86706A - Coard, Robert & Sandra

acourkN❑CAMA ❑ DREDGE & FILL N° 86706 CAD C D
GPrevious permit
GENERAL PERMIT
Date previous permit issued
4 New ❑ Modification ❑ Complete 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 "` ❑ Rules attached. 0 General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name .: v r x . ;' r
Authorized Agent
+
Address ){%� Lj a� c ciy
Project Location (County):
City State F
ZIP
Street Address/State Road/Lot #(s) 10 d- S-CF Flu r Src Lc r. -
Phone # ( /)'., - > > - L 1 zi
L" 1 il I
Email
Subdivision is L-
City C (6 V- J,ii zip ')-,9 3q
Affected ❑ cW ❑ EW ❑ PTA
❑ ES ❑ PTS
Adj. Wtr. Body f!, C- r C. +� p``� ��<� •/ / (nat/R% junk)
AEC(s): ❑ OEA ❑ IHA ❑ UW
❑ SPIMA ❑ PWS
Closest Maj. Wtr. Body u 4- r • 1J r k E �^ ��
ORW: yes/no PNA: yes/no
Type of Project/ Activity. N t 4..-
(Scale:' 3� )
Shoreline Length
Access Length
'Pier (dock) length
/
Fixed Platform(s)
r
Floating Platform(s)
i
Finger pier(s)
Total Platform area
F
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
'
Breakwater/Sill
y x
Max distance/ length
( '
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed: yes no
Moratorium: n/a yes no
Site Photos: yes no
Riparian Waiver Attached: yesno
A building permit/zoning permit may be required by:
❑ TAR/PAM/NEUSE/BUFFER (circle one)
Permit Conditions
❑ See note on back regarding River Basin rules
❑ See 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 or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature **Please read compliance statement on back of permit** Signature
Application Feels) Check #/Money Order Issuing Date Expiration Date

Statement of Compliance and Consistency
This permit is subject to compliance with this application and permit conditions. Any violation of these terms may
subject the permittee to a fine or criminal or civil action; and may cause the permit to become null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for
compliance. The applicant certifies by signing this permit that: 1) prior to undertaking any activities authorized by this
permit, the applicant will confer with appropriate local authorities to confirm that this project is consistent with the
local land use plan and all local ordinances, and 2) a written statement from the adjacent riparian property owner(s)
has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(s).
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
F-1 Tar - Pamlico River Basin Buffer Rules F-1 Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules
for the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the
NC Division of Water Resources. If you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215).
Notes/Additional Permit Conditions:
Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
project area and disposed of in an appropriate upland location.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST Fax: [phone]
(Serves: Carteret, Craven — south of the Neuse River, Onslow
Counties)
Elizabeth City District
401 S. Griffin St. Ste. 300
Elizabeth City, NC 27909
252-264-3901
(Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford,
Pasquotank and Perquimans Counties)
Washington District
943 Washington Square Mall Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Craven — north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext. Wilmington, NC 28405-3845
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover and Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date 7 - 2 s - 2 2
Name of Property Owner Applying for Permit:
go Ierr1 i
Mailing Address: --
3108il f64
I certify that I have authorized (agent) -!5w, j 40004to act on my
behaK for the purpose of apt for and obtaining all LAMA Permits necessary to
install or constrict (activity)
It (my proputy located at) 102 SeQ r�at4e
Tbb tios is •atd tbru (date)�--
Prop" Owaer Suture
� - 2-s . Zz
Date

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner:
Address of Property:'
Mailing Address of Owner: f
Owner's email:
Agents Name:
Agents Email:
C190-1
Owner's Phone#: ��7�_ ✓ �tO�j
cr} C
Agent Phone#: Z�Z 5- r i:�'7�7
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
`ic ^A-+:'...... dr..,....... ...:ate �:�------- -- . ... .. --
�� 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
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
-OR-Signature n rp of Adja arian rope er
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: Q dI&rN
Meiling Address of ARPO:
ARPO's a il: f %DY dey -J5 -7
ARPO's Phone#:
Date: *waiver is valid for up to one year from ARPO's Signature*
Revised July 2021
Vt 5 q�1 �at� 6 C'�rPc GI��Y1C5
y

DMSION OF .
ADJACENTRIPARIANpROpERTy
REQUE ti • •
(TOP P ,�olt tO be COFT4*ted by owner or their agent)
Dame of Property Owner.
Address oil=
wiling Address of Owner-
Owner's emal:
AAmrt`s Name: l/dt
Ads Enva- A44,
Owmefs Ptxmai
AQerd Phonet 25Z ff74P7
IW_Tv it F
Al_�___
h 1 hereby P� has d y #tat I d to P uPerty adjacent to the above referenced property_ The individual applying for this
me, as shmim an the attached
9, the dexrrem tthey are p,�g, A
with �Musk with this letter.
100 NOT have objeeiiorm to this proposal. I Do have obrzfiom to this Proposal,
you hfty to what is being ProPo % you strut ttoffy Ste mrw Division of +
"MuSammd (mi) in wdUng wMin !G days of recei0t of tfgs no6cp Cwrespxto?rrtce shordd be
trtor7ed b stM & GrM% St, ShL 30k EbabeM City, � 27W& DCar can atsa be
NO is cowskkfed the same as no objection rf yrur have been
OU
WAIVER SECTION
! Etrtderstard than any Proposed per dock, mooring p linM boat ramp, NvWmater, b xise, Iak or
� mubt be sat bock a rrurnn um distance of 1S from nV area of riparian acem unless waived by me
tit appropriate below.)
or r'Pr revefnj. (if Yrw wish b waive theak You uut
I DO wish ,o wive somettall of the # 5 setback
-0k- Signature of Aa eosrrt R om an Pn/operiy Owner
I do not wish to waiMs the 19 setmctc nequirerwenE (iriiiat i!•e birnh� t ! v
u0mbse of Mjar W Riparian property Owner t /i - W'4
trkaid same 0fARP0. C H't"t t-kZ s G t4K rz.c if
d� otARPa r% baX (.,, oc tVc,rZraLlc t//t 235�
ARPO*s email: llt � ` Pf•oh®.� �7-ZZ , OZ1,*
is valid for up to one Yoarft m ANP(ft
RmiNd A*2a2i

�W zoj
X,oy�✓
Al
f,4VOO
rj,�pNbS'
/0/
—.
� a1 0
9 aAb�1��
�kkn�
ez ��

;urrituck County GIS Data Viewer
, S4.
. O
103
30 ft
Currituck County GIS
Phone: [phone]
E-mail: [e-mail]
100
C
This map should be used for general reference purposes only. Currituck County assumes no legal liability for the information
shown on this map.

7