86792A - Teachey, William & Donna

(?�CAN1A ® DREDGE & FILL
GENERAL PERMIT
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N9 86792 0 $ C D
Previous permit
Date previous permit issued
As authorized by the State of North Carolina, Department of Env ronmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
1 SA NCAC t Rum attached. General Permit Rules available at the following fink- wwwdearx dt+4^ i s
Applicant Name t'itl'!a ►rn�-��+, �rt]� �QaC' Authorized Agent
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Address Xe- l�11�`ea -br Project Location (County):
City \ ► r-Q +V\1G state 0. ZtP Street AddresvState Road/Lot #(s) 1Ci 5
17, l`i, i r
Email Rt�Tf? QC' S Q_ Subdivision t-.d2 ri �Lsv� lkaNN 114
City mcr -tla&m 7JP -1 C(3q --
Affected F�Icw NEW PTA a [YPTs Adj. Wtr, Body C?�'(hC3Yt2 y mart%utdc}
AEC(s): 7 OEA IHA UW I MA C PWS Closest Mai. Wtr. Body \0v-le-
ORW_ yes/0 PNA: yes/43
Type of Project/ Activity lYtB iL ©OI Q
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Shoreline Length
Access Length
Pier (dock) length
Fixed Platform(s) ''
I
Floating Platform(s) `^
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Finger pier(s)
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Total Platform area
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Groin length/#
t i
khe Riprap length
Avg distance offshore-
HI
Breakwater/Sill
1
Max distance/length
Basin, channel
Cubic yards
goat ramp
I t
Boathouse/ Boatlift
Beach Bulldozing
Other
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SAV observed: yes ®�
1
Moratorium: yes no
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Site Photos: no
Riparian Waiver Attached: yes
A building permit/zoning permit may be dhir
Permit Conditions
TAWPAM/NEUSEJBUFFER (circle one)
See rote on back regarding River Basin rules
ElSee additional notes/condltions on back
I AM AWARE OF STATUTES CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
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Signature "�"PPlease read—compiianc�eement on back of permit"
400.' 1535
Application reels) Check #/Money Order
Permit Of o!rr A'RiNTED Name
Signature d
11/S
Issuing Date
Expiration Date

AGENT AUTHORIZATION FORM FOR PERMIT APPLICATIONS
Name of Property Owner Applying for Permit: t,11,1i G , ► u��+��_
Mailing address: wVA �c--F� t 4J
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Telephone Number:
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I certify that I have authorized (agent/contractor),
to act on my behalf, for the purpose of applying and obtaining all CAMA permits
necessary for the proposed development of R4Y,V
at my property located at
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This certification is valid through (date).
(Property Owner Information)
SPnature
Print or Type Name
C o _ C� L�O/V%�
Title, co. owner or trustee for property
Date
7,S-7'-916 Y ;,yam&�-G
Telephone Number
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Email Address
RECEIVED
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Tracking Number:
70200090000026413668
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Your item has been delivered to the original sender at 2:26 pm on January 3, 2023 in HERTFORD, NO
27944.
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Delivered
Delivered, To Original Sender
HERTFORD, NO 27944
January 3, 2023, 2:26 pm
Available for Pickup
HERTFORD, NO 27944
January 3, 2023, 8:14 am
Arrived at Post Office
HERTFORD, NC 27944
January 3, 2023, 8:01 am
In Transit to Next Facility
January 2, 2023
r Arrived at USPS Regional Facility
RALEIGH NO DISTRIBUTION CENTER
January 1. 2023. 7:34 am
REC .\,1V`
JAN 0 4 2023
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• Departed LISPS Regional Facility
RALEIGH NC DISTRIBUTION CENTER
December 2, 2022, 12:25 am
Arrived at USPS Regional Facility
RALEIGH NC DISTRIBUTION CENTER
December 1, 2022, 10:42 pm
Departed Post Office
EDENTON, NC 27932
December 1, 2022, 5:13 pm
a USPS in possession of item
EDENTON, NC 27932
December 1, 2022, 4:33 pm
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FAQs

From: Shelby Sanders
Sent: Friday, December 16, 2022 5:34 PM
To: Rose Tummarello
Subject: FW: Adjacent Form
Good Evening Ms Tummarello
I'm just following up with you on the form I sent to get your signature for Mr. Teachey. I hope
you have a great weekend and hope to hear from you soon!
Shelby Sanders
Brown's Land Developing Inc
U5. 426-3655.
From: Shelby Sanders
Sent: Tuesday, December 13, 2022 10:09 AM
To: Rose Turmarello
Subject: RE: Adjacent Form
Good Morning I am sorry about that I am not sure what happened but here is the form
Shelby Sanders
Brown's Land Developing Inc
(252} 426-3655.
From: Rose Tummarello
Sent: Thursday, December 8, 2022 6:19 PM
To: 'Shelby Sanders'
Subject: RE: Adjacent Form
Shelby,
There is no attachment to this email.
Best regards,
Rose
Rose Tummarello
516 — 782 - 5000
From: Shelby Sanders <shelby:[e-mail]>
Sent: Thursday, December 08, 2022 4:24 PM
To: r.ose@the5l-h.o-u-se..com
Subject: Adjacent Form
RECk#�t.
1AN 0 4 1013
Dlcm-

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