86411A_Edenton Bay Plantation HOA, Inc._20211112

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F]CAMA C DREDGE & FILL �`� N9 86411 (j B C D
PreviGENERAL PERMIT Date permit
Date previous permit issued
E-Modification D Complete Reissue ❑ Partial Reissue
As authorized by th a State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I SA NCAC _ 1 L e_.I o F�_. Rules attached_ ® General Permit Ruin available at the following link: www den.ru V&r.AMArules
Applicant Name '�ri$riT1 i1 AC Authorized Agent 'A
Address - 1570 E Project Location (County): CKokuO-Y%
City tte�V'�ll� State zip 2-7 g'$$ Street Address/State Late
#(s)
Phone # (;S Z)'lyt 7-Zta 200 Ara to W� acdD� "`,,._� . Email- i'Yt &NN P-te . l ns CD i
,qq C_ � C onN SubdMsion ....._ ? .ri � a.,. _ PtO ,.� &A
City EA '}GYM -`--- Z!P a 7 i 32
Affected CW ®EW i� PTA © Es ® PTS Adj. Wtr. Body t t _ - - ' ` >at r.V.nk)
AEC(s): ❑ OEA IHA UW SPIMA ❑ PWS Closest Maj. Wtr. Body �t Ci�4Ys
ORW: ves1ra) PIMA: ves/no
of Project/ Activity
Shoreline Length
i
Access Length
Pier (dock) length
I
, t
Fixed Platform(s)
..�� S �z:_._d....._. t.. _r_ F .}..�_�_._. .i,. ..a.. 4-'_'^-^•}" .._F._..........
Floating Platform(s)
r
Finger pier(s)
Total Platform area
---_-
' } l
Groin length/#
Buikhea Ri ra length
/ Riprap $t
1�33 t
t i 1
r- - v T t - * f I
r
Avg distance offshore_j
Breakwater/Sill
{ r s
Max distance/length
Z
— .�
Basin, channel -
Cubic yards
r-+--s-- . E- ti _,. c -
t f 3 � t /
_�._ �w7,�'. it
s - i i a
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing -
_
Other
savobserved- y- i y_.. t _ { E F t + 1 T i ..
Moratorium: n/a no _.�
Site Photos: no 2 _t i, s___{ .__<_ t J_ _ ± r K t
Riparian Waiver Attached: yes
A building permit/zoning permit may be required by: 0-ko'.-ar,
Permit Conditions
TAR/PAM/NEUSEJBUFFER (circle one)
See note on back regarding River Basin rules
�— - See additional notes/conciftions on back
1 AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THiS PROJECT AND REVIEWED COMPUANCE STATEMENT. (Please Initial)
ke i 44, `:a `k�w.n Otte
Agent or A can P IN D Na /� Permit Offi r, P Ri ED Nam
/t
k,�-
Signaturetplease read compliance on back of permit" Signature
5J40c ►cla 25I2. P/m/zi 3112/71
Application Fee(s) Check #/Money Order Issuing Dace Expiration 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 �() �� 's
Owner)
property
located
(Name of Property
I / (Project Site: Address, of Block, Road, etc.)
on
N.C.
(Waterbody)
Agent's Name #.
Agents phone #:
at
(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 rill in description below or attach a site
drawing)
�,a&pj 0-�akr
If you have objections to what is being proposed, you must notify the Division of Coastal
Management (DCAI) 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.
(Property Owner Information) (Adjacent Property Owner Information)
Signature
2 ck is ho,\ 6,-,,C
Print or Type Name
2(
1gnature*
2n cq FcF
Print or Type
Name

Mailing Address
Mailing Address
5c(e,fev 4/(- Z 7 � 3 Z
City/State/Zip
25'Z31ZF5Z(
Telephone Number/Email Address
/v/; �/2(
Date
*Valid for one
signature*
City/State/Zip
Telephone Number/Email Address
Date*
calendar year after
Revised Jan. 2017

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 `EE�
(Name of Property
Owner)
property
on FckA
N.C.
(Waterbody)
Agent's
Name #:
located
at
Site: AddrgAs, ot, Block, Road, etc.)
_, in tt� Ne /� ,
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)
/ t1,7
uJKhead rebalr
If you have objections to what is being proposed, you must notify the Division of Coastal
Management (DChp in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 401 S. Griffin SL, 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.
(Property Owner Information) (Adjacent Property Owner Information)
Signature
Print or Type Na
Name
Signature*
Print or Type

3c,;50
Mailing Address
Mailing Address
b . C-,. n
City/State2ip
(a5a> 33q -)-o5S a
Telephone Number/Email Address
Date
a�goa
City/StatelZip
Telephone Number/Email Address
Date'
*Valid for one calendar year after
signature* Revised Jan. 2017

-00*

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