79361A_Rodriguez, Alejondro & Droguett, Katherine_20210812

P ` L/
-.r VCAMA / DREDGE & FIL.L. NO 79361 CA B C D
GENERAL PERMIT Previous permit #
New Modification :Complete Reissue 1Partial 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 7 H r�Gl.it/ t
Q ,,,,� ��' i r � Rules attached.
Applicant Name__.A.°..jGt -_ _"r`'�'-1�� 2 ...bfC&A Project Location: County�n1 s'h✓_.. _ _ _.�
Address _ 3c' ._.... t�{...._.rse ..:1.... _ _.___ Street Address/ State Road/ Lot #(s) force"(
�.._.__ �..-...._ __.._...
____
City je+, i� ►Cl-�' i -. __-__ stateVA-.__-ZiP�t __ '...��jj Q � .-./y`aC o ce-, ..._�_...%�_.....� �.
Phone # (_� �...... E-Mail .� tK Q i51 .[. 's�! � 3 Subdivision.
Authorized Agent (� ,.„ . h l •aa'^C• City . �Git : {{, It zlp _.q, �
>, }
Cw yEW ± PTA ES PT5 Phone # ( .----._...) River Basin fe _. ► ,
Affected FA HHF M
AEC(s): dIN URA iN/A Adj. Wtr. Body(, t1_-)QC� nat man, unkn
Pw Closest Maj. Wtr. Body ter if..t - - - —
ORW yes !(ng) PNA yes 1 no_)
Type of Project/ Activity a ? 1
_..._ (Scale: )1`
Pier (dock)length ' X SCt 4
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)_ .._._ ___......__. _
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp _.
Boathouses Boadift
Beach Bulldozing
Other
_. ........
Shoreline Length
SAV! not sure yes
Moratorium: Qs no
Photos: yes no P CO
Waiver Attached: yes i- .
i f /" /// /// ///
I j
k
ttlo r CC4-�ec+3 d
Ca;n�,C-k icy
t
A building permit may be required by: fk1t i k`rk
( Note Local Planning Jurisdiction) /
Notes/ Special Conditions
rW_
Agent Apolfcant Printed Narnp—
Signature " Please read compliance statement on back of permit"*
Application Fee(s) Check #
4?I
See note on back regarding River Basin rules.
rmitOfficer's Printed (Jame
Signature
Issuing Date Expiration Date

Name of Property Owner Requesting Permit:
Mailing Address,. t
0 IL
Phone Number:
Email Address:
I certify that I have authorized
Agent I Contractor
o act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development__
at my property located at
i n
'rit �-, - County,
I furthermore certify that / 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 Informatio
Signature
Print or Type Name
Title
Date

ADJACENT DIVISION
RIPARIAN PROPERTY C)VVNIER
()F'C0ktAL M"Ae ,rMENJ
Q- F" T, U R N, Ji2 1:� i(
T 1,
Name of P
r-oP`t1Y Owner,
�k�
,Address Of Property
(Lot or sk'
leet Street Or Read J,
Agent's Name
�J)
Agent's phone "ailing Address,
2-6
I hereby certify that I own Property adjacent to the above referenced Property The �d�`v+dual
applying for this Permit has described to me as shown on the attached drawing the
dev'elopment
they are proposing.
'posing, A des-h tion or drawin With dimensions must be rovided with this letter.
I have no objections to this Proposal. I have objection, to this proposal,
ff 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 obiection ifjou have been notified by Certified Mail,
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse. lift, or grotr
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 initial the appropriate blank beiow,)
------- i do wish to waive the 15'setback requirement.
alp,
I do not wish to waive the 15' setback requirement,
(property Owner Information)
Signature
print or Type Nhirne
Telephone NUMVI>er / Email Address
calendar year after signature'
(Adjacent Property Owner Information)
Signature*
4
Print or Type Name
Mailing Address
crty/tate,lzjp
Telephone Number t Emaii Address
Revised jao� 2017
1),jte*

Roughly 27' from the southern property line. Rebuilt in approximately the same location as the previous
pier. New pier will be 50' X 5' walkway with a 16' X 16' Platform.

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Aerial Photography (2021
ERad: Band_1
Green: Band-2
05kie: Barb-3
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shown on this map.

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