71145_John A. Lereche_20181001

NCAMA / --'DREDGE & FILL NO 71 145
GENERAL PERMIT Previous permit #
New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
B C D
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 CJ©
R Rules attached.
Applicant Name 1O,,� , q. L c -4; cV Q Project Location: County
Address J W�^A e Y `` r k Street Address/ State Road/ Lot #(s)
CityNC'r.d rU State V- ZIP 0 I'] `__� `jCA10U r Qr mot, jNc-i LW
Phone # (70'3) ekO- 32 ❑ E-Mail l` C'-'r'e(L9 r'Oy� Subdivision Sv
Authorized Agent '41t ; ce- City- � r ,. ec) ZIP
�:a a ; � � Je t, ri ty
Affected [ICW � EW ® PTA pES ® PTS Phone # ( ) River Basin . , c. 6� c, nk
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
AEC(s): Adj. Wtr. Body i�a S*(fat /man /unkn)
El PWS: � �-
ORW: yes /.no PNA yes / Closest Maj. Wtr. Body oll �� j
Type of Project/ Activity
k iC . I t _ L—W A G r
I f 't �c: Y 1 Z ad o "r
r ,. � �- tic r'7� 4 nt �5 I Z�
Pier (dock) length ' '1 Co
i
Fixed Platform(s) i '/L . ArIk
. ■HEMrM i■■■■■r■1■■■■■
.. B■■E�RSOM■■■■■ ■■■■C
U■011N//■■■■■■■■■■■■r■■
�i dRI■■
■mkIN r■■■i■■■■■■■■■■
M.
■L' ��C■■■■=■=====.'■■�
■M'//!J■■■M■■■■■J_■■■■
■ .,■C:' MEME■■■C ■■i■
M. i'i11101■■■■■■■■■■■■■■■
• WISMAM■■■■■■■M■ME■■
■E■IO■■■■■■■■■■■■■■■
■!I■ ■■!■■■■■■■■■■■
■■■EM■c,■■■■■i■■ii■
■i■a■■■■■■iii■■i■i
■■iM■■■1111111MME
. ■■■■■■■■■■■■ ■■■■■
i
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit*
Application Fee(s) Check #
�y' bD1 )
❑ See note on back regarding River Basin rules.
PermitOffi 's Printed 1Name
V1
Signature
10/1 /f L/1 //9
Issuing Date Expiration Date

NC Division of Coastal Mgt. Habitat Impact Computer Sheet �1
Applicant: J Qh Y1 rt Le r-t�e. Permit #: � / i 1 Lt5
Date: 10/' /, s
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
tee impacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
of n Wv.'�er
Dredge ❑ Fill ❑ Both ❑ Other ®
o� yC �t
r� q(% 14
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 ❑

AGENT AUTHORIZATION FORM FOR PERMIT APPLICATIONS
Name of Property Owner (s) Applying for Permit: John A. Lereche
Mailing address: 3221 Winter Sun Ter.
Hendron, Va., 20171
Telephone Number:
I certify that I have authorized Gary Price & Jennifer Price (agent)
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the proposed development of construct pier with step-doum
platform
at my property located at s4o6o Surf or Sound Dr.
Frisco, NC, 279,76
This certification is valid through 121.'4112018 (date)
ftoperty�er I o don)
i
�Signature 6N1j I_ePf,C H
Print or Type Name
2a3 eo,6o _3�_1.37
Telephone Number 1/
Email Address
9 A Z I P,
Date
00, C

I hereby certify that I own property adjacent to T1�11hvI A rc4 he— 's
(Name of Property Owner)
property located at 6-g0&0 .54crFo f S tx nJ Pt -
(Project Site: Address, Lot, Block, Road, etc.)
on �awtG�co Soctirt d- in FrEsto - N.C.
(Waterbody) :TCAnAF;rr (City/Town and/or County)
Agent's Name #: G arly Price- Mailing Address_ Fes. t) • Bfyc 2 ?s-
Agent'sphone#: 252-305-ln3`t? Avo�g, "C-p 2-7glS-
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_
a�ol , r r'yi?j �q,�jf F r e'' i�?�— �F c� ;k'�l -`•! ,�
6G., ,Lk-i{'sGtyc -I D row cAj
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 1367 US
17 South, 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 notiired by Cerdfied Mall.
(Property Owner Information)
Signature
70h A 4 C er«1c e
Print or Type Name
32ZI W"44crSan !Gr
Mailing Address
derndon, Va, 2vlor
CitylStatelLip
1,203- qq3-Rlo�
Telephone Numberl Email Address
s/301 /B
Date
*Valid for one calendar year after signature`
(A ac,IProperky Owner Information)
CS' n tune*
1)J
Print or Type Name
,S 71 -,S k $-I-y i-,-- G,1?
Mading Address
9 i. l-14'hpri/r-') , u/A js a--S
City/State&ip
90-1- 9 sl - I�k 1 `I
Telephone Number/Email Address
Date*

