79365A_Moore, Phillip & Sharon_20210714

� ' CAMA / ❑ DREDGE & FILL N9 79365 & B C D
GENERAL PERMIT Previous permit #
'—New AModifi�QpComplPte Reissue ❑Partial Reiss Date previous permit issued
11 C
As authorized by the State o rth arolina, De artment of Environmental Qualityl�
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
! ules attached.
Applicant Nameto LZ�DV� Lii�r�l° Project Location: County tW
Address 22 Iq F-cLa(a C) Y ►y-,Q— Street Address/ State Road/ Lot #(s) 2 9 F "
City IG t t pL', �State_ N� ZIP I4 p� �Y L& Z S r dI G ►i,
Phone # (Z�Z) 2U 2 — 5 7 12 E-Mail Subdivision C1)Uv-41yt H a&)0(ii V
Authorized Agent City COL O CAW ZIP 2 -T +f R
Affected ❑ CW )CEW )WTA ElES ElPTS Phone # River Basin
OEA HHF IH UBA N/A 6L
AEC(s): ❑ El ❑ Adj. Wtr. Body rGLV1� p�� �I,Ly1 d (nat man_)/u�nkn)
❑ PWS:
ORW: yes / no PNA yes / no) Closest Maj. Wtr. Body A ( ' �ZW LO n
Type of Project/ Activity V' T V L(GT Ll 15 ' X 1 3 I Boal U t+- cko d i X i G Y146y
�� ✓ o (Scale: N
Pier (dock) length
Fixed Platform(s)
Groin length
number
Bulkhead/ Ripraplength
avg distance offshore_
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathous oatli
Beach Bulldozing
Other
Shoreline Length = 5 iJ ►
SAV: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:
Local Planning jurisdiction)
of pecial Conditions
7)
G Ve rc, u f
_ . n
Signature *� Please read `compliance statement on back of permit **
Application Fee(s) Check #
❑ See note on back regarding River Basin rules.
r
6 v a -tom uwf)
PermitOfficer's Printed Nam
Zto
Signature
_41)11)21)ZI I► iliglaz1
Issuing Date Ex0iratioh Date
MpdAt eA: 11 j612021

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERED
Name of Property Owneili�11-�`4 �P-Vu
Address of Property: q, r 7--2
(Lot or Street #, Street or Road, City & County)
Agent's Name #:
Agent's phone #:
Mailing Address:
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 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 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
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.
..�--(Pro Owner Information)I
Signature
Print or Type Name
Mailing Address
City/State/Zip
Telephone Number/Email Address
Date
. (Ad jacer�t,Prp� rty Owner Information) "q
IA,v PI-01 —
Print or Type Name
Mailing Address'
AD/ ti,,c ;2 79 9",5r-
City/State/Zip
ZS�- 2 0 /7
Telephone Number/Email Address
Date*
*Valid for one calendar year after signature`
Revised Jan. 2017

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERED
Name of Property Owner:IJ 1,KOOk i�F
Address of Property: Z.Z. k V•D.4, lV rL VcOfe
(Lot or Street #, Street or Road, City & County)
Agent's Name #:
Agent's phone #:
Mailing Address: '2.2-q
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 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 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
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.
erty Own r Information)
Signature
Print or Type Name
-7--2R E-A
Mailing Address
Y---v.14, N, G, Z1940
City/State/Zip
2t� 2, 2o2 - !6-71'-
Telephone Number/Email Address
Date
(Ad' ent Pro erty Owner Information)
-�
z-- y
Signature *
Print or Type Name
23 3
Mailing Address
2
City/State ip
Telephone Number/ Email Address
Date*
'Valid for one calendar year after signature* Revised Jan. 2017

k
This map is prepared
from data used for the
I.p
inventory of the real
'I
property for tax
purposes. Primary
information sources such
JL
as recorded deeds, plats,
wills, and other primary
r
public records should be
consulted for verification
of the information
contained in this map.
229 Eagle DR
Colington NC, 27948
Parcel: 018955000
Pin: 987305099567
Owners: Moore, Phillip H -Primary
Owner
Moore, Sharon K -Primary Owner
Building Value: $207,000
Land Value: $122,100
Misc Value: $8,400
Total Value: $337,500
It
At
Tax District: Colington
Subdivision: Colington Harbour Sec B
Lot BLK-Sec: Lot: 28 Blk: Sec: B
Property Use: Residential
Building Type: Salt Box
Year Built: 1983

Injo.A 0 ,
Aw
7.
This map is prepared
from data used for the 229 Eagle DR Owners: Moore, Phillip H -Primary Tax District: Colington
N' )P inventory of the real Colington NC, 27948 Owner Subdivision: Colington Harbour Sec B
property for tax Parcel: 018955000 Moore, Sharon K -Primary Owner Lot BLK-Sec: Lot: 28 Blk: Sec: B
C."r purposes. Primary
"n information sources such Pin: 987305099567 Building Value: $207,000 Property Use: Residential
as recorded deeds, plats, Land Value: $122,100 Building Type: Salt Box
wills, and other primary Misc Value: $8,400 Year Built: 1983
public records should be Total Value: $337,500
"'I consulted for verification
of the information
contained in this map.
0118955-000 03-987305-427 06111

am
r ,� .,,,/•
f ....tom. .:'•-lC ' �� � •�i_ ,:,
1
i
,1
r
y
. r.
n 't
j�ayy,