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Home My WebLink About86173A_Wiatt, Robin_20211109UCAMA ❑ DREDGE & FILL N9 86173 A B C D Previous permit 1, GENERAL PERMIT Date previous permit issued ❑New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue 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: 15A NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: www.dgq.nc.gov/CAMArules Applicant Name _ Address City Phone # (_ ) Email Affected ❑ CW AEC(s): ❑ OEA ORW: yes/no State ZIP DEW ❑PTA ❑ IHA ❑ UW PNA: yes/no Type of Project/ Activity Shoreline Length Access Length Pier (dock) length Fixed Platform(s) Floating Platform(s) Finger pier(s) Total Platform area Groin length/# ulkhea / Riprap length ' Avg distance offshore Breakwater/Sill Max distance/ length Basin, channel Cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing Other SAV observed: yes no Moratorium: n/a,: yes no Site Photos: yes no Riparian Waiver Attached: yes no A building permit/zoning permit may be required by• ES ❑ PTS ❑ SPIMA ❑ PWS Authorized Agent . Project Location (County): Street Address/State Road/Lot #(s) Subdivision City ZIP Adj. Wtr. Body (nat!%han/unk) Closest Maj. Wtr. Body (Scale: ) Permit Conditions ❑ TAR/PAM/NEUSE/BUFFER (circle one) ❑ See note on back regarding River Basin rules ❑ See additional notes/conditions on back I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial) i Agent or Applicant PRINTED Name Signature "Please read compliance statement on back of permit** Application Fee(s) Check #/Money Order Perm it Officer's PRINTED NaMe� rr Signature Issuing Date Expiration Date AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: O i n W ICA,-f+ Mailing Address: Cj l 0 ,Xr�eo_ I: L� r1 l D ri t )3 Phone Number: �L S "" 5 C-1 -/ - ao e Email Address: i certify that 1 have authorized -Tn L , Agent / Conrtractor to act on my behalf, for the purpose of applying for and obtaining all LAMA permits necessary for the fnikw*wg proposed development PA �4anlen� �U�rLf}e at my property located at ! 10 y4t4ed G, rz 6 in County. I furthermore certify that I 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 Information: RECEIVED Sigrrafure N 0 V 0 4 2021 . Print or Type Name ®CIVIpp �� CC -GC Title This certification is valid through 1)00 is /L4200 l S Sa:cebyas�lt�atlaaprope�[p�ece�t� �Q��1. 11✓ � popmli bc"gt--910 SM9AkF6 fib ONE= offbopukomme ca e—WrAmA S � The appftwt is d9mcdk to aft = sham bdwmL *w pmeowd at** aloe Som:mioa i,-� 16mmme jeaionfown pwopou t. _, liaal�siabi�ispopo�i. ,. OE�CR�i1011I110 =URNN M6OFPRGPOSED RECEIVE® N O V 0 4 2021 DCM-EC woo ft pimp. Wd wm p� kari■■■iiff; it a, 9dn most be salt �ta.i�.■. ts�oe.f'ig �.o.�sia..f.ip.i.aioaeas�.�ed b� fit vwvi*ft.�a:�eaese�er:�.�r ea.■t%■'�ii mm*bwbw3 . idat�iadia.aiefoe 3�aaf.otie�it 1iatet'dibuvi Aw1Saamtn*&o■miL • t o �� } ■ Complete items 1, 2, and 3. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: t,u. S. d -F,4.ne1-1 c CA- P.o, iBox ?1 kr o44S T51aol l%.0 A. Unatire X gent ❑ Addressee B. Received by (Printed Name) C. Tater,ol Qelivery D. Is delivery address different from item 1?' u Ye: If YES, enter delivery address below: ❑ No N OCT 2021 3. Service Type ❑ Priority Mail Express® II I IIIIII III II I II II II III) IIIIII I III I I ❑ Adult Signature ❑Registered MaiIT"' ❑ Adult Signature Restricted Delivery ❑ Registered Mail Restricted 9590 9402 4922 9032 8976 63 ❑ Certified Mail@ Delivery ❑ Certified Mail Restricted Delivery ❑ Return Receipt for ❑ Collect on Delivery Merchandise n Cnllect on Delivery Restricted Delivery El Signature ConfirmationTM Mail 7 018 2290 0001 7689 9883 Mail Restricted Delivery ❑ Signature Confirmation Restricted Delivery I lover au00) PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt CE v D Nov 0 4 2021 DCM-EC K K 44agime44 fee I v4y OW/1e,." RECEIVED N 0 V 0 4 2021 r� iog CUr?,41ACA SCJ .''1G( � 1 Ov•• l ne.- ;qq;3 4 DCM-EC It ,urrituck County GIS Data Viewer k—Ji 0 ft Currituck County GIS I hon (252)232-2034 -mails gis@curdtuckcountync.gov Addresses Communities Aydlett Barco Cofnpek corob Currb,ck Gbbs woods Grandy Harbinger Jarvisburg Knolls Island Maple Moyock Point Harbor Poplar Branch Poweb Pont sligo watermy County Boundary — state --County Streets Wright Memorial Bridge Major Streets —ArteriaLPMCIPal -- Arterial_MAjor — Colbctor_Mapr Parcel Land Hooks Parcels El Currituck County Aerial Photography (202( ERad: Band-1 ■Cresn: Band 2 EBkre: Band-3 This map should be used for general reference purposes only. Currituck County assumes no legal liability for the information shown on this map. 1