78071A_Sherill, Shirley_20210310

�CAMA / DREDGE & FILL B C D
GENERAL PERMIT Previous permit #
VNew 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
,%Mules attached.
Applicant Name s),, + r le Project Location: County Car r , *+L c k—
Address 936 Late _ 'sk Street Address( State Road( Lot #(s)
City _U;rg �eo._._QE {.. StateJAk ZIP 23YS K k0G4 , _ 1et_46 - -
Phone # ( ) 63S- APA_ E-Mail SWSXCGrr; I L �d .a►f.,Gcw— Subdivision 13r, 11 /S ZS«
Authorized Agent G _S It J&Z . City cor ,1-w k zip
Affected M v t:w APTA ES PTS Phone # ( ) River Basin p 'Cdpi
AEC(s): OEA HHF iH \ Adj. Wtr. Body C44tt'f?:..k. � .St�vo t - man /.unkn)
i PWS:
ORW: yes / n& PNA yes / no
Closest Maj. Wtr. Body 010 ti _Kok --
Type of Project/ Activity I' + L' Al- ea+ } S Ar p
(Scale: A)
Pier (dock) length
Fixed Platform(s)
U IS L
Floating Platform(s)
u
Finger pier(s)_
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards_
Boat ramp ._ _
I o P
Boathouse,rSoadift i st 31
Beach Bulldozing
Other
• •
V�­ tx Tic P%feS
r pp .
•
L` L x -St-; Al Uf f
k��{1,csriZtd t3 x t� i;Fj-
¢
Shoreline Length t SG ? 1
SAV: not sure yes t./ (� -
Moratorium: no l
Photos: • no S{ &&i
Waiver Attached: ano pot'
A building permit * e required by: (�f,�ft , t C k— au,±}' J
( Note Local Planning Jurisdiction)
Notes/ Special Conditions
F
L.�,
Agent r Applicant Printed t�
X.
Signature Please read compliance state nt on back of permit *Y
. G© a °j
Application Fee(s) Check #
it
Ct4r :-t c tL. AV
See note on back regarding River Basin rules.
Zo6,,t+- Cf 5C'f
PermitOfPrint ed NWe'
_
Signature
' - IC)
Issuing Date
Expiration Date

Lyn Small Inc, Marine Construction
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Shirley Sherrill
Mailing Address: 805 Lord Leighton Crt, VA Baech, VA 23454
Phone Number:
7 S-7 - 635- Za 3q
SUS
Email Address:
I certify that I have authorized Lyn Small Inc
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Pilings and boat lift
at my property located at 801 Bells Island Rd
in Currituck_County.
l 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:
Signature
Tint or Type Name
Title
/7-(.p ./ %OZ 1
This certification is valid through 2
Date
/ 1 / 2021
This certification is valid through _5 I 31_I_2021

■ 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.
1. Article Addressed to:
}aye w.1u ns -U-5iA
U� h f VA 2_
x ❑ Agent
❑ Addressee
B. Apo/��1���/byy {✓Pjr�inted fVemeJ C�- aitg'of delivery
/,y
D. Is delivery address different from item 1?7 Q Yes
If YES, enter delivery address below: ❑ No
3. Service Type
❑ Priority Mail Express®
}
❑ Adult Signature
❑ Registered Mail-
t
i ■H
1RD
p Adult Signature Restricted Delivery
❑Registered Mail Restricted
❑ Certified Mail®
Delivery
9590 9402 5839 0038 6507 24
D Certified Mail Restricted Delivery
❑ Return Receipt for
❑ Collect on Delivery
Merchandise
❑ Collect on Delivery Restricted Delivery
❑ Signature ConfimiationTM
7020 0090 0001 4227
ad
2217 ail Restricted Delivery
❑ Signature Confirmation
Restricted Delivery
PS Form 3811, July 2015 PSN 7530-M-000-c:
53
Domestic Reftim Retest
■ 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.
1¢ Articie'Addnessed to
A. Signature
X ❑ Agent
❑ Addressee
B. Received by (Printed Name) C. Date of Delivery
D. Is delivery address different from item 17 ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
❑ Adult Signature
❑ Adult Signature Restricted Delivery
❑ Priority dl Express®
❑-
Registered "° d MaiIT
❑Reeggistered Mail Restricted
G Certified Mal®
Deivery
9590 9402 5839 0038 6507 00
❑ Certified Mail Restricted Delivery
❑ Return Receipt for
--
_
El Colla -t r r.Mivery
Merct;.tndise
22_ariirJa ��� �-•••---^-•�-<=-`'-- - —
7020 [logo 0001 4227
7 ¢ � r1 '''I�jzn 7=sieiciad Drliv�f
❑ Su3nac.ae Confirmation—
�signatureConfirmation
Restricted Delvwy
Restricted Delivery
Ps Fam 3811, fluty 201s Pm 7530-02-000-ppr,�3
Domestic Return Receipt

