86487A_Sharidan, Brian & Heidi_20220113

ACAMA X DREDGE & FILL "'..4 .0 86487 Q BIC
I�X Previous permit
1MI GENERAL PERMIT Date pis
permit issued
X New F Modification 7 Complete Reissue 7 Partial Reissue
As authorized by the State of North CarcAina, Department of Environmental Quality and the Coastal Resources Commission in an area of erivironmentai concern pursuant to:
I SA NCAC -- 7 H' 1100 0 Rules attached. L�e, Gerieral Permit Rules available at the lollov�irlg linic wwdWnc.=&&J6mJ1
Applicant Name �T-icw &4 Helot, %,g d P- on Authorized Agent --:�
Address -ios' Project Location (c--'Y):—
city ................. . yc" zip -.2 3'/SZ StreetAddraw`StftRoad&pr#(s)
Phone *C7,�6) Cal-16-11 . ......
Email 10 1 14 t, 10�d f�--Q � Subdivision, -
City — Vter-
Affected CW K EW (APTA X ES � PTS Adj. Wtr. Body rr 0
AEC(s� D OEA HIIA F-1 uw "D splmA Pws close, , mi. w,Body Ai btl� te IS OW-1 d
ORW: yes/(D PNA- yeslia
Type of Project/ Activity n,,l c. 6s,sAU� .......... . C[4± ...................... eA
0� + (Sale-1 0-
Shoreline Length
Access Length, t
Pier (dock) length
.. .. ... . ...
Fixed Platform(s)
Floatting Piatform(s)
Finger pit-($)
Total Platform area
Groin length/# - -----
N ":
ulkhea Riprap, length
Avg distance offshore
greakwaterMl I
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlitt
Beach Bulldozing,_,
Other
SAV observed-, yes Q51
Moratorium: ( .0 0
Site Photos. <5 -,a
Riparian Waiver Attached: yes %
A building permit/zoning perm* may be required by_ reUQ F-� TARJPAMNEUSFJBUFFER (circle one)
Permit Conditions
E]See note on back regarding River Basin rut*
F11 See additional notes/conditons on back
I AM AWARE Of STATUTES, CRC RULES AND CONDITIONS THAT APPLYTO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. 'Please initial)
&Z 41liv
NIN Agent or Applicant P TE D Name Permit Ofi RIFT ED Na
; ma
C" M .
§ignature "Please read compliance statement on back of permitSignature
" 2-13 -12a
Application Feeis) Check #/Morey Order Issuing Date 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
property located at
(Name of Property Owner)
ul�--
{Project Site: Address, Lot,, Block, Road, etc.)'
on in N.C.
(Waterbody)
Agent's Name *1
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
(Ind'vidual proposing developiven t litatillft In descrilpft I n beloir odic"` 4011iiii�
P,(-ope,vi I
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!!otifred by Certified Mail:
Information)
'51�rr
Y4(/ 4/
Telephone Number/ Email Address
YAJI 0
(Adjacent Property Owner Information)
Signature*
Print or T} pe Name
Mailing Adcfress
Gityl&atelZip
Telephone Number /Email Address

DIVISION OF COASFAL MANAOEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATI�0t1�'
Z� E C E. R T 1 F I E E) M, A �,- 'R- E T U R N PE: C'l � I �Pp-F-77` "I " « , I , �'-
1 hereny 'rertzfy -,at own oro.--�— 'i-
/A/
properly a'
,!Project Site, Ad&-P�,,s
on
(Waterbody�
Agent's Na,lne
H�-'She has aell';Vr"-`�'
-'ave'lo ouectmns O'-" rroo"�-
DESCRIPTION ANDJOR [)RAWNC%)i- 0 P
findividual proposing development n vs, �'- ' 'v 47 -4ra wing"
oq
If you have objections to what is being MFr'-'-;'"VMPnt
(DCM) in wriVrg *ithiti 10 Jays of receiv 1: ied 401 S
Griffin St-, Ste 300, Efizabeth City, MC, 217?04 h-J a 252) 264-
3901, No response is considered the sae-o- WiL
(Property ner Iref rn i a ti o n)
- - - - - ------------ -
pn'n! Or
C'
'1, N`G � 19'f`f
�.�'333

I

Perquimans GIS
12/13/2021, 10:53:26 AM
Address Points perquimans._nc.lot perquimans_nc_acres
Centerlines perquimans_nc_easement Imagery 2020
perquimans_nc_misc perquimans_nc_dims Red: Red
grtar. d I} A i S har'114a,
i0S Ttr;d !_are.
1:564
0 0 0.01 0.01 mi
Green: Green
0 0.01 0.01 0.02 km
State of North Carolina DOT, State o! North Carolina DOT. Esri, IRE, Oarmn,
Blue: Blue INCREMENT P. USGS, EPA
Imagery2016
Perquirnans GIS
Ftx tax purposes txdy Not a legal AtKument a Survey Pergwmans rxx State gl NC assume any liability resulting ttom use 0 thrs map

U[ILILIUU lVldp Legend
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