89648A - Bailey

,�°"°°"❑CAMA ❑ DREDGE & FILL N° 89648 V A B C D
GENERAL PERMIT Previous permit
Date previous permit issued
❑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:
I SA NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: mmmdea.nc.gov/CAMArules
Applicant Name Authorized Agent /A 10 L't ('" tf 'F, IN `i f � (, 6, 0. ,a r I /'t C' 1
Address Project Location (County): (' t I r't-
City t .; State - ZIP Street Address/State Road/Lot #(s) i "lo d:'.':L "> i
Phone #( -) (-o iAV _.3 �) D -
Email (`' 'IV) Subdivision
City (' Lzip 1 79;1.
Affected ❑ CW ❑ EW ❑ PTA ❑ ES Q PTS Adj. Wtr. Body 6 1 h t ),- "i : ` ,(R3t(man/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj. Wtr. Body tv tt't:"i
ORW: yes/no PNA: yes/no
Type of Project/ Activity
(Scale:i'd'el (} )
rA A i
Access Lengthk-LA
Pier (dock) length
Fixed Platform(s)Al
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Floating Platform(s)
-t
Finger pier(s)
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Total Platform area
Groin length/#
Bulkhead/Riprap length jT
Avg distance offshorea-
Breakwater/Sill
Max distance/length ".�.
Basin, channel
Cubic yards
Boat rampL;
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed: yes no
Moratorium. 'h/a! yes no
Site Photos: yes no
Rioarian Waiver Attached: ves no
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A building permit/zoning permit may be required
Permit Conditions
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ 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)
1 �
CIA
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature**Please read compliance statement on back of permit** Signature
-A lication Fees Check 4/Money Order Issuing Date Exlrati
pP l) g P oriDate

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:v� Sao gill ley
Mailing Address: / Ty E. C04"nVag IJUC� J V -
Phone Number:
Email Address:
I certify that I have authorized
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326-33
h s i y0 E@,q wla i 1, �v �-�—
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Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Z : CL //i1( rn/ ��,�����
at my property located at /
in CiNYriAr�County.
C. Cr .,ram d-Va A-
I furthermore certify that / am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
Signature
SC'Yff egl�y
Print or Type Name
Title
Date
This certification is valid through

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: 5lV1U_1e
Owner's email: 115�jYOe-e-) ram/ Owner's Phone#: [phone]
Agent's Name: &(qn 1'P%5 Apr, S7',/%%( Agent Phon�Ie#:
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.
/2 5
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.
MITI L11:4NM*019[*1.
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
ego
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner.
v
Typed/Printed name of ARPO: Fiztm )G Tic elv-
Mailing Address of ARPO: I42 L .
Cv r 4cr k. NC 2
ARPO'semail: 2� kVCOY-* 0,0f. & ARPO's Phone#:
Date: 3 V 7-3 *waiver is valid for up to one year from ARPO's Signature*
Revised July 2021

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: !�1 S L r I
Address of Properly: i • cetvtyA54xgck lir. , W r (t TVek /jJC 2 7�2i
i
Mailing Address of Owner: _ .n 5'CTMt e // 2
Owners email: h5byOZ tMGr/r.r Owner's Phone#. %�%-7%(�"-3�73
Agent's Name: M610< Cot Fr" /LjU{rAgont Phone#: vZ > J 1/ � /
Agent's Email:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be corniplotod by the Adlelcegt Property Owner)
I hereby certify that I own property adjacent to the above referenced property. The Individual applying for this
pemill has described to me, as shown on the attached drawing, the development they are proposing. g
descriotion 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
It YOU have objections to what IS being proposed, you must notify the N.G. 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. OCM representatives can also be
contacted at [phone]. No response is considered the some as no objection if you have been
notified by Certified Mall.
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 15from my area of riparian access unless waived by me
(this does not apply to bulkheads or riptap revetments). (If you wish to waive the setback, you must elan
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback
Signature of Ad/acent Riparian Property Owner
mZ
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Properly Owner: <�` ---
TypedlPrinted name of ARPO: f-d144 hGf J - W 0 1 e C•IC
Malling Address olfA�(RIpO: 72�7 ft2;A` 4tyw00t� Dr• , Remo NV 61VI
ARPO's small: SAA_ '^ QWQjed(!A �tl O Phono#: IV—*- I qr
Date: , / "/ i� % "waiver is valid for up to one year from ARPO's Signature`
Revised July 2021

CURRITUCK COUNTY
TYPICAL BULKHEAD
DRAWING
Bulkheads are required by the building code to be designed by a
NC Design Professional (Engineer or Architect). In lieu of the
engineering design Currituck Inspections will accept the
following design as a proven empirical design method. Bulkhead
height must be no greater than 5' in height in order to be
accepted and approved by our department. Structures in a VE
Special Flood Hazard Area will require a sealed design by an
NC Design Professional.
Bulkhead maximum height is 5' measured from the mud line.
Bulkheads greater than 5' in height will require a sealed design
by an NC Design Professional.
For VE Flood Zone Information you may call our offices or use our county web
site interactive mapping tool
Dock or Ogee Washer & Nut
Countersunk (if desired)
'Salver
6"x6" 2.5 CCA PCF Marine
Grade Pilings Spaced 5'4"
Pile Embedment
Depth To Exposed
Height
in Yz out)
Top Cap
(Optional)
4"x6"x16' 2.5 CCA PCF `Rralers
5/8" Timberbolt With Nut & Washer
At Each PileANaler Intersection
V Nlinimum below
finished grade
5/8" x10' Minimum Long Galvanized Tie
Back Rod
(Do Not Bend Rod) for illustration purposes
,�r� only
5!8 Timberbolt or Spike
Cover With Filter Fabric
(typical)
Sheeting
1 "x8Double Layer or 2"
Tongue & Groove.
Piling Minimum 2' Longer
Than Sheathing
Grade
Dock or Ogee Washer & Nut
Countersunk (it desired)
Deadman
6"x6"x6'0" 2.5
CCA Rated
Lumber
RnvisP`l 7/1 1 /1 R

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