79372A_King, Richard_20210809

V'CAMA / DREDGE & FILL
GENERAL PERMIT
YNew ❑Modification ❑Complete Reissue ❑Partial Reissue
N° 79372
0 V/
nA B C D
Previous permit #
Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality �ny
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC iVQ
R es attached.
Applicant Name Project Location: CountyC
Address 1 j 5 6,,"""VL �
City (� aAM, 6LCA4State !N C ZIP 2—q 2
Phone # ( fj�ci--i0(oL.C) E-Mail " i k+ " d V PP
Authorized Agent
Affected ❑ CW .IKJ EW )(PTA )(ES )(PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ URA ❑ WA
❑ PWS:
ORW: yes /ro> PNA yes / no
Type of Project/ Activity
Pier (dock) length
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
oat ra 9 I X
Boathouse/ Boatlift \
Beach
Other
Shoreline Length +" 2(o 5
SAV: not sure yes no
Moratorium: n/a yes no
Photos: no
Waiver Attached: yes no
A building permit may be required by:
( Note Local Planning jurisdiction)
Notes/ Special Conditions
Agent or plicant rimed Name
Street Address/ State Road/ Lot #(s)Suth—
A ✓ewiai
Subdivision ­r�U `
COCity (^ _ ZIP 27G%2I
Phone # (— ) River Basin k—
Adj. Wtr. Body .SIC/AAQ4LWZA�: t,!)W Xa /man /unkn)
Closest Maj. Wtr. Body paSd.�w�
1 h VIA,
(Scale: N TTJ
`, ( ❑ See note on back regarding River Basin rules.
Signature Please read compliance statement on back of permit
ii?modo 4b +An
Application Fee(s) Check #
Permit Officer's Printed Name
Sign F'q
202 12�Z6
Issuing 6ate Expi tion Date

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERED
I hereby certify that I own property adjacent to �?, IC (-I A ,2 p � 's
(Name of Property Owner)
property located at / / S SCc�h/SE T A OZ. e A M C) E
(Project Site: Address, Lot, Block, Road, etc.)
on f�SQc�aTi4/-/� '/Z1UfR in (f-A /�--/ 7>,EA-1 N.C.
(Waterbody) (City/Town and/or County)
Agent's Name #: Mailing Address:
Agent's phone #:
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
--------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill In description below or attach a site drawing)
L©/vC RE_ Tt S C-A3 F-U r
3 c3 A -r- I Z A rr, ?
n you nave cofecrrons ro wnat is tieing 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 1367 US
17 South, 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
(Property Owner Information)
�/z—/e--- )e-,`
Signature
Zl LHAIZ iTini(r-
Print or Type Name
// S SZ - 7- i¢U
Mailing Address
l ii /ter c7!= /k-/ I /�Z, L 27 S Z /
City/State2ip
Y'/e_AcL-rJ kiriC-21P9/rt-;4,
Telephone Number/Email ddress C-r'/`4�
Adjacent P o rty Owner Information)
Signature"
7 "/ E ��
Print or Type Name
/ / �? S/ , ,. IZ-,E 7- A( F
Mailing Address
LA /`rr7 E/,/ /"/C. Z ,�S2-/
City/State2ip
Telephone Number Email Address
Date Date'
'Valid for one calendar year after signature'

f3(,CL KhIEAI�
M4YMAN
sunlsET-
NEW t3ULKHEAD
r
l' X (STf N(3 t3ULKHEA4
<-- PROPERTY LINE
V
NoRTN
At-__.
115 ,SLLNSET" AvE.
G A Nl DE 1v1
APPRox-15"
pROPI_ P L
OVA
rR) PRAP
JACoBs
117 SQA1.sET

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERED
I hereby certify that I own property adjacent to _R (C- /-/ ./1 Q l /-r'/ /v 's
(Name of Property Owner)
property located at
(Project Site: Address, Lot, Block, Road, etc.)
on SO- , -,7AN tr Zf IL) , in L/4 /—, Z)'EA' N.C.
(Waterbody)
Agent's Name #:
Agent's phone #:
(City/Town and/or County)
Mailing Address
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
- --------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill In description below or attach a site drawing)
L c> n/ L'Z EE-7- E-
l?co/-) 7- 'ZA l--r r?
5L,A3 F-c'r2
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 malled to 1367 US
17 South, 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 Certlfled Mail
(Property Owner Information)
Signature
,- r C- /-"A 2 D %T / N G—
Print or Type Name
Mailing Address
City/StatelZip
-2- - s s s - E,< -A-
Telephone Number/Email Address
(Adjacent Property Owner Information)
Sign a ure'
Eb4&,,AaD 77 H
Print or Type Name
//3 5��,•vs�r �QC��
Mailing Address
jcA/—, N .
City/State2ip ��
Telephone Number/Email Address
Date Date'
`Valid for one calendar year after signature'

13Lf-L KfIEA��
14YMAN
:13 SuNI9Er
ivEw t3ULKHEAD
r
-<— PROP(=RTY LINE
v
NORTH
115 SLLNSET" AVE.
GANIDE1\1
CO /\/L'1Z 1- re:-: S
L3 0 A ! lZ,9 N
1 '
APPRon15"
PROP(_ RrY
4/
JACoBs
117 SQ N-SE T

,0