86634A_Umphlett, Timothy & Julie_20220630

r v
��tuura 9CAMA �Ll DREDGE & FILL �, ' `` ,'`. ; (4 j B C D
Previous permit. t% A
GENERAL PERMIT Date previous permit issued tL"
FJ New ❑ Modification Xc`ornplete Reissue []Partial Reissue
As authorized by the State of North Carolina. Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC 7- ) +✓ _ Rules attached. General Permit Rules available at the following link: www.dgq.nc.gov/CAMArules
Applicant Name i
-4- 0,
Authorized Agent _ _ _-
Address
r�7t]3'iNi a •T
Project Location (County): 61-1, t` fj«rr(�_
City 0 tC
_ State �iG
3
_ ZIP _ 2 79 9
Sttrre'et� Address/State Road/Lot # (s) _� k,i-4t , 6 C-:
r)
Phone # (� r) W,- 2-
`I -; I
S I ST—?-1.4)4 — -- --
Email i G :,.N. Pf. �'
�' G' fig
�A^�
Subdivision
City _;c .c �s ---ZIP
Affected [I CW
'✓VEW EPTA
LI ES u PTS
Adj. Wtr. Body is (- ( -fig rC� it V __(nat/Q.nk)
AEC(s): ROEA
IHA UW
[] SPIMA PWS
Closest Maj. Wtr. Body � [ k C&,,A
ORW: yes& PNA: yes/RD
Type of Project/ Activity A, ll r'r-nr � 4 k :X! r J:�J— - k 6x k,41o­�
Shoreline Length t1S C)
Access Length j
Pier oc length �✓ ` -7_
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Total WaEtaca-rea O'
Groin length/t!
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length _
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift _
Beach Bulldozing?
Other
/� SAV observed: yes 3n
Moratorium: /a yes no
Site Photos: ye no
Riparian Waiver Attached: a no
A building permit/zoning permit may be required by:
Permit Conditions L2 &k�k i t' r 't JE'r. Ctwr:lr - �j Kk-.
"X
9
Pit,4-'l ,'7 e CI
A
\\ \ \\ \\ '•\ \\ - \J I/ / / / % M
YlL
(Scale N �� )
Qt.Ft-
Ct:
J
Ct�
V
F-ITARIPAM/NEUSE/BUFFER (circle one)
See note on back regarding River Basin rules
Sep additional noteslconditions on back
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial) • _
T
Agent Applic PRI T
igna ure "'Ple a read Lo pliance statement un back of Permit —
Application Fee(s) Check it/Money Order
sigwtute .. �'
Issuing Date Expiration Date

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONfWAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
I - n Jam_
Name of Property Owner: / 4 D Y 1. •
Address of Property:
Mailing Address of Owner: 5� � / -S
Owner's email: •f L0 %!b 041F__r%e0 40 Owner's Phone#: f� %s� G'��
Agent's Name:
Agent's Email:
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
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 �� r
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:
47,
Typed/Printed name of ARPO:Q().gyp p
` rr� )/ 2 ! 7 �!� Mailing Address of ARPO: ��s• '1�5�'W/hg ��. �� et A C
ARPO's email: ARPO's Phone#: 541 'a76 7'a TOY
Date: /61 70W'0?ya10 *waiver is valid for up to one year from ARPO's Signature*
Revised May 2021

Letter to Adjacent Property Owners
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND -DELIVERED
toQ ,o/n Go�� RECEIVED
Cal rN APAle-77— &og )
Adjacent Riparian Proper Owner JUN Z 8 2022
%i V W000t oos-E �2.
Moiling dress 3� � ti
(� DCM-E.�
City, State; Zip Code
Dear Adjacent Property Owner:
This correspondence is to notify
notify you as a riparian property owner that I am applying for a CAMA Minor permit
to Tz/�'lDI A-4 i��► I/t�
on my property at %D S. (S 0056wzNG C I : G*1214N I) y. /U' C- �7 3 in
Currituck County. A copy of the application and project drawing is enclosed for your review.
If you do not have objections to the proposed activity, please mark the appropriate statement below and
return to the appropriate office as soon as possible. If no comments are received within 10 days of receipt
of this notice, it will be considered that you have no comments or objections regarding this project.
If you have objections or comments, please mark the appropriate statement below and send your
correspondence to the appropriate office.
If you have any questions about the project, please do not hesitate to contact the local permit officer at the
appropriate office.
Mainland Office
153 Courthouse Road, Suite G107
Currituck, NC 27929
252-232-6026
Debbie. LaShomb(a)currituckcou ntync.gov
Sincerely,
� o1l y j)M PW E-1F
Property Owner's Name
Corolla Office
1123 Ocean Trail
PO Box 73
Corolla, NC 27927
252-232-6081
Kelly. Brady(cbcurrituckcountync.gov
775--) - 6 ¢2- 49J-7� j
Telephone Number
��have no objection to the project described in this correspondence.
ve o jecticn(s) to the pro,ect described in this correspondence.
11�,�-�VvqoAO -e iv, 6a, 202 -S6 8
djacent Riparian roperty Owner's Signature Date
Print or Type Name Telephone Number
lt(� Wo")JAyse- fzc( L 2- 3:,2
Address City State Zip
CAMA Minor Application
Page 8 of 9
Revised July 27, 2021

�c
y
n
N
o'ol
a
W N
N
U
W
W CC)
N
U
W
U
0

Currituck County GIS Data Viewer
Currituck County GIS
Phone: [phone]
E-mail: [e-mail]
This map should be used for general reference purposes only. Currituck County assumes no legal liability for the information
shown on this map.

-1r.,%
i