71191A_Pier, Walkway over wetlands_20181024

XCAMA / ❑ DREDGE & FILL
GENERAL PERMIT
XNew -Modification ❑Complete Reissue El 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
No71191
Previous permit #_
Date previous permit issued
7/4 /.<cjz� �`,-'
V B C D
® Rules attached.
Applicant Name 1�
Q.. E S, w dy.\
Project Location: County Dar�-
Address � - O . 1Jox
7 US
Street Address/ State Road/ Lot #(s)
City ?o� Ai\YV-.Q.
State WZIP
Phone # (�) 8G9 - 21(OG E-Mail � l r� �, ��h')r» @grnp d
",)^Subdivision V Ak c, c� P cd
Cytk,%
Authorized Agent
Cityr\Sect
ZIP -7q
® CW ❑ EW
® PTA q ES M PTS
Phone # ( )
River Basin u 0 ct,,,
Affected
ElOEA ❑ HHF
AEC(s):
❑ IH ❑ URA ❑ N/A
Adj. Wtr. Body C a r\ C, j
at � man unkn
___
ElPWS:
Closest Maj. Wtr. Body
ORW: yes / (f ? . -, PNA
yes /
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Agent or Applicant Pri ed Name
Signature *Please read ompliance statement on back of permit"
Application Fee(s) Check #
Permit Officer's Printed Name
h
Signature /
It Y 20t/ /i9
Issuing Date Expiration Date

NC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: tkCk KQ. E - S c O m t Yl Permit #: 1 1111
Date: to/ay /f8
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 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
L'7 �Y
Dredge ❑ Fill ❑ Both ❑ Other [3
1 VS 51�4
1 sc-4-
fT9� "5).N
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 ❑
9S9_RnR_9RAR •• i.RRR-AR['nORT -- www.nrcnac+almanaaemPnt_net rovigadn 02/03110

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Blake E Salmon
Mailing Address: PO Box 705
Phone Number:
Email Address:
I certify that I have authorized
Rodanthe, NC 27968
757-869-2160
[e-mail]
Grandy Hooper and Mike Hoo
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: a pier to Salt Creek in Frisco NC
at my property located at
in Dare
County.
53959 Salt Creek Court, Frisco, NC 27936
l 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:
" 7
Signature
Blake E Salmon
Print or Type Name
Owner
Title
05 / 10 / 2018
Date
This certification is valid through 05 / 02 / 2019

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Blake & Tracy Salmon
property located at
(Name of Property Owner)
53959 Salt Creek Court Frisco, NC (lot 6)
(Address, Lot, Block, Road etc.)
on Salt Creek in Frisco, Dare bounty N.C.
(Waterbody) (CitylTown and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
5t �
Our request is to place a pier,Afeet wide, from the end of Lot 6 Salt Creek Court out into Salt Creek.
Lot 6 accesses Salt Creek via a 20 foot strip of land. Request permission to place pier inside the 15 foot
setback. The pier will be for personal use only. Pier will not impede on your use of, or access to, Salt Creek,
and will not extend more than 25% of the width of Salt Creek. We request permission to locate the pier
one foot from the edge of the property line from Lot 5 Salt Creek Court. Proposed drawing attached.
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 initial the appropriate blank below.)
C —) I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property Owner Information)
Signature
Blake Salmon
Print or Type Name
PO Box 705
Mailing Address
Waves, NC 27982
Ot /StatelZip
(�57) 869-2160 [e-mail]
Telephone Number/email address
19 May 2018
Date
"Valid for one calendar year after signature"
Signature* _ 1,
LViZi15 .�-• �-1����nll,5t i�
Print or Tye Name
Mailing Address
City/state✓zip
A10-72-L-327?
Telephone Number/email address
4-1Z
_ Date* —
(Revised Aug. 2014)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Blake & Tracy Salmon
(Name of Property Owner)
property located at 53959 Salt Creek Court Frisco, NC (lot 6)
(Address, Lot, Block, Road etc.)
on Salt Creek in Frisco, Dare bounty N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
Our request is to place a pier, 4 feet wide, from the end of Lot 6 Salt Creek Court out into Salt Creek.
Lot 6 accesses Salt Creek via a 20 foot strip of land. Request permission to place pier inside the 15 foot
setback. The pier will be for personal use only. Pier will not impede on your use of, or access to, Salt Creek,
and will not extend more than 25% of the width of Salt Creek. We request permission to locate the pier
one foot from the edge of the property line from Lot 5 Salt Creek Court. Proposed drawing attached.
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 initial the appropriate blank below.)
f """ I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner information)
,Signainre
Blake Salmon
Print or Type Name
PO Box 705
Mailing Address
Waves, NC 27982
Cit /state/Zip
(�57) 869-2160 [e-mail]
Telephone Number/email address
19 May 2018
Dare
'Valid for one calendar year after signature`
(Adjacent Property Owner Information)
Sign tore
V
Print or Type Name
Mailing Addre
City/State/Zip
t+1 ��. 72- 327�
Telepho e Number/email address
Z
Date*,
(Revised Aug. 2014)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Blake & Tracy Salmon s
(Name of Property Owner)
property located at 53959 Salt Creek Court Frisco, NC (lot 6)
(Address, Lot, Block, Road, etc.)
on Salt Creek in Frisco, Dare County N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
x I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
Our request is to place a pier, 5 feet wide, from the end of Lot 6 Salt Creek Court out into Salt Creek.
Lot 6 accesses Salt Creek via a 20 foot strip of land. Request permission to place pier inside the 15 foot
setback. The pier will be for personal use only. Pier will not impede on your use of, or access to. Salt Creek,
and will not extend more than 25% of the width of Salt Creek.
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 initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signature
Blake Salmon
Print or Type Name
PO Box 705
Mailing Address
Waves, NC 27982
Cityy/State/Zip
[phone] [e-mail]
Telephone Number/email address
04 October 2018
Dole
(Adjacent Property Owner Information)
Jim
oy !� m Ghdl ps
Phillips Ja[e: 20181010
Signature*��
James H. Phillips
Print or Type Name
211 N. King St.
Mailing Address
Leesburg, VA 20176
City/State/Zip
[phone]
Telephone Number/email address
10 October 2018
(Revised Aug. 2014)
*Valid for one calendar year after signature*

26 September 2018
James H. Phillip
211 H. King St
Leesburg, VA 20176
Dear Sir,
We are the owners of the lot immediately to the south of you, 53959 Salt Creek Ct, Frisco, NC.
We would like to build a narrow pier to access Salt Creek from the edge of our property. The attached
drawing depicts what are pier would look like and where we would place it within the boundaries of our
land.
Also attached is the North Carolina form for Adjacent Riparian Property Owner Statement. We
request that you review the drawing and annotate the document indicating if you do or do not have
objection to what we have planned. As you will see the current intent is to keep the pier 1S feet from
our adjacent property line. If you do not mind us more centrally locating our pier there is a block where
you can indicate if you do or do not wish to waive the 15-foot restriction. I have included a self-
addressed stamped envelope so that you can send us your response.
If you have any questions, my contact information is provided below and on the form.
Thank you in advance for your time and consideration.
Respectfully,
Blake E. Salmon
PO Box 705
Waves, NC 27982
Mobile [phone]

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