ra
Ln
ru
r9
a
n
0
a
c
c
n
r
r
r
r-
'or proof of delivery on your item with the tracking number:
__ 5`i to1(e /L1C -
ate, ZIP+4 ,�` - Z 1 p Delivered, Left with Individual
Z7
September 19, 2018, 11:20 am
GIBSONVILLE, NC 27249
Postal Product: First -Class Mail*
Extra Services: Certified Mail"
Return Receipt Electronic
!ShipmentDetails
1•
Recipient Signature
Signature of Recipient:
Address of Recipient
Note: Scanned image may reflect a different destination address due to Intended Recipient's delivery instructions on file.
Thank you for selecting the United States Postal Service' for your mailing needs. If you require additional
assistance, please contact your local Post OfficeT"" or a Postal representative at 1-800-222-1811.
Sincerely,
United States Postal Service`°
475 L'Enfant Plaza SW
Washington, D.C. 20260-0004

GIS Print
Pa(Te 1 of 1
r � 1
. F.
%
7ia59 r
a-m9c�'
sift
JkL-
_
Map Legend
"I n,zl"P, from
dr ti< wry of
54060 Surf Or Sound Dr
Tax Ownership
Current Tax Value
�a.m
'. the � pmpenr for �
Frisco, NC 27936 _
John A Jt Trustees Lereche
Land
150,200
Scale: 1:1,066
M p'°�050, P mar}-moatian
Parcel: 030536000
Lauren E Lereche
Building
276,900
Basema Aerials 2012
p� i )
source, such as recorded
dada, plats, wills, and other primary public
forverification
Pin: 050510455144
W v`'� S-"n Ten
Misc
0
Parcel Lines
records should beconsulted of
the information ta rmationeonnedinthis map
Tax District: Frisco
3221
—Property Line
DARE COUNTY
Subdivision: Surf & Sound Ph 3
N ew.daY� V a
Total
427,100
❑Selected Parcel
ASSUMES NO LEGAL
RESPONSIBILITY FOR
Lot-Blk-Sect: Lot: 34 Blk: Sec: 3
y )ant
eZ
THE INFORMATION
Property Use: Residential
CONTAINED IN THIS
MAP.
Building Type: Beach Contemporary
Year Built: 1999
Print Date: J-29,2018
http://gis.darecountync.gov/report.html?parid=030536000&lat=35.22935174398093&Ing=-75.63598215579988&z-- 19&bas=2012&layers=Par... 6/29/2018

o�aC �
22 vky�
rP
j.' HI 0 So,� aDWJOLC-
q-o
,2. r. 7Z
J,
JoLF REeA4E
,j 9' -5 L) o2 fouNO DG�i�/r_
r-R ,4.�

FRisc�
S DUNU
NCO
N
g
(Q W
n ,b
w
V
V
�y A
4,0
�v 33 I
IW wiNq
/�
• 0 35
��
N
o
V
40�,�
_
�As�c�TFz✓:.r.
_.
W
j
C=56G "d9D
SCALF Vf 60'
SURVEY FOR
FDR PROPERTIES
LOT 34, PHASE 111, SURF
TO SOUND
i
HATTFRAS TOWNSHIP, DARE COUNTY.
NORT14 ( eons WA
"""^w�) CERTIFY THAT THIS PLAT WAS DRAWN
UNDER MY SUPERVISION FROM AN ACTUAL SURVEY
MADE
UNDER MY SUPERVISION: THAT THE BOUNDARIES NOT SUR-
FILE:9846
VEYF..D ARE SHOWN AS BROKEN LINES PLOTTED FROM
REF,PC C, SL 121E & F
INFORMATION FOUND 1N PC C, SL 121E R F ; THE ERROROFFLOOD
F3753480860D(4/2/93)
CLOSURr ASS CALCULATED BY LATITUDES AND
IS 1: 0 000+• THIS PLAT DOES NOT MEET REQUIREMENTDEPARTURES
ON
ZONE ° E(EL7;
PIN NO.05050510454056
OF GS 47-30 AS 07BIMW PLAT BOOK R ORDATION
WITNESS AND SEAL Y L , ; RE _'ryAT10N NUMBER
,,,',WV" TERN DEVELOPMENT SERVICES
P.O. BOX 433, KITTY HAWK, N. C. 27949
919-441-9443, 888-323-8122, P-919-480-7957, FAX-919-441-9424

PAMLICO SOUND PAMLICO FRISCO, NC
/ SOUND
� 8 i
JOE SAUR CREEK
4k a
s�
TO yL y
+PIER W' O
LOCATION SKETCH, NOT TO SCALE
X
APO:
APO: CURTIS
tRIOLO
1
i
EXISTING
RESIDENCE
CAMA PLAN FOR
JOHN A. LERECHE
LAUREN E. LERECHE
LOT 34, PHASE III,
SURF & SOUND
} 54060 SURF OR SOUND DR., FRISCO, NC
3
Date 08/28/18
0
Z
X
W
RF & OUND D
60 6 40 30 2010 0 60 120