86106A_Deberry, Charles & Nancy_20211004

#KNew
DREDGE & FILL
ENERAL PERMIT
❑ Modification ❑ Complete Reissue ❑ Partial Reissue
N9 86106
Previous permit
Date previous permit issued
0 8 C D
As authorized by the Sate of North Carokra, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC I (d ' ( 100 8 t 100 ❑ Rules attacf,ed. fidGenerw Permit Rules avauble at the wowing rnic m, n,.govrcArwrul�
Applicant Name C FL�r- 6s 11t4`e"CAu Y' fct Authorised Agent
Address 1 69 Lkyse It i4r. . Project Locadon (County} r'QE&rNtt4r�S
City -4r-.Nf1V1CA sty t`I ZIP al street AdtinssdState Roadlt of #(s) $ 03
Phone # t2 Z� 33�— '4 (17
Email Subdivision 'R41l tr Bec c"
City t A 01 �3P _ a _ 19(ig
ASected CW ®EW ®PTA ®ES h� FM Adj. Wa Body _ ICexa A:Mch n lit V 'V C ( manrunk}
AEC(s): [1 aEA ❑ IHA [� uw ❑ spiMA Pm closest maj• wv: Bdy
ORW: yeso PNA: yeVV (�
Type of Project/ Activity 64� a 1 r C� ' W &i }( Rea ed - _ a� + _in"J 1t-e x> s%.a a
rX
Shoreline Length _ X f
Access Length
Y
1
Pier (dock) length lie r X 1(.1
Fixed Natform(s) { X
FloatingPlatform(s)
Finger pler(s)
f-
Total Platform area 5 716 Ss
r
Groin length/# �
ulkhea Riprap length ) 1$ -
vg distance offshore 2-
Y_
Breakwater/Sill
taxes Jlength
Basin, channel '� Y
_ Y
Cubic yards r
Boat ramp L
i
Boathouse/ Boatrft
s
Beach Bulldozing _
Other
SAV observed: yes
Moratorium: <2�- yes no
t i E
Site Photos: <1W no —�—'.• ..
Riparian Waiver Attached: no
A building permit/zoning permit may be required by:
Permit Conditions
CRC RULES AND CONDITIONS THAT APPLY TO THIS
Name „A,,-
S4'Sture "Pteif"se read lance statement on back 4f permit**
Application Fee(s) Check tf/Money Order
(Scale. tS =j
TARMAM/NEUSE/BUFFER (circle one)
See note on back regarding River Basin rules
1-1 See additional rotes/conditions on back
ID REVIEWED COMPLIANCE STAIEMENT. (Pkease initial)
Permit O,(ii is PRINTED Name
Signatu
Issuing Date Expiration Date

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portionto be completed by ownerortheir agent)
Name of Property Owner: 6 U n —�vU G-� n 11� r I
Address of Property: l V D I -i h S� V A Hl i" `t✓ o� ✓ ��
Mailing Address of Owner:
Owner's email:
Agent's Name:
Agent's Email:
Owner's Phone#:
Agent Phone#:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adiacent Property Owner)
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
description or drawing with dimensions must be provided with this letter.
I DO NOT have objections to this proposal. I DO have objections to this proposal.
If you have objections to what is being proposed, you must notify the N.C. 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 [phone]. No response is considered the same as no objection if you have been
notified by Certified Mail.
WAIVER SECTION
I understand that any proposed 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
(this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback a U D CLWA�
Signaturg of Adjacent Riparian Prop Owner
leado not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO:
Mailing Address of ARPO:
ARPO's email:
ARPO's Phone#:
RECEIVE®
S E P 2 1 2021
�13f'w
Date: `waiver is valid for up to one year from ARPO's Signature*
Revised July 2021

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N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner:
Address of Property: S--PA I 1�E
Mailing Address of Owner:
Owner's email: cNi n a, - he-nru Im I M CCOwnef s Phone#( �� �, Li— a�o 3
Agent's Name:
Agent's Email:
Agent Phone#:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adiacent Property Owner)
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
description or drawing with dimensions must be provided with this letter.
_ I DO NOT have objections to this proposal. I DO have objections to this proposal.
If you have objections to what is being proposed, you must notify the N.C. 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 [phone]. No response is considered the same as no objection if you have been
notified by Certified Mail.
WAIVER SECTION
I understand that any proposed 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
(this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback C, (, - �� I
Signature of djacent Riparian Property Ow e
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO:
Mailing Address of ARPO:
ARPO's email: ARPO's Phone#:
Date: *waiver is valid for up to one year from ARPO's Signature*
S E P 2 1 2021
Revised July 2021

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16�-' l( a kT- \"A-J' F:'-cask Perquimans GIS 15.8 j?'jZ'cii Dr-'
9/27/2021, 1:52:11 PM
Address Points perquimans_nc_lot perquimans_nc_acres
Centerlines perquimans_nc_easement Imagery 2020
perquimans_nc_misc perquimans_nc_dims ' Red: Red
Nca +�ey De, b"
1 S$ t'-3Sr it fir.
1:1,128
0 0.01 0.01 0.03
Green: Green
0 0.01 0.02 0.04 km
State of North Carolina DOT, State of North Carolina DOT, Esri, HE
Blue: Blue INCREMENT P, USGS, EPA
® Imagery2016
Per
For tax purposes only. Not a legal document or survey. Perquimans nor State of NC assume any liability resulting from us-

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° a # 160 Russell Dr