86230A_Hull, Russell & Hull, Kay_20220228

RECEIVED
�,,CAMA ',<DREDGE & FILL
11 GENERAL PERMIT
� V DM -EC
evv Modification LJ Complete Reissue 0 Partial Reissue
NY 86230
tin permit
Date previous permit issued
0 B C D
As authortmd br the km/ 94 North Carolina. Depvsnrn of Emrrcs onmental Quality and the Cot RsCommissionan to area oil arvavnrrwsd rsuato
cono" punt
I !iA NCAC / r / , ' — - -- - U Rules attar heed K�f—1 Pernut Rule avakab a at the Io" Yak S
Applicant N.m. '& s .1tL / / Al , / %A :3-, I r Authonaed Agent _ _ d AD C- - 3_t--!_
Address o a ;.�i�e�� -��_.� d l Prot Location (County) D a r -t- _
city 6: ] n►j t+{s t . - State .._!J C ZIP q O e Street A khesc/Statr Rnad/Lot *oi [� J f � .�_ 'T/ 92i
Phone / 147) 335 . 3 3_�'�. .1- Ir i8? p l•►t. > *-__� ram_✓. -..__..�_
Email K� ti ik .- �l my zA • ,t- _ --- SubdMtrnn _ ._14 C'
City_ r13Ga LP 2.7734
Afsected CW EW XPTA L6ES F!4PTs Adl. Wtr Body C 4 A
AEC(s) OEA MA UUW DSPIMA PWS Cl.., Mal Wtr.Body P�M I) t0 SLsin14
ORW yes40 PNA yM/ oo
Type of Project/ Activity Y tj
1
91'1 S Tom^ ` u Ttf tAaut r� -.� C sr S 7 r�9 t� s r t s• (� C a� Mw1L. (SWIe:/'rs.W 1
Shoreline Length (t *
Access Length
�1 �s Q 't Q ..y.• j �k
Pier (dock) length
I'med Platform(s)
Floating Plarform(s) _
Finger pier(s)
iotal Platform area
Gr gth/0
utkhead Rrprap length r% G' '
Avg distance offshore
Ar--
�rrlaT•'�j'
Breakwater/Sill
r
JL
j, . r
Max distance/ length
Basin. channel
C>(• ��,�� ►'�'I� `�-
Cubrc vards
I
Boat ramp _
Boathouse/ Boatlift
Beath Bulldozing
Other
SAy observed: yes
Moratorium: o no
Site Photos 43 no
Riparian Waver Attached: Yes
Iv y
A building permrst/rorting permit may be required by:
1J 0.�� C� "`
TARRAM/NEUSFIBUEEER (circle or*)
Permit Conditions 4 ^ d
�^-e
tt See note on back regarding Rrvrr B"n rules
- --- _ _---- See additional notes/condrnons on back
To THIS PROTECT AND REVIEWED COMPLIANCE STATEMENT. KPlease Inmal) a
,AI.- Atk A P F OF STATUTES. CRC RULES AND CONDITIONS
THAT APPLY
y. a A � < < � ✓mot __
U QPRINTE
Permu Officer's PRINTED Name
compliance statement on back
J
of permit" ,� Ageat
!17 Sr�z21
Application r�r, ;
Check #/Money Order Issuing Date Expiration Date

Dare County Parcel Data `
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2/8/22, 11:56 AM

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONiWAIVER FORM ' P CERTIFIED MAIL, RETURN RECEIPT REQUESTED or HAND DELIVERY VtD
(Top portion to be completed by owner or their agent)
Name of Property Owner:
Address of Property:
F EB 1 0 2022
Mailing Address of Owner_ kC:�M C `j -. �o (NIL '?�,'"'t°1tJ�
Owner's email: VvN 8 4(� Owner's Phone#:
Agent's Name: GAS" Agent Phone#
Agent's Email;
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property 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 drawina, with dimensions. must be nrnvidpd with this 1pttpr
I DO 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.
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 crust sign
the appropriate blank below.)
I FAO 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: C, P-A
T
Mailing Address of ARPO:
ARPO's email: ARPO's Phone#+
Date. Q4C)' "'' "waiver is valid for up to one year from ARPO's Signature*
Revised Jul21

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM 2027
CERTIFIED MAtlLBfJ-QB.N R9QgIP1 REQUE.-G-TF-0 or HAND QELIVF.BY
(Top portion to be completed by owner or their agent)
Name of Property Owner
Address of Prop":
Mailing Address of Owner: N0QQ N—';,\rsr5tNm4t- 'U', C IkA 4\ L- ?---tct c.
Owner's email, LqltYZ�—Xl (il 4 Lttn-es Phone#: 25 ?- - -4 V :fir t%l M�
Agent's Name: — C 1k �� Agent Phone#:
73� �XZWL �\
Agent's Email.
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom Portion to be corrivieteg by the Adjacent Prope!U 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 ftwing - . with dimensions, must be provided with this letter
I DO NOT have objections to this proposal. I DO have objections to this proposal.
ff you have objections to what Is being proposed, you must notify the N.C. Division of Coastal
Management (DCU) 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.)
I Do wish to waive some/all of the 15'setba
,
SigrlafA blAdjacent Roarian 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: -1'6-FfKe y A, DZ nAV45
AiL ,
45116
-qMf-- 1"14 -
Mailing Address of ARPO: jLALLEY Vh�IV 3P, Pr-)A,t
�52�3
6k,( 10iMOd, ARPO s Phone#:
ARPO's email: 5h W1 ee
Date: ___.*waiver is valid for up to one year from ARPO's Signatut**

Name cif propertyOwner Requesting Permit. -
Mailing Address"
Phone Number: S' 3
Email dress:
I certify that I have authorized
it I Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development- IUILr, hdac�
at my property located at
in tr- —County.
/ furthermore certify that / am authorized to grant, and do in fact grant permission to
Oivision 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.
Prop" Owner information:
Signature
or Type Name
Title
Date
This certification is valid through
1)

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION[WAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: Russell and Kay Hull
Address of Property: 51182 Palmetto Drive, Frisco, NC 27936
Mailing Address of Owner: 1000 Rivershore Road, Elizabeth City, NC 27909
Owner's email: kaybhull(o)yahoo.com Owner's Phone#: [phone]
Agent's Name: Agent Phone#:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property 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.
I DO 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 —N/A
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.)
I 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:
Mailing Address of ARPO:
ARPO's email:
ARPO's Phone#:
Date: *waiver is valid for up to one year from ARPO's Signature*

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