71499_Chesley C. Midgett, Jr._20180529

CAMA / ❑ DREDGE & FILL No 71499
B C D
GENERAL PERMIT Previous permit#
-VINew 5CModification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
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 N (r�OG
Ip Rules attached.
r Applicant Name t� 5 v . , `— M'dtto.e-� 3<
Address (3i S —or
City 1 Y\c\ nA Pc, StateNC. ZIP a I S
Phone # O E-Mail �� Ttt�`� + C`"'c\ -porn
Authorized Agent �o f c,V = ( /5coAA ,C a C.. l r<
Affected ❑ CW 'CI EW )U PTA E] ES O PTS
AEC(s):
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ WA
❑ PWS:
ORW: yes / no PNA yes tiY
Project Location: County Da,-2
Street Address/ State Road/ Lot #(s)
I35 11+a ,n K- br. Loi 1`7
Subdivision ae C kaa r ', J nC k `
City iYA•C'Ak c, ZIP%gI`7,LI
Phone # (� ) River Basin f� << ,1 C. „K.
Adj. Wtr. Body _Roa,toke. Sound nat man /unkn)
Closest Maj. Wtr. Body—
Type
Fixec
Float
Finge
Groii
Bulkl
Basir
Boat
Boat
Beac
Othi
Shor
SAV
Mon
Phoi
WaiN
+
��■■■■■■■■■■■■■■■■■■■■�■■■■■■■■■■fill
>V■■■■■■■■■■■■■■■■■��.�■''■■■■■■■■■■■■■■■�
ng Platform(s)
■■■■■■■■■■■■■lf�f�_�■■■■■■■■■■■■■■■■�■
'.'.■■■■■■■■■■_�■■I■i
■■MEN
■■■■■■■■■
length
MEN
■■■■■
■■■■■■■■■■■■■■■■■■■■■■■�'Q�!!■■��
number
avg distance offshore
max distance offshore
■■■■■■■■■■■■■■■■■■■■■■����%li�f�if
�lf>�V■■■■
cubic yards
.•
���.
��
ramp
i Bulldozing
■■■■■■i■■_■_■Its■�1■■■l�!■■_■_■_■_
■■■■Il1f�l■■�"�lit!LI�!_■_■
■■■■■■■■■■■■■■■■■■■■■■■■■■■■■11■■11■■�■■■■
Mine Length (�o'
■L•�■li■■J■■■■■■■■■Y■ill'■�1■■■■■■■■■■1■1■■■7■1��,!
not sure yes Cn
,torium: yes no
MEN
as: •
■■M■■■■■■■■■■■■■■■
■■■■■■■■■■■■1
1�■■■■■■■I
_.... ..
■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■1■1■■■'■■■■
A building permit may be required by: �pu rva i�
( Note Local Planning Jurisdiction)
Notes/ Special Conditions
i
Agent or Applicant Pn �'Name �'
Signature ** Please read compliance statement on back of permit **
$ ';00 . °C 11019
Application Fee(s) Check #
❑ See note on back regarding River Basin rules.
Permit fficer's Pri'ted Name
Signature
9 /I� 9/29 //6
Issuing Date Expiration Date

NC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: Led` C iN e Jr Permit #: 7 �11 119 ,r
Date: ,�� 9 / I
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet.
Habitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp im acts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
act amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
tempimpacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
1
Dredge ❑ Fill ❑ Both ❑ Other 12
b0 5
1im
t (O 0 ,S,<p
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
252-808-2808 :: 1-888-4RCOAST :: www.nccoastalmanagement.net revised: 02/03/10

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Mailing Address: 1 L1
Phone Number:
Email Address:
I certify that I have authorized
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
�IMkr\ Wn
necessary for the following proposed development:
at my property located at
in —'(p County.
I furthermore certify that 1 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:
Signa ure
Pri or �Typeame
Title
�l l 1'? 0
Date
This certification is valid through a 0Q'D
Scottie & Co., Inc
FILEGS&S Marine Construction, LLC
OPY
PO Box 1511
Kitty Hawk, NC 27949
Revised Mar. 2016

