79411A_Pureza, Rick_20210819

XLAMA / __' DREDGE & FILL N0 79411 B C D
GENERAL PERMIT Previous permit #
New ❑Modification -Complete Reissue -:Partial Reissue Date previous permit Issued
As authorty.ed by the State of North Carolina. Department of Environmental Quality r
a:id the Coastal Resources Commission rw mission in an area of envitntental concern pursuant to I SA NCAC a'N
asU
Rules attached.
Applicant Name _ ;�rr�S �e�r��o. Project Location: County__-?,OL$C! u-oktin K
Address_-_7•Qn'6 a. _ _ Street Address) State Road/ Lot #(s)
City r- I; -�g sX+;,� C{6 Statue &-�­ z1P ' n _-__a Grc.rA Tk e:-= br..__
Phone # ('S_7,) Y357-214* E-Mall Subdivision
tryt
Authorized Agent -'-' _ City f- vi" CLAt ZIP, 2,7909 _--
Cw t EKPTA I DES I PTS Phone # ( ;� r River Basin §
I �,��
ArreCt�d W
L OFA HHF L IH J USA (- WA
AEC(s): Adj. Wtr, Body _ (pit k�nkn)
1'? PWS:
ORW yes / d PNA yes / ' Closest Mal. Wtc Body �� 1s1i[5�_
Type of Project/ Activity ! Of x 1 ��
nn J'TYtt
(Scale: � a♦ = �Dt
P$er (dock) length X
Fixed Platform(a) 1
(-bating
FvV4r pie(s)
Gran lmgth
txarnber
�OMMUNNONNOMMMMM
MMrMMIU■MOMMMMME1 r101sr:
---------------10
2 1—
c0sc yArds,
Hoar rarnp _
lie J"w eoarlR
B©xh BulldoLiniz '--
otF,.r
montodurn; no yes . A
■...............i..�...w
� ��r��������r��rutu■
A building permit rriay be required by:_ M See nOW an bw* regarding River Basin rules.
Note • w
Notes/ Special Conditions',) r�u ocw�izi,,,,
a pLx CWC421,1 '
`=
SIa►a " "Plows readcompllancestatement onback ofpermit
`'
8 a0oa q1L
Appu F*s) chat #
1016;r4t . s Printed Nanw
t
19/LI
Issuing Dew mdon Dift

ADJACENT RIPARIAN PROPERTY
QOWNER STATEMENT
I hereby certify that I own property adjacent to t"C'k Fa''-2,r,- 's
property located at '� Z
(Name of Property Owner
eli-.J 0y - L o4--
(Address, Lot, Block, Road, etc.)
on �iCiitCit �" YciSq-,tc�;.iw e1 Z�L-"e
(Waterbody) (City/Town and/or Cou ty)
The applicant has described to me, as shown below, the development proposed at the above
location.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
RECEIVED
AUG 0 4 2021
®CM -EC
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 initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
1Z I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property Owner Information)
Si _�C'rr� J �:lwicO
/I nl o�N�7
gAddress
G Y, AC
City/Stat ip
.�� (59
Telephone Number/ gmail address
/PUl 74
P--ALI� Wi
6v�K��
Signature * �.
3 N IL 106.
Print or Type Name
J) a , 8p e 22-3 z
Maili g Address ,
City/State/Zip j Z ��
L5-Z. - 3 tt5
Telephonp Nurrlber/email address
(Revised Aug. 2014)
Lo+ IS-1
'Valid for one calendar year after signature'

