89953A - Horne

CAMA ❑DREDGE & FILE.
E
N9 89953 � B C
GENERAL PERMH T
Previous permit
Date previous permit issued
[4New ❑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.
[A General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name s}t�Lii �+n1 t' .�E rsrs,(-t! )�ss7n.�
Authorized Agent (i t �sllt'Iv.c c/l t fnc
Address 134 $ 4jJ,w.,.l,.✓y Sh.
Project Location (County):
City A/ i. . nsl I State VA ZIP aaa04
Street Address/State Road/Lot #(s) (4o5t W. V-trti Sir-CJ
Phone # (o ) (c9 — (a I 1 J
Lot >k tl 4
Email S ho r rl2 (_%D Q lrr S 1 e' 4-L J cl e V CL)+
Subdivision
City IF, tzi��t-1
Affected ❑CW MEW INPTA ❑ES ❑PTS
Adj. Wtr. Body r0Iteuq 1w (!-V cc V_ n; anlunk)
AEC(s): ❑IDEA ❑IHA ❑UW SPIMA ❑PUS
Closest Mal. Wtr. Body Ric, r, 0 l_L- 5^Lj/ cO
ORW: yes/ PNA: yes
Typeof Project/ Activity aD Xb•nl<r P_Xhr�S)cy3 w,Yh
(A "A b LA-5,609c' VJIAO) n 4 14'1(6)
C4r0.ncl I'VX1i• $.,nIt I ii
(Scale:WT. V
Shoreline Length fist
Access Length
w
-rt
w
(TkrAdock) length UO 'A to
Ixed PIaH r ) � i t Y 6' ` r%`i• X l9•
4 ncl 14'YIe fu- �;st�ll
Floating Platform(s)
Finger pler(s)
Total Platform area .S'4u "z-
6tokriertgth/g (LIz90 �r1''allawcb)e�
Bulkhead/Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Roalhaus oa IV X 1V
Beach Bulldozing
Other
C,,It.,r�1..h Crtc1C �
IE13tN CY V
Plntfra'm in\S
1 T
-r =r
•yr .r irryi
to rClHn1,''r
SAV observed: es no
Moratorium: n/a% ye no r .�, •\'
Site Phntns: no
Riparian Waiver Attached: yes 0
A building permit/zoning permit may be required by: K t \ \ }\M N
Permit Conditions Wu.14r As 01 k , . I.VV arcg Aft A a. N,L
%V 1 VuyoN,s.l.
H
—APl
y„trt�nd �
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Ha rr-t-
TARMAM/NEUSE/BUFFER (circle one)
See note on back regarding River Basin rules
❑ See additional notes/conditions on back
Brandon Mitchell , ram-- di
Agent or Applicant PRINTED Name Permit Officers PRIN - me
Signature "Please read compliance statement on back of permit' Sillinaurr '
4))oC.uo Vr1?kID_t a-I-Slaoa3
Application Fee(s) Check g/Money Order Issuing Date
(Please Initial)
It Ia.e1a0a
Expiration Date