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERED
I hereby certify that I own property adjacent to c-C 1 1 s 11 4 's
tt"e of Property Owner)
property located at Q(1 1 f1 (1 p ,
--� ``)) (Protect Site: Address, Lot, Block, Road, etc.)"
on 7 f>��l c in A (7n +f L) N.C.
(Waterbody)
(City/Town and/or County)
Agent's Name #: Aailing Address
Agent's phone # a�a—�®c�' 1-�� ' ", A-sa" rF
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
B
C)nCmo-(,,.
If you have objections to what is being proposed, you must notify the 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.
(Property Owner Information)
C4
Signature
1 CbP
Print or TypeAWme Ili
a rL • Cory-1
Telephone Number/ail Address
(Adjacent Property Owner Information)
Signature'
Print or Type Name
Mr & Mrs Edward n[lattrnna
11g AddrM Algonkian Dr
Manteo, NC 27954
City/State/Zip
Telephone Number/Email Address

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERED
I hereby certify that I own property adjacent to C-hR�, vej-t n i t - s
e of Property Owner)
property located at A1Gt�{� •� (1 (1p
—� (Project Site: Address, Lot, Block, Road, etc.)"
on(� N.C.
(Waterbody) (City/Town and/or County)
Agent's Name #:,S Cn_4 I aung Address
-`
Agent's phone ate
He/She has described to me as shown below the aevelopment he/she is proposing at that location,
and I have no objections to the proposal.
-------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
Bu1,h
0�1 -e,43) UT- n-) b -A+\eXY--A
,,<I
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If you have objections to what is being proposed, you must notify the 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.
(Property Owner Information)
y
Signature
Print or Typ me
_ t ;�
f5-4
(Adjacent Property Owner Information)
Signature'
Print or Type Name
Mr i� Mrs Harold Parker
131 Algonkian Dr
Mailing A9*9b NC 27954
City/State2ip
45Co-h�P_ C© n 1 C 1 Q► a • C Om
Telephone Number/ ail Address Telephone Number/Email Address

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERED
I hereby certify that I own property adjacent to �11 1 1 ti
s
e of Property Owner)
property located at__�
(Protect Site: Address, Lot, Block, Road, etc.)
i
in
N.C.
(Waterbody) (City/Town and/or County)
Agent's Name #: &MMailing Address -may IrJ)
Agent's phone �
6
He/She has desc, coed tome as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
e
If, you have objections to what is being proposed, you must notify the 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
notifred by Certified Mail.
(Property Owner Information)
Signature
Print or Typo me
r46 MR
•• ~
MrstatelZip
f.
I elephor4"6+14A"r nVFAddress
S&S Marine Construction, LLC
PO Box 1511
Kitty Hawk, NC 27949
(Adjacent Property Owner Information)
Signature"
Print or Type Name
Mailing Address
City/State/Zip
Telephone Number/Email AdoLess
FILE Copy.

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERED
Name of Property Owner: C
Address of Property:
(Lot or %4et #, Street or Road City � o
Agent's Name #: `�-fT Lt VP Mailing Address:D��[
Agent's phone tr
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 have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the 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 (252} 264-
3901. No response is considered the same as no objection if you have been notified by Certified Mail
WAIVER SECTION
I understand that a 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. (If you wish to waive the setback, you must sign the appropriate blank below.) LU
I do wish to waive the 15' setback requirement. •• J
MMORM
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property Owner Information)
Signature
Print or Type Name
) -_:Z� 1 aL Nk% r� �J Q _
Mailing Addre s
�ka ct�e C), ZC 2:�96
_CitplStatelZip
41epmb mahl Address r
Ser* �
OWY1E'fS AS
�US1—
s� a in *case
D to
*Valid for one calendar year after signature
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■ 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 mailpiece,
or on the front if space permits.
1. Article Addmssed to:
Mr & Mrs Edward Quattrone
135 Algonkian Dr
Manteo, NC 27954
A. Signa'ure ^�
XrA /1 /
gent
❑ Addressee
B. Rqf
ved (Print me)
C. D�a f Delivery
D. Is delivery address di Brent from item 1?
❑ Ye
If YES, enter delivery address below:
o
I I I I I III II I I III III I I III III I I 3. Service Type ❑ Priority Mail Express
❑ Adult Signature El Registered Mai1T"'
❑ Adult Signature Restricted Delivery ❑ Registered Mail Restricted
9590 9402 3871 8060 8550 27 El
Certified Mail® Delivery
Certified Mail Restricted Delivery ❑Return Receipt for
❑ Collect on Delivery Merchandise
2. Article Numher fTrancfar frn y Restricted Delivery 0 Signature Confirmation"`
7 017 0660 0000 7243 5842 ❑ Signature Confirmation
'icted Delivery Restricted Delivery
(over$500)
PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERED
I hereby certify that I own property adjacent to t - 's
e of Property Ownerl
property located at cx-N VNj f1 n p ,
(Project Site: Address, Lot, Block, Road, etc.)'
on na �G�, in m I , N.C.
--T
(Waterbody)
(City/Town and/or County)
Agent's Name #: ' Cr)-4 I _vim j F l E. Mailing Address: 7_1­,_.161 ( -
Agent's phone #:
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must rill in description below or attach a site drawing)
' �
`j-es43) Nr d e fY-)
D llctnno�..��.
If you have objections to what is being proposed, you must notify the Division of Coastal
Management (DCM) in wriSng 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.
(Property Owner Information)
Signature
idaP 1�
Print or TypeAWme
_ � & M O M •
. •..
(Adjacent Property Owner Information)
Signature*
Print or Type Name
Mailing Address
City/State/Zip
0 LID, ot c C orn
TefephoA99 & iA Address Telephone Number/Email'Adbress
S&S Marine Construction, LLC
PO Box 1511
Kitty Hawk, NC 27949
FILE COPY

