79346+A_Leisure, Bradley_20210708

VCAMA / 'VDREDGE % FILL 9 7934 A B C D
GENERAL PERMIT Previous permit # a
ew L'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 15A NCAC_ o
j atneriad.
Applicant Name ccdley t.c°5L-re, -- ProjetLucation: Cotrtty.rl.,fc.'Gj'/ti..
Address •X I p1. Street Address► SU.ft Roa & Lot #(s) 9C4j + %ig
StatepQn_ ZIP__4 QL>6' �^ .- ^�'� ..;_.i121t. & # l A- _
Phone# (—)E-M _ StvMon..e�CQsta. Si�+A
Authorized Agent %: '"[�•�,., £z,-� city
0 cw �iw eeru i s M Phone # fo.Et,
Affected (—. _)� litver Baton PG,36��
AEC s : Z] +fit ❑ f� D 1i ❑USA a Nw
O a PVVS: Atli. Mr. .S mkt man n
ORW: yes / PNA yes ! ,o Closest Matj.,Wtr Body, t '�&
Type of Project/ Activityt Gam, Moe,. '�nnR ear t /� 'j'�`
Pier (dock) length _ ._ (� "' ` s j
Fixed Platform(s)
Floating Platform(s)
Finger p%r(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore i
max distance offshoreT
Basin/tiarx>� ^
J='.K j
cubic yards
Boat ramp
Boathouses Boat#Ft
Beach
Other
Shoreline Length I 2�
SAV: riotsureyes
Moratorium: ( M
�VJ
no
Photos:
Waiver Attached:
yes
A building permit maybe required by: ,,.n#r At l esw`�vl
( Note Local Planning jurisdiction)
Notes/ Special Conditions 11 MAv nn+ dtrA", G4AfYtI tL_ l'n.a
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Signature �tPlease read mmpl' I- esvtementonbackof ermita
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Appikation Fee(s) Chedt #
CIA rs 300A
NEIREe
❑ See note on back regarding River Basin mules.
L.
PermitOfficer's Printed Name
Signature
Issuing Date r Expiration Date

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■ Print your name and address on the reverse
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■ Attach this card to the back of the mailpiece,
or on the front if space permits.
t�Article Addressed to:
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so that we can return the card to you.
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a Attach this card to the back of the mailpiece,
or on the front if space permits. —
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1. Article Addressed to:
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PS Form 3811, July 2015 PSN 7530-02-000-9053
Domestic Return Receipt
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CERTIFIED MAILORECEIPT
DOMeSHO Marl Only
For delivery information, visit our webeite at witw uson rnm,
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poplar 3,a h
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County Boundary
—slaw
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streets
Wright Memorial Bridge
Major Streets
—Arterlal_R'1Y�t
Arti•rs7,_{,ifpr
— GgBrelor_Mapr
Parcels
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Currituck County
s map should be used for general reference purposes only. Currituck County assumes no legal liability for the informatl
lwn on this map.

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Addresses
Communities
Ay61ett*`. Banco
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CurrKuck
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-r State
.1• •'-County
f Streets
Wright Memorial Bridge
Major Streets
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Arterial_MW
Collector-Major
Parcel Parcel Land Hooks
Parcels
El
Currituck County
Aerial Photography (2014
ORed: Bard_l
NGreen: Band_2
EBlue: Band_3
Currituck County GIS
Phone: [phone]
E-mail: [e-mail]
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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