86495A_Thompson, Joseph & Tami_20220114

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s O�CAMA J�fDREDGE & FILL i lis(=l i (3 g C D
Previous permit
GENERAL PERMIT Date previous permit issued
ew (—] Modification (_ j Complete Reissue [_) Partial Reissue
As authorized cry the State of North (-arolina. Deparinwnt of EllWonmencal Cluality and th-� Coastal Resources Commission In an area of envinon t>,y:tal c wcern ptnwanc to:
o Rules attached. zLC.eneral Permit Rules avad.lble a• the `o'lo% " ^ kick: car r
I S \ JCsiC .__—. !� 'n'Ls i'2_� 12 d,.S�!7�fi£
Applicant Name__YC>-Sq- i 1.SS/L�! ��bl �Ls------ AlahorizedA,dent_---_-._—_ -----•------------ __.____ __.—. ._.____
Ad 9 -ess ._C�� (j a ._ Project location (County) _ __=1�!
City State --_fists .._....__....... -LIP _ �7 Ys3 �o _ Street Address/State RoadlLot #(.$) ---- 53 %�_�-- � �` cs.dl—
Phalle (y _S �_ d 5 ins -- -• —._--_..._.----__-_--_
�,/J - / .
Affected U CW
A=C(s): D OEA
ORW: ves vas
Type of Project/
Shoreline length_-_-------�-
Access Length
Pier(dock)length
Fixed Plalformis)
Floating Platforms)
Finger pler(s)
Total Platform area
G ength/R
Bulkhead Riprap length
Avg distance offshore .Lr
Breakwater/Sill _
Max distance/ length
Basin, channel
Cubic yards —
Boat ramp
Boathouse/ BoatliR
Beach Bulldozing
Other
I&W MPrA [ti�ES IVJPTS Ad:. Wtl: unk)
L_�IHA �uw ElSPIMA L,PWS ClosestMal- Mr. Body__,_,_[.-_
4M.p%4e Y>.
� 4
S1,4
-I
SAV observed: yes C.
Moratorium: /a no r
Site Photos: ye no
Riparian Walvcr Attached: yes no
A building, permit/zoning permit may be required by:
Permit Conditions :��./-_ei3�f'�""`r 6 a Oki
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TAR/PAKNEUSE/BUFFER (circle one)
See note on back regarding River Basin rules
Sec additional notes/conditions on back
I AnAWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. OPlease initial)
Agent or Applicant P Name Permit Officer's PRINTED Name
Sign lure' • ase read compiia statement on back of permit' • Si
ybo /cl$s /re
Application Fee(s) Check M/Money Order Issuing Date Expirationaate

N.G. DIVISION OF COASTAL MANAGEMENT
ADJACENT CERTIFIED
MAIL ARNPROPERTY OWNER ETURN RECEIPT REQUESTED or HAND ADS -DELIVER IVERY
CERTIFIED MAIL
(Top portion to be completed by owner ortheir agent)
Name of Property Owner: - t I — r-- y,
Y-A
Address of Property:
Mailing Address of Owner: }
Owner's Phone#:
Owner's ema1..
t #'
Agent's Name:
Agent P gone .—
Z_. li'3`�ry
Agent's Email: -�
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Pro ertOwner)
I hereby certify that I own property adjacent to the above referenced property. The individua{ applying for this
own on the attached drawing, the development they are proposing. A
permit has described to me, as sh
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.
/f 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 notiCM ©Ce. representatives can also be
ce. Correspondence should be
malted to 401 S. Griffin St., Ste. 300, Elizabeth City, NC,
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 area of ramp.riparian access unless us , lift,
by me
groin must be set back a minimum distance of 15' from my
(this does�oLapPfY to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign
the appropriate blank below.<<.,, i . V •r��-
1 DO wish to waive some/all of the 15' setback S � — t t`
Signature of Adjacent Riparian
I do not wish to waive the 15' setback requirement (initial the blank) —
Signature of Adjacent Riparian Property Owne
Typed/Printed name of ARPO: - V) i
Mailing Address of ARPO:`� �Z
ARPO's email: � �� �-
gc>( <<"� A'RPO's Phone#:
Date: _ t" /�— #waiver is valid for up to one year from

7IRLOR 0, ar, �. MOW
N uiiwmwirm $3.75
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—F Extra Services & sea (check bay add
❑ Retum Receipt (hardoopy) $
Retum Receipt (electronic)
28269
M
0 Certified Mail R- Delivery
0 Adult Signature Required $
❑ Adult Signature Restricted Delivery $
Postage
$
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nCertified
Mail Fee $3.75
rr
$
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Extra Services ees"Icrrhoc.ddtee
[IM Ren RwW 0--Ph $
-1
❑ Rehm Recut (electronic) $
❑ CerlMed Mall Restricted Delivery S "
❑ Adult Signature Required $
7
❑ Adult Signature Restricted Delivery $ t "
� Iroswyn
r $0.58 \
J3 Total Postage and PeS i
$4.33;)
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N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or NAND DELIVERY IAN Q 3 2622
(Top portion to be completed by owner or their agent)
Name of Property Owner. _vC�=����r �� r +r r 1 1-��a� r ���`-�--I __
Address of Property: c� r' �' L. h►i1i3S t, �;-i"L S K.- C 2—T06,
Mailing Address of Owner: �x=�< _l tiles SGt' % - ��l _�L•
Owner's emaii: ,,e `;L��Owner's Phone#l:" ` �-- C►a C� Cc "�
Agent's Name:
Agent Phone#:
Agent's Email:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adiacent Prouerty 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.
X 100 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.)
DO wish to waive some/all of the 15' setback
Signature of Adjacent Riparian Property Owner
-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: Douglas Hicks
Mailing Address of ARPO: PO Box 537. Frisco, NC 279 6
ARPO's email: dchicks 5t a- -69m ARPO's Phone#;
Date: 1/11/22 "waiver is valid for up to one year fron
W&,J I /it / 17-7--

CEI i! C®
DCM-EC
fhb map is prepared
fnxn data used for the
i�'t 7..', ()✓`
vM cry o(the real
properq for tex
wlx—Pr""y
�>
iny —i- sources —1
as recorded daedr, pbb.
wills, and at., pn—y
pabk Me shoJd be
�.
consuh¢d tdr,.eribcxivn
of the inldr W.
Mnbined in thb nap.

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This map is prepared
from data used forth e 53186 Lands End WAY Owners: Thompson, Joseph E -Primary Tax District Frisco
y1�' Opinventory ofthe real Frisco NC, 27936 Owner Subdivision: Subdivision - None
property for tax f Parcel: 015031006 Thompson, Tami 1 -Primary Owner Lot BLK-Sec: Lot Tract 2-c Blk: Sec:
purposes Primary
information sources such Pin: 050507781469 Building Value: $0 Property Use: Secondary Improvement
as recorded deeds, plats, Land Value: $9,500 Building Type:
calls, and other primary
Mix Value: f30,900 Year Built: e
public records should be
consulted for verification Total Value: $40,400 {T
of the information
contained in this map.
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