CPO
ern I I I ��
eel• c?� _ _ E _ _ — - - - - �- � - � _ _ _ _ _ _ L -1 - - - - - - - - 2 EL►Z � ;�
- - - - A9ErH CJTy UnIITy .
? C29 47 14' 71 05' C30 3t 74.59' 29.39 C32 C33 f !
\ �71'25 W 103.97' '�Mi
� S 52'S3' 15' W i i 8
\] GRAND VIEW DRIVE - 50' R/W
/ 103.97'
/ C?3 N 52.53'15" E 118,19' N 46-11.25' E C22
7 _ 86.34' 31.85' C23 11.86 92.11 20' ELIZABETH Gr C?r
y _ 1 _ 1- - - V_ �UTy
T E - - - - - - - -1 - - — - - - - T 7 — 1 4
I- - _ F,,,
f
LAI
/ IN u o ti w® N r CA I� -� II IN u
O Ip I 1V I c to ti I a �' °i 1 v a u ti
I I;, a l i O©
i� rn I► ® I��° 0 11 FLOWZON r" Iti g I` I I I'° co I r o I
I
75' AEC SE TEACK
I }.
)kOv913S 034 yl I I I ZONE SHADED X
\ Y / IFL ZONE AE (ELEV. 5)
30 CAMA.BUFFER -
9
' b3i3n L6 7 LS .1 3
ro - LS L7 59.36 4l
S S 46.18.34• .05
W S 49'21�13 W S 51'04' 9' W $ 50'48�_39" W S 62,�
(9 �♦ 6£ 1 �� W 92.
M .It.l£.li S 88b2.43.
� W
S 6r4
_ 1
E I V E un
A G 0 4 2021
�n

0
t
C1N4---
S� ►`vN� �► ►TC=� ���
RECEI
AUG 0 y 2021

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to + `' C"k f`' r-e- zz? 's
//�(Name of Property Owner)
property located at 2 2-( rCr����v� Vim �o
p (Address, Lot, Block, Road, etc.)
on ` oyla4 � P05gj,c 'ivu n 4e/> z�he� N.C.
(Waterbody) (City/Town and/or Cou t� y)
The applicant has described to me, as shown below, the development proposed at the above
location.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
w '%,./ V E' E ®
AUG 042021
D IIV"4 -
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 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) (Adjacent Property Owner Information)
PA� vy
Sur JO Signature*V.
I �G�Z4 3 N' I.
Print or Type Na Print or Type Name
/ �� L607" P U , C12
M g Address Mali g Address
City/Stag�zzip City/State/Zip
� 7� (59 )—.5z. - 3 l Z L f 5
Telephone Number/ email address Telephone Number/email address
Date Lr. Dine* 6 a M4r LdM
�1 (Revised Aug. 2014)
'Valid for one calendar year after signature`

FA
/ Ccx I C—
lrr I
a
L
L0E7?u� U7)7:i29.39' c32
C29 47. 74.59' C33t471.05' C30 31 671'25* W 103.97 A,A
S 52*53'15' W 118.19' 4I
7 - c GRAND VIEW DRIVE - 50' R/W
H 46-11`25' E 103.97'
N 5253'15 E 118.19' C22
7 C25 86.34' 31.85' C23 11.56 92 11' 1 20' ELIZ_AB_ETH Cir1 �nUr C-2
r- - - - - - - -- - — - - - - r
z;
I
9 I NI (Ao NI i wl I NI I
J �l I �o IN u o IN I °�° Q IN
�� � © IN °'•II °� © Ia �I` � I� NI, © I� elI o ® to III � I
F-OODZONE x
N
175' AEC SETBACK
03.4 SL I I ZONE SHADED X_III II _
�l / +FL ZONE AE (ELEV. 5) '
— _ — 1 CAmA 8111:FER i
03
R
0 59.36 _
S 46-1 4- W
i
7 L5 on.1 '
S 49'21'13" W S 51'04' 9- W S 50.48�_39' W S 67,�.
t — OS w _ 9?.
r I f --- :! N �1
AU 0 4 2021

10
t
�L
:P4V�,�L
CIAN4.
RECEIVED
AUG 0 4 2021
DCM-EC

Pasquotank County NC
;Z a 1 (2� raj of,� .-Dr_ 65 , CZ,
August 9, 2021 1:564
Gl-�-taloe�l'l� Cci-�.1 � W e
0 0.01 0.01 0.02 mi
0 0.01 0.01 0.03 km
NC COIA, MExer, Microsoft

Untitled Map
Write a description for your map.
AL'