86434A - McCormick, Elizabeth

""I.NXCAMA Pq DREDGE & FILL
Previous permit
• GENERAL PERMIT Date previous permit issued
ANew DModification ❑ Complete Reissue ]Partial Reissue
As authorized
..b�y/the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I SA NCAC T ►1. 1 0 rij Rules attached. General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
SW
Applicant Name
Address f W P to L) '] i /1 VIGd
City ~ r State . ZIP oU Z
Phone # (p) 2 ifG2�C _
Email
Authorized Agent Alf Al
Project Location (County): L
Street Address/State Road/Lot #(s)
�•�� War
Subdivision ', —
City j�-ld 11J0- •� _ZIP t
Affected 0 CW �EW PTA MES , PTS Adj. Wtr. Body �(
AEC(s): OEA IHA uW SPIMA PWS Closest Maj. Wtr. Body
ORW: ye no PNA: ye no
Type of Project/ Activity
ainGWE' V 1
Shoreline Length ±_'2
1 Access Length W V4 V
Zi
Pier(dock)length
Fixed Platform(s) I O
Floating Platform(s) At
;J
Finger pier(s)
Total Platform area
Groin length/#
ulkhead 'iprap length +
-Avg istancejg,5 p
Breakwater/Sill
ax is n length S7
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed: yes no
Moratorium: n a yes no
Site Photos: yes
Riparian Waiver Attached: yes o
A building permit/zoning permit may be required by:
Permit Conditions
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TAR/PAM/NEUSE/BUFFER (circle one)
See note on back regarding River Basin rule -
additional notes/conditions on back
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Agent ant PRINTE O ' ame Permit cer's PRINTED N
p iame
Sign re ** lease read n liance statement on back of permit** Ejijryt� Signatur
coW 00. � ►'AL+ 11-2-022. �l I) Ze 2-2--
Application Feels) —�P�_ Check #/Money Order Issuing Date Expiration Date

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date
Name of Property Owner Applying for Permit:
Mailing Address:
.9-1 6� &
A f ,3" 0 moo ;�-
RECEIVE
AU6302021
DCM—EC
n
I certify that I have authorized (agent) Qy—� \�Cq.� to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity)
at (my property located at)
This certification is valid thru (date)
C
t1
Property Owner Signature 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 Cl i Z o 6 f + I` / A<: o rmf C K -s
(Name of Property Owner)
property located at[[ u C H P r6n 9d S �4 (oil N C, ; oq 7 Y
ee II (Project Site: Address, Lot, Block, Road, etc.)
on/ l6emarIC SnNnid ,in Ca,^JQl% ,N.C.
(Waterbody)
Agent's Name #:
Agent's phone #:
(City/Town and/or County)
Mailing Address: -Sib i d P 1 i i o ^i Ave
Cl Rfry 11141 1Vs 0900a
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)
SE, 0 9 W1
DDW-�---C
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 notified by Certified Mail.
(Property Owner Information)
,If&
Signature
Print or Type Name
10 1'r t C, S
ailing Address
&(Pn j v NC a,7 939
City/State/Zip
(7 � 7 (> 3 019
elephon Number/Email Address
I / � Za1
Date
A�J� ,��
Mailing Address
City/State/Zip
,7-7,2 - o - a 77fi
Telephone Number/Email Address
/s/D
Dat k
on)
`Valid for one calendar year after signature* 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 E-( i Z a �ef h ;Mcco rewcK's
r � F O (Name of Property Owner)
property located at I � � (u �' 11 (� � /
(Project Site: Address, Lot, Block, Road, etc.)
on% bCmarf Sot.,n� ,in CaMdcA ,N.C.
(Waterbody) (City/Town and/or County)
Agent's Name #: Mailing Address:
p5 1 b R Lo ie TSIA^J Ave.
Agent's phone #: int r r V I� f ! %y f (� D 0a
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)
SE? 0 8 2021
DCM-EC
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 notified by Certified Mail.
(Property Owner Informatio )
Signature
fe
N 5oL4 c���
Print or Type Name
e to f 1A e (� v4 n
Mailing Address
& f1K,,J !, N c. a-79y
City/State/Zi
(75�7) 6�3-a019
Nlephon Number/Email Address
Da e
(A cent Property Owner Information)
Signature*
o.+ri c K kro
Print or Type Name '
a C6 9a Red LCLr•e Rd,
Mailing Address
Po vAa+ an VA a 3 t 3?
City/State/Zip
C� 0�0 5 01- 6 ( 37
elepho e Number/Email Address
Date*
*Valid for one calendar year after signature*
Revised Jan. 2017

9/2/2021
118 Blue H ron Rd - Google Maps
118 Blue Heron Rd
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116 Blue Heron Road, Shiloh - E. McCormick
September 8, 2021
Streets Addresses
Streets Parcels
o Main Roads ® County Boundary
1:826
0 0.005 0.01 0.02 mi
0 0.01 0.02 0.04 km
Source: Esri, Maxar, GeoEye. Earthstar Geographcs. CNES'Airbus
USGS. AeroGRID. IGN. and the GIS User Community
Esri HERE. Garmn. lc) OpenStreet!Jao contributors, and th
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