ICAMA ❑DREDGE & FILL
N9 89953 ®B C D
s GENERAL PERMIT
Previous permit
Date previous permit issued
[J 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 7 I+s I a-W ❑ Rules attached.
XI General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name S+to1�her\1 Se n n t9-t a I+o f r_.
Authorized Agent D t 01 iC j"C cj T n C
Address I34 S. A �Jlyb...l$i'.
Project Location (County): Imo v e
City Q/ t State VA zip daao4
Street Address/State Road/Lot #(s)_F402 W. f:,,10 S}a(,t_.'i
Phone # (v ) (0Clg — (a i 1
mot )t 4 kA
Email —r5 ho rn4(rr_0t}lvr Si 0'Lc12\l. Ca-n
Subdivision W",GI.y IA1oois
City JL.\1 CIA ZIP L) Li
Affected ❑ CW NEW � PTA ❑ ES ❑ PTS
Adj. Wtr. Body C O l t+.a 1cnr-k e-y ce.IL nq„:;timan/unk)
AEC(s): ❑ OEA ❑ IHA ❑] U����W ❑ SPIMA ❑ PWS
Closest Mal. Wtc Body Rla n 0 [A 50 � ^O
ORW: yeso PNA: yeso
Type of Project/Activity 9-0 Y,10 AItY eAki SIw +, flh
(s$'x (ct L'k_skwc( 4 14'x('.�
Ctr0v^n 1%' X 1'1t Soat1,4i
(Scale: WX, S., )
Shoreline Length
Access Length
<9>ock) length ao, -A (o t
fixed Plattor )cZitY 6'sal�'X b'
n nct 14'Yte ( \.cSU�xc)1 \
Floating Platform(s) I coIc.�r,-tvy�
Finger piers)
Total Platform area _ 57444 "
6rolrtierrgthfrr :Gx9O fr)'a110. b)te)
Bulkhead/
nce offp lenore i
Avg distance offshore
Max distance/ length
Basin, channel
Cubic yards
1WYlk• r i-.0
Boat ramp
7C1
Boathous oa ' 13 K13` krs r
Beach Bulldozing
Other
/P lw F4a+m @n!f
7�1 . 9i tttb't`L
/f /f///
SAV observed:�es no
Moratorium: 'tom yes no
Site Photos: 6P no
Riparian Waiver Attached: yes
A building permit/zoning permit may be required by: K,I\ tikVA tII1
Permit Conditions WZ'ke APktiS .^ I,}} cr'cu afcrd'H"
A`�g7eL,\nt or Applicant PRINTED Name
Signature **Please read compliance statement on back of permit**
4'A00 . (D0 Vr014o--t
Application Feels) Check q/Money Order
Permit
VUVOVt(.�
� 1
_pPl.
y
Cu«i>•a
wcr\„rai Ht>rrtA
kktt\ ktt k t k it \t,
Issuing Date
J\Ex. Acu}s \\y
Y
— — —APB
� w
\1'
\y
Cl
1�
1 )'Ct 4y
❑ TAR/PAM/NEUSE/BUFFER(circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Please Initial)
Expiration Date
a0a

boo°`COM
dolr" ❑CAMA ❑ DREDGE & FILL ND 89953 ' (,A B C `C
GENERAL PERMIT Date Previous permit
Date previous permit issued
WANew ❑ 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 '7 i"t , ) ❑ Rules attached. ❑ General Permit Rules available at the following link: wwvvdeq.nc.gov/CAMArules
Applicant Name _
Address
City
Phone # (_ )
Email
ON
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s) I
Subdivision i,t 1.. : V Lb/or),) t
city it •, I l X', ZIP ;_)
Affected ❑ CW 1A EW ❑ PTA ❑ ES ❑ PTS Adj. Won. Body ( i) i , .-I i ,.... (' ✓ r_c k , at)man/unk)
AEC(s): ❑ OEA ❑ INA ❑ U W ❑ SPIMA ❑ PWS Closest Mal. Win Body
ORW: yes/(b i PNA: yes/no
Type of Project/ Activity
(Scale:M.1 S. )
Shoreline l meth
__.
..-
A building permit/zoning permit may be required by: Y. , �� ZU i{,\ "1 \ N
Permit Conditions t t \ , rr c Lk' H °
❑ 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)
Agent or Applicant PRINTED Name
Y
Signature -*Please read compliance statement on back of permit"
Application Feels) Check ft/Money Order
Permit Officer's PRINTED Name
Signature
Issuing Date Expiration Date

