86248A - Lee, IV, James H.

JECAMA X DREDGE & FILL
.IN GENERAL PERMIT
Na 86248 ® B C D
Previous permit
pate prevkKa permit issued
X New ❑ Modlflcation ❑ Complete Reissue ❑ Partial Reissue
As authorized by the State of North Carolina, Depertriw,t of Environmental Quality and the Coastal Resources Comminion in an area of ervvorjnental concert, Pu
rsuant to:
15A NCAC _ / / ! 6* C _ J Riles atxacr,.d. ®General fierrrdc Rules avallibNe at the following link WwVLdWJ&1MCAM6rUlM-
Applicant Name '3athem FF ke Authorized Ageryt wLKrjr
Address P. Proles Limon (C—Ttft vwor
city State V A ZIP Z 31.37 StreetAddress/State Road/Lot #(_) q
Phone # (" (Ws! 1,43
Email 5'he4-_jc 'Sl atYt0.t�.+`.Oi� Subdivision -
`T crt,, liJll d.So r' _zip 'W7 9 43
Affected ❑ M KM NM Tj� m A4 Wtr Body � lbe�ri..a � Kr.G�let �r,/unk)
AEC(s} ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closes. M4. Wtr. Body
ORW: yes/0 PPM yes/ o
Type of Project/ Activity
A\
Access Length �^
Pier(dock)length
Fixed Platforms) �l
Floating Platform(s)
Fingerpier(s)
Total Platform area -.
; w
Groinlengthi#
Bulkh / Riprap length r400-
l
i
Avg distance offshore-(-
BfEakVlBtef/$III
l_
i
Max distance/ length
4
Basin, channel
_
Cubic yards
Boat ramp
i
"'
Boathouse/ Boat ift11
1
Beach Bulldozing
Other
' I--� t � r l 1•-t--� i � i i � l t •( i
SAY observed: Yet Itt( r r -I 1 ! l a
Moratorium: yes no )"'"'� ^"Jl"r`T"T'-�_ tl
Site Photos: no i �....� _.�-r ii--r-- -} '�--i-�•. •'t -
Riparian Waiver Attached: yes
A building permit/zoning permit may be requ br.
�_-- -- ❑ TAR/PAWNFLISE IPFER (circle one)
Permit Condition--.
❑ See note on back regarding River Basin rule
:1'r_!V )
❑ See additfonai notes/conditions on back
I AM WARE OF STATES, CRC RULES AND CONDiT M THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE S?ATEMEKr. (Please Initial)
Obt(k S Aun at(" a
or App'cant W A MAVL-Nj4
TED Name Permit r' IjYTED Name
!-
�]/+J^ L
Signature "Please read compliance statement on back of permit- Signature
IWI Q° 2534 L110/tr— 01toliz.
Application Feels) check #/Money Order Issuing Date Expiration Date

1/4/22, 9:36 AM
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM E
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERED
)A N 0 5 2021
I hereby certify that I own property adjacent to L.JC
(Name of Property Owner)
property located at
(Pr t Site: Address, Lot, Block, ad, et .)
on Z4 444tclol in Y `-
44
N.C. _4.K
(Waterbody) W/V60,m4v-,/e- ,%owd(City/Town and/or County)
Agent's Name #: Mailing Address:
Agent's phone #
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)
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 [phone]. No response is considered the same as no objection if you have been
notified by Certified Mail.
(Property Owner Information)
Signature
Print or Type Name
Mailing Address
(Adjacent Pro erty OwnInformation)
��8fgnature* A'
Print or or Type Name
Mailing Address
G,, w 4's 0., /jr�

City/State/Zip
Telephone Number/ Email Address
Date
*Valid for one calendar year after signature*
2017
LI4, kl r C �
City/State/Zip
Telephone Number/Email Address
q- 40 - ao�4
Date*
Revised Jan.
JAN 0 5 2021
DCM—EC

311VISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOI!MAMY FOR
M
CERTIFIED MAIL, RETURN RECEIPT REQUESTED or HAND DELIVERED
hWebv Certify that t own property adjacent t,
lName of Propony Owner)
Dfopeny locates at
SO
'Project Stle. Address. Lot, Block, Road, etc.)
0" , /c
i iWatiarbody) (CityfTown arxVor County)
Agents Na of 4 mading Address
Agent s ;)none #
HeiSne has descnoed to me as shown betow the development hwshe is proposing at that
location. and i have no object*ns to the pr000sai
DESCRIPTION ANDIOR DRAWWO OF PROPOSED DEVELOPMENT
0 to d I Nii i i bafteir dr a0m* * aft OvoibW
I you have objecitions to what is b*iPV pf0p04" YOU MUSI nOft 00 DWWOO Of C04501
Management (DCA#) in writing within 10 da" of #vc**W of " notice COMMSponalonCe should be
matted to 401 S Gdffln St Ste VO, EfizaboM City, NC, 27M 0CM rePresentatives can also b*
contacted at 1252) 2"3901 No response is considw-od the Same as 10 objection of you gave beian
not by Car~ "J
(Property Owner Information)
,Sqn#tufe
Omni or Type :Name
"W" Aidress,
(AdjaQwnt PrapqM Owner 1pformationj
PnrTt or Type Narrw
(' 40T

DIVISION OF COASTAL MANAGEMENT •--++. �,.
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM tCE ���17_—
�� .
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERED
JAN 0 5 2021
I hereby certify that I own property adjacent to aIgl'e � E- 5 L.[CR&EC
property
iJ3
on
N.C.
Agent's
(Name of Property Owner)
located at
(Projec Site: Address, Lot, Block, Road, etc.)
to r in �,'C coulqfv
(Waterbody) Aber : Ae, Smo i J
Name #:
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 rill in description below or attach a site drawing)
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 [phone]. No response is considered the same as no objection if you have been
notified by Certified Mail.
(Property Owner Information)
Signature
Print or Type Name
Mailing Address
(Adjacent
Si�h�tol
/[ /
�}(�� lT
Print or Type Name
Y'L elor S kl Or
Mailing Address

City/State/Zip
Telephone Number/Email Address
Date
*Valid for one calendar year after signature*
2017
L✓ ,idjol &c ,--79T 3
City/StatelZip
;.5�,)- - 3 i Z - 4r `7 3 �-
Telephone�Number/ Email Address
Date*
Revised Jan.
JAN 0 5 2021

JAN 0 5 2021
®CM -EC

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