89890A - Currituck on the Sound POA

(✓CAMA I I DREDGE & FILL N".) 89890 A u C D
® GENERAL PERMIT Date prrevioevi `'fCV1Oup _
previousennN Issued
�ew ([Modification []Complete Reissue [.(Partial Reissue
A, iu1LKYlIgi Vy Jp 50tr OI NgIII ClrO1M, UrlslrinlMl OI COVYOO(1MnOI Qllahty apd llM CW+I Rr,our<rs Conxnoswn,n an area of ern.,.rmal co v(n lnrrwant to
15A NCAC-0I-H.I LQe.,.-.---.- _. [-1 Rules aua(hrd [ mr at No mil RWrs ayslatAe at the 101owmg lxlkY .dcR m ppv((YJ•y1l tdPs
I.nd'eo' 'V..•r fu 17.,I Yf — I
AppbcanlNm+e L1tI /1 `vL.K Flit Al'1C 5GIJIAL\—. j!/%A /wdionarJ Al ..C.t r1l:1+f I-1({,jj)(:l f iI
GL"•.! r•AU/3
ALI&—_,II I [QCia'l(1U --_ YIf - U(kYt .5fln4 c. P...... lucaloen(coonty) . 1 Curl l i-L u 1
O. CIatr lA a/ -I State_. _r1.L lip 3.'(')j,'�.._ Street Add,ess/Slate Hoadllot M(s) I I 1 C_�Q(6 if L(/
Pla>,>rr-0r��N
Cn'aJ_r:Lri.yJi?c:rrJL [W�law.�)(�a1=CiLtl.------ s"ba"ubn —Cu. rg 1{Ur..�C vnllts` �rx�ra(1 —_
11 11 CrtY. CUf r1.�)G� ZIP
AllretM [ ICW [. -%1`LW [VfPTA [ [f5 L (PTS ME WO,BdY __IYrICI �+ S.(e Yll.l to e'S F-a 11Ct r(ynuNu,k)
AEC(s) [�OCA [�INA [_[UW C�[SPIMA [__IPWS CknruMa Woo i.,1 '1') d__._
1 Doay_ 1 �C_r t_r tl _
ORW Ir rO PNA Yr(lie� —.
Type of Project/ Activity
Shorrhne
Pert ldall lrnttb_(•..
Y L.a.
I I"al{nA Plat/orm1.1
Intel l'lalb•r, rra, Ja�Cl 'C L'a'
blanll,ph/a
BUII held/ R.pwp 1,,C,h _
A"R of sl... e olhhar _.,.
A,raSwArr/Sill._..__
Mn dngn+a/MnElh _
(W, yxF,
Ifoat ramp
&vIIIMn/ Hallrlt
Brach Hulldonng
Omer_._-._ _
NW4
__. D(sYjr.ILld
SAV nbanw-d �' ye, <0
Moraiowu ( VC, no
S,IC pholo,' ��y—�I nu
R,parwn Wabrl AF,,hed.(r, no
N
—r --r
(SCOICA :QU)
Nil'-t'ld I.JaIaDII�IG P—�dt=.f2 ,-•_'
11LAlT-01ZNL
—riz oPu%--n
n IJL �1
GYfA .
$U11!iv%e-r{AI
.
.L"-aats-1
n l)OQi* R(L YV\ i)
tin CUrort}0"VI
1i U1� ��A�[, U I).11
A bwldmg prrtna/lonint per mil n *V ire rrRwrnt by. C U t r 1 .� U C- k (_L.a <J ll
1'PImd lMdgtom _ ,,
5�c:C I•y1 Ni l+(- a (l l . 1bU'(
Col�<.lI)tiuhS)1 (AL rid o'l1l• I?v�
t: Grtltl A i 1 J t.:i l
C�-(CI�Cicl.(
Y'I�L
Mn.( b r r r I
[
i4. I'}`)IG/t
[ -J 1AIVI'AM.�NLUSl10Ul ICR l+nde mu';.
l- I Srr unto tm W,L"galdmg R"n Ba'.o ndr,
Se" vld Alunal nw'shumL hom or, brook
{AAI AWAR 101 MA1 U11S,IRERIJU%AND COND17 PON% JDA1 APPLY LO 11115 PROAC1 AND REVIEWED(ONIMIAN(( STAIIMI NT, (141411 lnau0 _
i'n.)e,k+ ma�c+yc-C��> n'[cn /�lari.,l1 M.i��tll
Aµ I n I , �t fl NII 111Jn l ,1dh,rY+MINIM Name
A
VKY1 1\41
Apl;b, rotor {rrU lhn+A/Murry U, A.v Iv.amµ Ualr LPnunon Ueu•