DocuSQn Envelope ID: F6DDIF21329F477G-88D04090A2DDFSFA
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Naof Property Owner Rewjosting Permit: , = Nam "
Mailing Address: 13y S. W6M _ s _
Phan Number: (ilqc--) (w 2.
Email Address: N)f�vr2@ �t,^eei dvd. t GM
f oariiry that f have authorized
Agent / Cw*ao or
10 as on my behalt, for the purpose of applying for and obtaining all CAMA Qemriis
necessary for the toftowing Proposed development: gk bCOA"`iyY - )
er My WOPBy iot�aiea at I L4Q5S Gy6k 5 '4K*
in 10 may,
/ 1tlrNt MXM CW* that I am augmnzed to gra% artd do in fact grant permission to
Di *kv O/ Coat tel A&tagwm# etW ate Local Permit Ofter and their agents to enter
an the a(oratnwMk) ied Iands In oonneGlon with avahratfng irdormOort related to tlds
Aernrt OA%VcadOm
Preperty Owner bxor=MM
o�..ma.w er
Stephen Horne
➢rbnorType Abme
TNO
4/5/2023
� . J
Dale
This certification is valid through
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I
ION OF COASTAL MANAGEMENT
ADJACENT RIPARIANVPROPERTY OWNER NOTIFICATIONAYANER FORM
URTIFIED MAIL - RETUB14 RECEIPT REQUESTED or HAND DELIVERY
(TOP Portion to be completed by owner or thag eir ent)
Noof Properly owner: 'Ve t fl �ip jY14.
AddfmdP mperq: iL%Gby% 4 5-1yt4 K1)4 Wk -' icigg,
MmTnp Atlaroaaaoymer: ��U S A1xnc a. Arltnc�lwt Va222Ay
owow's emaitQ \TA tr,� deb, owoara pnansK: $p�A . t e4 t t2
Apeffs Name:ld w6m— Agent Pn~-m4sa r'7a.�.c.���{
AUMIrsEeac y y19Mw1 COCA
r�ov¢ay OWNsxa certrwtDATION
MOM
4 .
lh—bymrdb"I own Popertva*j d10008ove/aferercad properly. TheYullWdral appiyrrp for we ' puma has desrabed to me, m ailewh m the MtMol ed drewkv, the dmabpmmq It" are prappeM& A
wilA d`.. ammgm em!dm mm ihk lobar.
1S.}ipi IDONorheeebl.dkrwbihkpropo.al.__IDOhaveoMectioaebthbproposaL
rroecw CarnmeOUId«am sommum be
Dtal Awassainu . One mam be
oeo do 041proa Nyow hw bean
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'raaaNatarW tictarry Wepm.d War, do*mooft po"M beet mmpbre.a+aofer, taaetfaaee, ift ar
Will IRMbe.Nbasalarrk*r dbyraeof1S"MrfWarea N ii;;b .eC.t. ta.ea. waMeO
the appropriate,, ,below.) arkaap reyNelNas). (dyoa wlMbwahe the Seto* ymGREL"m
ISO rMh In vndm tonWid a go 1B Setback
Sbra ".IA*cWRO-MAW dy owner
I do not WM b waNe ft l9 yMbaolc mQukaront(wm the blank) f
611111014" of AdJ -" ROMm Prapedy o~
TyWdpd010111uN.opAW0, RobP..r}-
► MUW AddraaaopAltFo, Q (-p S c: s t-n W"I t-X21�i \ l o.t
ARvo..maaGelerbahtrs_ AAPO'swane: 2`- 2- 2-5k° _2`� 30
DaW.21 .'w.Ww IN valM for
alp to on,, y..r from ARPOy tllyraetun•
Rbvi"d JWy 2021
Wrote:

From: Lauren Mitchell
To: Renaldi. Ronald
Subject: [External] Re: Horne
Date: Monday, July 24, 2023 10:24:51 AM
CAUTION: External email. Do not click links or open attachments unless verified. Report suspicious emails with the
Report Message button located on your Outlook menu bar on the Home tab.
Green card for Horne
On Tue, Jul 11, 2023 at 12:19 PM Lauren Mitchell <Iwcsterfield329(a'email.COm> wrote:
Good afternoon, attached is a revised drawing and neighbor notifications. This project has
been in the works, needed some adjustments. I have already sent a check for the project. If
you have any questions please let me know. Thank you!
Lauren Mitchell
D&B Bulkheads Inc
252-722-5774

