS 1:10,000+. WITNESS MY HAND AND SEAL THIS ` DAY OF 19
N N SET —
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LOT
EXIST.
Monc• _ rl4� r Np5�0 N �u 58w1O vJ
E RAIL �—
TRE EX� Mai. LOT 26
13� E� N 60 R I VY COI. c.
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ILLIAV-S. JO S. J ., R.L. .'�.j�� 33
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VICINITY MAP
N.T.S.
FIRM ZONE AE (EL 8)
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//ZON PIN

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERED
I hereby certify that I own property adjacent to 4 ( y "s
(Name of Property
property located at Lail ; N� I T-o' -1 fi a A t �-,aL 4i.mac
I
(Project Site: Address( �ot, Block, Road, etc.)
on t5Z, (t in / �K�4�% C: „411(`U� N.C.
(Waterbody) (City/Town and/or County)
Agent's Name -L-wiling Address:
Agent's phone #: C? { !-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 fill in description below oo attach a site drawing)
n i bt��%k icy .%
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 (252) 264-
3901. No response is considered the same as no objection if you have been notified by Certified Mail.
(Pro rty Owner Information)
S' nature
Print or Type Name
Mailing Address
l `
City/State&ip
, t t0: — NJ!
Telephone Number Email Aefdmss
Date
"Valid for one calendar year after signature*
(Adjacent Property Owner Information)
Signature"
Print or Type Name
4 L�'9 3
Mailing Address
Q4VState/Zip
Telephone Number /EanailAddress
Date"
Revised Jan. 2017

■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse.;,
so that we can return the card to you.
Attach this card to the back of the mailpieCe,
or on the front if space permits.
to:
A Sig�t
X'� IT9t
❑ Addressei
B. e�ed by (Prigted Name) C. Date of gliven
2rd
l�-.v� I/ 112�
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: No
r6--'EIVED
1AN 0 5 2M
II I IIIIII I'll III I III II I IIII I III I I II I I III3. ❑ Adulted�aul® rio
Dell 1 Restice Type © tf
❑ Adult Signature Restricted
9590 9402 4940 9063 8572 74 El certified Malt Restricted Delivery Return Receipt for
❑ Collect on Delivery Merchandise
!. Article Number (ranter from service label) ❑ Collect on Delivery Restricted Delivery 0 Signature ConfirmationT'
ul ❑ Signature Confirmation
7020 0090 0 0 01 7 618 7655 al Restricted Delivery Restricted Delivery
)c r...... 4211 1„1- Ono= oou, ocvn nn nnn nn—

USPS TRACKNG #
First -Class Mail
i Postage & Fees Paid
USPS
Permit No. G-10
9590 9402 4940 9063 8572 74
United States
Postal Service
• Sender: Please print your name, address, and ZIP+4® in this box*

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERED
I hereby certify that I own property adjacent tojp"Y:? (��s
(Name of Property,OWner)
property located at
(Project Site: Address Lot, Block, Road, etc.)
on e:�L— , in G�IL E llcc� N.C.
(Waterbody) )) (CityfTown and/or County)
Agent's Name #: )Cl'c� e _ / ij-,�Viailing Address: fie' 7
Agent's phone #:t�?j,> �► ,=
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 o 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.
Griffin 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 Certified Mail.
(Property Owner Information)
//
Signature
Print or Type Name
I �S9 -- � 1-C
Mailing Address
City/StateJZip
Te/apht-�,na Number/Email Address
II 1 61 ap
Date —r— I
(Adjacent Property Owner Information)
Signature'
Print or Aype Name
Mailing Addressrj
ty StatwZip !!
Telephone Number / Cmail Address
Date`
'Valid for one calendar year after signature*
Revised Jan. 2017

U.S.
Postal
Service"
CERTIFIED
MAIL"
RECEIPT
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Domestic
mail only
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14/09/2020
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This map is prepared
from data used for the 134 Beech Tree TRL Owners: Cowell, Edward D -Primary Tax District: Southern Shores
tiC�' ()�,• inventory of the real Southern Shores NC, 27949 Owner Subdivision: So/sh Blks 140,
property for tax �''• .y Parcel: 022052000 Cowell, Carol S -Primary Owner 140a, 150,1 50a
purposes. Primary
••.a r' information sources such Pin: 986706480878 Land Value: $250,100 Lot BLK-Sec: Lot: 20 Blk: 140a Sec: .,
�.
as recorded deeds, plats, Misc Value: $34,300 Property Use: Residential
wills, and other primary Building Value: $455,000 Building Type: Traditional
i public records should be
`sk consulted for verification Total Value: $739,400 Year Built: 2000
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of the information AM

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