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner.
Address of Property:
Agent's Name #: Lyn Small, Inc
Agent's phone #:
252.491.8562
or Street #, Street or Road, City 8 County)
Mailing Address: 113 Ballast Rock Dr
Powells Point, NC 27966
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they atio proposing. A description or drawing with dimensions must be provided with this letter.
I have no objections to this proposal. I have objections to this proposal.
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. Contact information for DCM offices is
avallable at httn:/1www.nccoastaimansoement.net/weblcmistaff-listing or by calling 1-888-4RCOAST.
No response is considered the same as no objection if you have been notified by Certified Mall
WAIVER SECTION
understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift must
be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If
ou wish to waive the setback, you must initial the appropriate blank below.)
— — I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Ri rian Proper gwner Inforin tion)
Signature Signature
S)n,w
.. Va y al -
Print or Type Nan Print or Type Name
Mailing Address
City/StatelZtp
Telephone Number / Email Address
Date
Mailing Address
Jr y, c ys,� 1oI2,9
Clty/Sfate2i
T916phone Ndmber / Email Address
�2/
Date
(Revised Aug. 2014)

Currituck County GIS Data Viewer
Currituck County GIS
Phone: [phone]
E-mail: [e-mail]
15,
Riparian--- Existing
'io0 sq ft do
Ulsh, Karen Wilkins
799 Bells Island Rd
---15'
Riparian
Sherrill, Shirley Wilkins
801 Bells Island Rd
Stuart, Buell Watson
803 Bells Island Rd
pilings
Communities
Aydleft
earco
Coinjock
corolla
Currituck
Gibbs Woods
Grandy
Harbinger
Jarvisburg
Knots Island
Maple
t Moyock
Point Harbor
Poplar Branch
Pmvells Point
Shawboro
Sego
%vateft
County Boundary
■^ State
—County
Streets
Major Streets
Arterial Principal
—Arterial—Major
—Cokctor_Major
Parcels
0
Currituck County
This map should be used for general reference purposes only. Currituck County assumes no legal liability for the information
shown on this map.

Currituck County GIS Data Viewer
Currituck County GIS
Phone: [phone]
E-mail: [e-mail]
Addresses
Communities
AydMtt
Barco
coln}ock
Corolla
Currituck
Gibbs wows
Grarnyy
Harbinger
JaralsDurg
Knotts Islanw
Maple
Moyer^k
Point Harbor
PODIar Branch
PO.Oe As Point
Snawboro
Sligo
Waterlily
County Boundary
— state
—county
Streets
Major Streets
—Arterlal Princlpal
... ArteryL6,tapr
— Copector_Mapr
Parcel Lend Hooks
Parcels
71
Currituck County
Aerial Photography (2011
MRed: Band_i
MGraen:Banw_2
NBiae: Bind-3
-his map should be used for general reference purposes only. Currituck County assumes no legal liability for the information
Mown on this map.

I