79415A_Hogan, Daniel J_20210825

4 XCAMA / .f DREDGE i FALL NC 79415 e B C D
GENERAL PERMIT Previous permit #'
$New L'Modification Complete Reissue ]Partial Reissue Date previous permit issued
As authorized by the Sate of North Carolina, Department of Envirorwriental Quality #1
and -he Coastal Resources Commission in an area of environmental corxem pursuant to 15A NCAC 1 H (m
Q Rules attached
Applicant Name q11 +� �., .. t • Project Location. County C �y:.l n
Addresses t �c;�,Y� � �.�v`1p �; StreetA,dddress/ State Road! Lot #rs) (off `I5
City en\_vn State N�..ZIP �►�y32- __�'tv��-y C�tt.b b C-
ws
Phone # E Mai!.�� LQy Ines"�5ubdivision._. _ tt /1 C �4b _r_
T W.Authorized Agent --- -- - City_ - Itork, _-- _ ZIP � 3Z
Affected Im EW N PTA Ts ES A P'f'S Phone # (- —_) � River Basin P�h 4 f -p-l'
1 OEA HHF 7 IH I- . UBA Ll WA Ad Wtr. Body(� II`�p �' man )
Pws
ORW: yes ! no PHA yes /(S)ClosestMaj. Wtr. Body�r"_�!�.
Type of Project/ Activity 1►1SA'I( 1 UC' % &a.lit
a er dock) length -
-
Fr,edPladormis)
c k a: ng Pladorm(s)
F,-ge pier(s)
number , -.._._ _ _T_.I .�-___ _ _r _f
_ I
k- ILprap kph_ - --- — —t: - --t
' I .
avg distance offshore
•nax distance o'W a -- -- ' -i
34s r channel
rut*c Yards
Bxthousei Boatlift
xrBcach Bulldozing t
Cthef-
_,
Sroreline Length }/- i)(G I
SAV: not sureYesto-:_•_ 1_,_ I —`—'—'?!
Moratorium: Q es no'
y
Ptiqotos: es� no
wAver Attached:
A building permit may be required by: C kc -, Cc.1 CCI-!6
( Note Local Planning Jurisdiction)
Notes/ Special Conditions
el file 140C('r-7'1 .� r
'I em o- AWlica Name --
.: -e •` Please t-apd compliance statement on back of permit #'
400' & . - - 815
s: x Pee, sI C•tecK*
(Scale:
-t----
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i ,
J.
1 i i I
I
I L.
I I l
I
I
F_ See note on back regarding River Basin rules.
1
Permit cer Printed Name
Signature
Issuing Date
r2/z5 iz .

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERED
Name of Property Owner: Da tir e l 1 r2 a `t
Address of Property: { I S CD ,- C 1ud L—)101(t/(r, Ed6yl�pv: IV6
f (LotorStreet #, Str et or Road, City & County) G w ��
Agent's Name #: �CO LI °� I � Mailing Address:
Agent's phone #: � 5 �, — 3
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 are proposing. A descrintign or drawing with dimensions. must be Provided with this Ietter.
_.\ 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 Divlslon 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,
WAIVER SECTION t"
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be t back a minimum distance of 15' from my area of riparian access unless waived by
me. (If u wish to waiv t etback, you must sign 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)
Signalrtre V v
in 1 e- I T aaa�
Print or Type Name
S3 0 Lsuh7`y X0-0J lao
Mailing Addresser
('a� A0, -1-1 IP., GO
City/State/Zip
`7�f- 5�3— 32OF)
Telephone Number/Email Address
dikcc Coasta Ise-",
Data 3 f
JVa id for one calendar year after signature'
(Ad cent Property 07�ner nformation)
tk
Signature '
Print or Type Name
p6h OG4
Mail?lAddressr1-�, �� , 7�13z
City/State/Zip
Telephone Number/Email Address
Date •
Revised 2017

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERED
Name of Property Owner: Da pl i , / J ]- Oc9 ? kt
Address of Property:
(Lot or Street #, Street or Road, City & County)
Agent's Name #: �D L er
Agent's phone #: 3 47-� 5 6
Mailing Address:
CG 0k;_l P1
I hereby certify that 1 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 are proposing. A description or drawino with dimensions must be provided with this fetter.
__ _ __ 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 writirig within 10 days of receipt of this notice. Correspondence should be malled 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.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set back a minimum distance of 15' from my area of riparian access unless waived by
me. (If you wish to waive the setback, you must sign 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)
Signalure u U
7n I e° l Z_ Nd�d JJ
Print or Type Name
Mailing Address
City/State2ip
`1F--c- - 5(0;- ?20�
Telephone Number/Email Address
dikogahi rG
Dote
;'Va id for one calendar year after signature`
n)
(Adjato7e_
Owner Info77/7,
0 �� 1
Sig 'atur
Print or Type N me
C' 4JM1
L -V V.,
/ 1, d
f
Mailing/I Address "
//V
City/state2ip
u
Telephon Numbe�/Email Address
Date"
Revised 2017

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