86242A_Howland, John & Oliver, Marjorie_20220411

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GENERAL PERM!T �" DatPreep,s iousll Date prevwus permit tswed ❑Modification �_�Compiete Reissue UPartiaj Reissue
As authorized by die sttte of North Carolina. Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I SA NCAC H • -!Z —----.--- ---- --- L_] Rules attached �`�Gerteral Permit Rules ava,labte at die following link wvwv_d�rx�oy(CAMA�r -lie
Applicant Name _ lit,
1'r DLt'o.,
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Authorized Agent ------- _ ---- .--.--
Address � O- 1
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Protect Location (County): �e►jL' r�C----------------
CityCZtr11.G,_-_-_
__- State_
` 1
�_—_--zip ���
Street AddresslStateRoad/Lot #(s) -%1L Pbf,Cf CT
Phone ( 1 ��3/
6� 9
_
314 -
�—
Email
Subdiviswn .( G��
- - - -ZIP
Affected F] CW
W
�L--�--
PTA ES PTS
Adi. Wtr. Body! p-- � 4t _ktat �T« ��_ (nat nk)
AEC(s): F] OEA
O IHA
F J UW CJ SPIMA u PWS
Closest Mal. Wtr. Body--
ORW: yes no
PNA-
yes/®
Type of Project/ Activity A)P-l—)
G sc ac r Re ch a o, ^}ow
G �x_32 �Pl
+-For,.
--
----- ---
{Scale"S 1
Snoreline Length
Access Length
Pier (dock) length 6 r
�Cy�� ��
r
✓ "
_
Fixed Platforms) 3 r K
l
\l�}Z t S �✓S �C�C �^�
Floating Platform(%)
Finger pier(%)
Total Plaiferw►wea C Q3-
Groin length/p —
Bulkhead/ Riprap length
f 1 T
Avg distance offshore _
�
�
x'
3�' x G gt4-F +of rti
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
/
/
Boat ramp — _
Rnathnu%P/ RoatliR
Beach Bulldozing U
Other
'� S ,; Howl��.�G►,ver K,td�
SAVMoratorium-
observed: yes o � 5� [ � ,!
Moratorium: rt, Yes no +1
site Photos: �fL,.�� ?Q, _
Riparian Waiver Attached' Yes no
A building permit/zoning permit may be required by: _ Ec; %tee k. TAR/PAM/NE UFFER (circle one)
Permit Conditions
See note on back re rding River Basin rules
ser acitimonai notes/con ons on back
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROTECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initialj�
Agent or Ala rmit IE cer's PRINTED Na e
Sig •'Please read compliance s aF^tement on hack of permit •" Signature
Application Feels) ChPrk tl/Monav Order Issuing hate Expiration Date

Lotter to Adjacent Property Owners
/�7 J"r4'IIet11!
Date tke f�# i/E"Lyd e- -
Adjacent Riparian Property Owner
I;; P1 �
Mail g Addr ss
City, State, Zip dode
Dear Adjacent Property Owner:
This correspondence is to notify you as a riparian property owner that I am applying for a C A
MkW porn*
to , 1aWZ`
on my property at ?// 'C �' ", r—
Currituck County. A copy of the application and project drawing is enclosed for your review.
e 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
appropriote office.
Mainland Office
153 Courthouse Road, Suite 0107
CuMtuck, NC 27929
232-232-6046
Dab ie is Shomb(Mcurrituckeountvnc-gov
Sincerely,
Property Owner's Name
Corona Office
1123 Ocean Trail
PO Box 73
Corolla, NC 27927
252-232-6001
KegjjX y currituckcoutttvncwx
Telephone Number
t, I hclvenooblectlonto!�e project described in this =--esponaence.
I have objection(s) t e project described in this correspondence.
�-A-4dn Owner's Signature Date
Print or Type Name 9. Telephone Number
2--7`I2-7
Address City State zip
LAMA M;no, Apptkatlom
Page 8of9
Revised July 27, 2021

■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the malfpiece,
or on the front if space permits,
1. Article Addressed to:
g'W
A. Signature
x
B. Recelve by {Pri� G ll I
C.
al g
D. Is delivery address different from Item i7
if YES, enter delivery address below:
1 Agent
❑ Addressee
ate of Delivery
/"'� -z--
❑ Yes
p No
INIII�IIIIl�II#lfI II!lIII!lIIIIllllllillll! 0 Type 13 CRegiPriorityend MreesO
❑ Adult Signature C Registered McIIT°'
D Adult Signature Restricted Delivery ❑ Registered Mail Restricted
❑ CertNied Maly Delivery
9590 9402 69301104 6315 53 Q maned Mau Restrtoted Delivery ❑ Signature Contrrmation=M
❑ Collect on Delivery ❑ Signature Confirmation
2. Article Number (f in fer from servlae ist,lV) Cl Collect on Delivery Restricted Delivery Restricted Delivery
eured Meal
7021 0950 0001 9630 0012 ���"Rastr'otadoanvery
Ps MT . July 2= PM 7&W-M-000.9063 _ Domestic Return Receipt
USPS TRACKING #
2!9
A 23 Postage
9590 9402 6930 1104 5315 S3ldkfPM 6 L
United States • Sender: Please print your n me, address, and ZIP+4® in this box•
Postal Service �.-767-07
—
fI,iliilIIIIIIIhIII'I,t1irll,)I,lIrr11lrt�ll'rl�r rlll�jrl'l1i,11
RECEIVED
APR 1 1 2022
DCM-EC

x---------------
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rt

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: b4 ^l
Address of Property: 9// PLa ► 6-R CT
Mailing Address of Owner: Z-0'1Z/ s Ya4&E C40-ott4 1VC- Z-9 9 Z %
Owner's email: JLON Phone#: %03 (,2Z3 (Oz
Agent's Name: / 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 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
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:p^ARPO's Phone#:
Date: _O F 1� i.- � waiver is valid for up to one year from ARPO's Signature*
APR 1 1 nZZ
Revised July 2021
®CM -EC

Oncl 1/00
V'Aa%?O V-0
A P- J-0-7
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Green: Band 2
Blur. aand_3
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Phone: [phone] l!'_
shown on this map. K,;��c.�-i hr�,�
E-mail: [e-mail] / b
n ,._ r-

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