78136A_Chase, Peter & Debra_20210416

/CAMA / ADREDGiE & FILL
6jG,ENERAL PERMIT P per"*
Modtficatwtt Coo to ftelssow. Partial R&ssise Dre previmis permit its isd ______ . _._p
As autf ued to Ow Stxe of Nonfi f off. Bfarv-%m+t 4rvrr .ux tieaxal teas t9ttj ''j / f )
and the Coast& Resources Corvmsaon aft an area of er*wsonn-ensal comern p,,�ruam to i SA WAC
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N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date L4 Lu
Name of Property Owntr Applying for Permit:
Mailing Addrem:
3
Ejas
U�l I certify that I have authorized (agent) to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity)
at (MY propwty located at) 0
Mori kl aj r('S
This cerfification is vatfid thru (date)
Pmperty Owner Signature Daft

�u 4,�
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERED
I hereby certify that 1 own property adjacent to 's
11
(ProoctSite: Address, L014 Block Road, etc.)
on �U- nd Jn � � rx— N.C.
(Waterbody) (C Ityrrown a ndfor County)
VA
Mailing Aodress:j
Agent's Name #- nrii e,-6t�- 4
Agent's phone 3LA Q
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 ANDIOR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill In desctipidon below or aftch a she drawing)
mltl (-L"DY-0*
if you have objections to what is being proposed, yov must ooft the Division of Coastal Management
(OCN) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 401 &
Gr"n 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 tf ytw have been nnr�ified b v�Certtfied Mail.
(Property Owner Information)
Signature
R
Pmd or Type Nam
(P
Aob&V Addiiss
F11-1 a I � L �
C"tate.21p I
h,*-, r
Telephone Number'/Email Address
Date
*Valid for one calerclar year after sionature*
(Adjacent Property Owner Information)
Sonature*
sue; I-, r+
Point or Type Name
A&bV Addnw
; PA //ins--
Y I W = : =
Telephone Numt�er /Email Address (7
elz SY
78 -te`= - -
Revised Jan. 2017

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 c �( cha > 's
(Nme of
Y—
(Project Site: Address, Lot, Stock, Road, etc.)
on ..Cu Y V-1IS
(� ,. to N.C.
(yyaerbody) (City/Town and/or County)
Agent's Name # i Mailing Address-..`k.
41
mr
Agent's phone # r t
Ems` q tACi
He/She has described to me as Shown bet(7W the development he/she is proposing at that local
and i have no objections to the proposal.
DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a she drawing)
N you have objections to what is being pr+oposed., you must notify the Division of Coastal li gamarrt
(DC AY In writing within 10 days of receipt of this notice Corrsspondencea should be mailed.to 401 S.
Griffin St", So* 300, glftsbeM City, MC, 27WO. DCN representatl w can also be contacted at (252) 264-
3901. No response is considered the same as no ob%ctian if tpy have beer+ not►fiad by Certitferd MaRll.
(Property Owner Information)
Signatwie
Print or Type Name
Madding Address
CiryJStater2lp 1��-��c �c��S
Teohone Number/ Ems# Address
Date
*Valid for one calendar yew arlter signature'
Information)
Cc a, `e-
( aYL-
iwrf
or Type Name
/bailing AddhM
CWY1&8M1ziPT.
Telephone Numbers Emad Address
1? d j--i
Date' Rrmsdjen.2M7

Gurrituck County GIS Data Viewer
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Parcels
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Curntutk County
Gunittuck Gcmnty GIs
This map shoutd be imml for 90~81 rof*W" Purr fe"
Onay, curTtturk c�ounty 9"umes no Peet babitty for Ov infomwation
Phone: [phone]
tilNlwtl on this map.
E-mate; gjsOunrltw*cauntync.guw

Currituck County GIS Data Viewer
Currituck County GIS
Phone: [phone]
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Addresses
(:nmmunilies
Ayd"
Warm
Cwklwk
Currkuck
GCG Vftws
O1arxry
Haftin or
Jarvet"rq
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Mapla
Moyock
Pent MarMr
PaWal bwnc)h
Poweb Pont
Stlawboro
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t.:ounty Boundery
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Streets
Major Streets
—Art«cal.PrNM OW
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Parcel Land Hooke
Parcels
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Curriluck County
Aerial Ptwtugraphy (201t
Ortoa: Bana_1
■LimanBantllr
Mew.. tSacw_ S
This map should be used for general reference purposes only. Currituck County assumes no legal liability for the information
shown on this map.

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