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Mailing Address:
Phone Number:
Email Address:
i certify that I have authorized
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
at my property located at
1 furthermore certify that I 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:
�* Signs ure
a
Print or Type Name'
Wa
Title
Date
This certification is valid through0 2,D
Scottie & Co., Inc Revised Mar, 2016
S&S Marine Construction, LLC
FILI GOPI vi PO Box 1511
Kitty Hawk, NC 27949

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERED
Name of Property Owner:
Address of Property:
(Lot or met #, Street or Road, City &
=I
Agent's Name * 6cr,4 Leave-i Mailing Address: —Pt)"Pvt>'i
Agent's phone #:`- - 9 ao,- LDS ADI V 1 4-( "LL Y t'l C c�+ �q`fq
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 have no objections to this pror
If you have objections to what is being prop
(DCM) in writing within 10 days of receipt of
Griffin St, Ste 300, Elizabeth City, NC, 2790f
3901. No response is considered the same a
WA OS
I understand that a pier, dock, mooring pili
must be set back a minimum distance of 1
me. (If you wish to waive the setback, you (,"��
�ee—
(Property Owner Information)
Signature
Print or Type Name
1
Mailing Addressj
" -:r
Telephone Numbbrt'Ematl Address
45E441qx
D ie
*Valid for one calendar year after signature*
Print or Type Name
Mailing Address
CitylState/Zip
Telephone Number / Email Address
Date
Revised 2017
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Scottie & Co., Inc
AS Marine Construction, LLC
PO Box 1511
Kitty Hawk, NC 27949

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■ Complete items 1, 2, arid 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 mailpiece,
or on the front if space permits.
1. Amcis Addressed to:
mQ.tti�.S HARM ►�.�xuL
\fit ALQOUi�q�.7
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❑ A&* SWAM Re r_. Dewvvy G ReastarM Mad Restricted
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PS FOrm 3811. July 2015 PON 7530-02-000-9053 Domestic Return Receipt
■ Complete items 1, 2, and 3. A.
■ Print your name and address on the reverse X
so that we can return the card to you.
• Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
t�l(- -Mr.
S aEOtartt�quRrigty�;
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is delivery address ditferert lion item 17 r❑ Yes
ry ss
tf YES, enter deliveaddrebelo WL(r0 No
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9590 9402 3871 8060 8550 58
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❑ Ad..tt S,ryatura Psstr'cis0 Dawery
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PS Form 3811, 2o15 PSN mv-02-0o0-g053 �Y
Domestic Return Receipt

7017 0660 0000 7243 6108
7017 0660
0
0000 7243 5811

http://gis.darecountync.govlreport.html?parid=016159000&lat=35.937853267188665&ing=-75.70219160023953&z=21 &bas=2012&layers=Par... 6/6/2018