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portiontobe completed by owner or their agent)
Name of Properly Owner. 3N QorY — l• "Of�+
Address of Property: \qol jbiST SA-eA 1-\iF\- W-C y)
f`I )c1(A
Mailing Address of Owner. \ LA s- ;AA\!*)A \10.2Z-2-6 7
Owners email: is<\�A (1 p \ DAS� t� �� dO\t! Owner's Phone#.- '';w - t o GS ill \ 12-
Agents Name:h�t1(1 lM��1►iNulii ] Agent Phone#:. a� ria�- �i'7 7
Agents Email:`N . q�i) JCi�I � qoxp\\ • Uryl
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adlacent Pronarty Owned
I hereby certify that 1 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
daycription or drawing with dimensions must be provided with this letter.
\ i Oj Q \l 1 DO NOT have objections to this proposal. I DO have objections to this proposal.
N you have objections to what is being proposed, you must ninny me Av.',. uIvib""r ur
Management (DCM) in wrftng within 10 days of receipt of this notice Correspondence should be
malted to 401 S. GdfRn St, Ste. 300, Elizabeth City, NC, 21909. DCM repMsenfaffves can aisO he
contacted at [phone]. Me response Is considered the some as no 0 Jac on if you have been
naffled by Certlfled Mail.
WAIVER SECTION
I understand that any proposed pler, dock, mooring pilings, twat ramp, breakwater, boathouse, lift, or
groin must be set back a minimum distance of 15, from my area of riparian access unless waived by r
(this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you mud 1#
the appropriate blank below.)
I DO wtsh to waive somsfail of the 16 setback
Signature of AdJeCenr Riparian Property Owner
-OR
do Trot wish to valve the is, setback requirement (Initial the blank) \ M d,\
Signature of Adjacent Riparian Prop2erg—
TypediPdnled name of ARPO:
Mailing Address of ARPO: ) q e(� w • S4. Kt," N c 2210
�
� r
ARPWs emall: b y-q'kl of i ck P4� ' AR OP -S PhOntsg 252-2(a- ( h(O
Date: i - �L 7' 3 -waiver Is valid for up to one year from ARPWG Signature`
)Iff
Revised July 2021

From: Lauren Mitchell
To: Renaldi. Ronald
Subject: [External] Re: Horne
Date: Monday, July 24, 2023 2:46:41 PM
CAUTION: External email. Do not click links or open attachments unless verified. Report suspicious emails with the
Report Message button located on your Outlook menu bar on the Home tab.
2nd
�r
card for Horne
On Mon, Jul 24, 2023 at 10:24 AM Lauren Mitchell <1westerfield329Ugmail.com> wrote:
Green card for Horne
to A,y�=-/s1/�-3

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Permit Activity Log
Applicant: 4�pnl^D . 'L Te
Address of Project:
Permit Number:
Progress Checklist
Agent Authorization Form:
Riparian Property Owner 41:
Signed Form
Green Card
Riparian Property Owner #2:
El Signed Form
ElGreen Card
Submitted Plan Drawing
1300'site Visit(s): 4 24 2
Photos Taken & Included
11Z
Expires:
Erad 4- !eYi!5f-ZeA Vu U Vi a (I'f01c W Per
15' Waiver 10 Day Period Ends:
Objections*
d' i►'li iql �rj'y5♦ ,
15' Waiver 10 Day Per d Ends: S
El Objections*
5 1 it I 24,t) (add to site visit to
Attached Filed on Computer
Permit Fee Owed: 10 ZDo,
On
Payment Received:
Receipt Given
By Email In Person
Permit Completed/Issued:
File Email Correspondance on Computer (as needed)
Update Permit/Compliance Spreadsheet & Verify Date Stamps
*** Please turn sheet over for correspondance and/or site information***

Permit Correspondance & Notes
,� 1), I Zv
eY, 121F12' = 144%Z
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