A 44
LLAMA ❑ DREDGE & FILL
GENERAL PERMIT
PTNew ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
Previous permit
Date previous permit issued
(AA) B C D
As authorized by the State of North Carolina, Department of Environmental Quality and the Coazt Resources Commission in an area of environmental concern pursuant to:
I SA NCAC p�14 • 12 b CS ❑ Rules attached. General Permit Rules available at the follow%llink: T.nc.gov/CAMAru
Applicant Name%ir/ n+—or—L nN Ai^e So I •-bd
City Cl )rr i -t J C JC� State N` L ZIP-4-192.9
Phone#( 67) 28"L . 2505
Email Y'YJiQ CW40W hVL-C-03"
Authorized Agent
Project Location (County): C_ U rPr 1 "rlA=l(`
Street Address/State Road/Lot#(s) 1 ( ( CCl'fn�4Li k.
Subdivision rijYrLfq[ k ()Y1 TYlC St u^J
City Curr%+Qck ZIP 2`T92SL
Adj. Wtr. Body L t man/unk)
Affected ❑CW [MEW PTA ❑ES ❑PTS %
AEC(s): ❑ IDEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body C0 r Ir1 4 b1 C S5 U N CY
ORW: ye no PNA: yesco
Type of Project/ Activity
Shoreline Length 12-7
Access Length •/�'
r
Pier (dock) length IsY 6
Fixed Platform(s) 16' tC 7,0'
Floating Platform(s)
Finger pier(s)
Total Platform area Z01
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Oth
o..
Pi c-c
(Scale:
NOt VA LAM0fi\AG 9\VUtz. ^'
E�Sf
.. �1to hvSE� `'kruCLt) (e—
'P L A-[r-o9l�/l
P R o Po 6V-"A ^--
n. G1rly-
F-ist- .
$ulkt�r4cl I
C- k5+ .
50'2i' Ra rn p
er
/- � CU rr�+Uck. �+
SAV observed: yes <D I O V1 �' ka •SO o I u
Moratorium: ® yes no -ODA
Site Photos: no—�
Riparian Waiver Attached: & no l /
A building permit/zoning permit may be required by: CU rY•\ 1 U C !s' I WA J
INS THAT APPLY TO THI
Agent or Applicant PRINTED Name
Signature**Pleaserea m copliance statement on back of permit'"
� �b . 27 sb
Application Fee(s) Check #/Money Order
❑ TAR/PAM/NEUSE/BUFFER(circle one)
See note on back regarding River Basin rules
1-1 See additional notes/conditions on back
(Please Initial)
Permit Officer's PRINTED Name
-444,e'194 n;4—
Signature I r
I1)117 123
Issuing Date Expiration Date

Nc
Construct platform dock 5' x 6' walkway with a 20' x 16' platform

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date �" Z�-- 23
Name of Property Owner Applying for Permit:
Mailing Address:
� I ra �a-N ci✓ ��Z `� a 2�
I certify that I have authorized (agent) 1-8uren Berry Burch
to act on my
behalf, for the purpose of applyingfor and obtaining all CAMA Permits necessary to
(( (
install or construct (activity) `ice r I td'tT/� frl
at (my property located at) 04)4�+
This certification is valid thru (date)
7/25/24
-If 7,S-12- 3
Property Owner Signa�nje U Date

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top
Name of Property Owner:
Address of Property:
Mailing Address of Ow r
Owner's email.
Agent's Name-.0
Agent's Email: emw
to be completed by owner or their
Agent Phone#: I�(�TSl -
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adiacent 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
100 NOT have objections to this proposal. I DO have objections to this proposal.
If you have objections to what Is being proposed, you must notny the rv.c. Urwsron or l Udbgd/
Management (DCM) in writing within 10 days or receipt of this notice. Correspondence should be
mailed to 401 S. Grim 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 Certifled Mail.
WAIVER SECTION (Choose only one
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 app v to bulkheads or riprao revetmentsl (If you wl!A to waive tri setback, you must sign
the appropriate blank below.) (/ y
100 wish to waive some/all of the 15' setback ` y\
Signature ofAdjaca+RiafianP rly Owner
-OR-
I DO NOT wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
TypedlPrinted name of
Vx
Mailing Address of,,,, ARjjjjPO: 11. 3 (fs MI FZFZUM�-' "t- ' S�ruc r r�7�5�
ARPO's ei all: % - �ARPO's Phone#: 157— Z97'ZJt.
Date: Z5 It 12,5 *waiver is valid for up to one year fromARPO's Signature*
Revised August 2022

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY
(TOD portion to be completed by owner or their agent)
Name of Property
Address of Proper
Mailing Address of Owner:
Owners email: Owners Phone#:
Agent's NamAgent Phone#. 1��� ' Z a 7 ' LJ✓J
Agent's Email:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adlacent 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
I DO NOT have objections to this proposal. I DO have objections to this proposal.
Tf you have objections to what is being proposed, you must notify the N.C. unrision or Coasrat
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 (Choose only one
I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or
groin must be set back a minimum distance of IT 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.) ri1 (�
I DO wish to waive some/all of the 15' setbac(� ((tJl
Signature of djacent Riparian Property Owner
-OR-
I DO NOT wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property
Typed/Printed name of
Mailing Address of ARPO:
ARPO's email: ARPO's Phone#:-/ UA 7'7,
395
Date: !b/'2 _"waiver is valid for up to one year from ARPO's Signature'
Revised August 2022