71544A_Sharon L. Douglass_20180620

®�A / VDREDGE & FILL N2 71544 � 1 B C D
ERAL PERMIT Previous permit# `J
VNew ❑Modification []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 l SA NCAC
/ o c-,� ❑Rules attached.
r Applicant Name A o, C ,q L, O V G As J Project Location: County 1 J n e
'Address C Street Address/ State Road/ Lot #(a) /,t /Z fo rh
City / ( na r I " &, / f$tate/�C ZIP 2 -77 VY 7 3 2 C. 1 Dr,
Phone#(99 E-Main / Sbd''io C �-�-a (4cb, �r f
Authorized Agent ��._�_4 er-3 /<. sid�,`i�al y-n''^r--City( // �e v• / ////3 ZIP 2."7 �4X -
Affected ❑CW KEW VPTA ?3S WPTS Phone# (_) River Basin s"•
AECfs): DOFA ❑HHF []IN ❑UBA ❑N/A Adj. Wtr. Body C N n (nat / ap /unkn)
UA tr n/
Agent Appliony�rt Printed Namle/Permlo0(fcer's Printed Name
,f1/I La• /� X'dv� ..._.-- Cast...-^.�._
Signature **Pease read complianCestatementon back of permit** Sign)C ire
Application Fee(s) eck# Issuing Date Expiration Date

INC bivision of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: Sharon Douglass
Date: 06/20/18
Permit #: 71544A
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 Mel
disturbance.
Excludes any
restoration
and/Drtemp
impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
rest oration or
temp impacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
Shallow bottom
Dredge ❑ Fill ® Both ❑ Other ❑
56
56
Shoreline
Dredge ❑ Fill ® Both ❑ Other ❑
28
28
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 ❑ Fiil ❑ Both ❑ Other ❑
Dredge ❑ FIII ❑ Both ❑ Other ❑
Dredge ❑ FIII ❑ Both ❑ Other ❑
Dredge ❑ FIII ❑ Both ❑ Other ❑
252-808-2808 n 1.8884RCOAST :: vrvvw.riccoastalmana iernent.net revised: 02/03110

Division of coastal management agency form for permit aooHcations
�.&yyK ,r,n(nss . owner of the property located at:
(Name of Property Owner)
q37 (jta,.ab. ij... K;i(l a�uS, Nc a1gH�
(Property'Address)
Hereby authorize Sawyers Residential & Marine Construction Inc1 Ivan Sawyer
(Name of person or company acting as agent)
To act as my agent for the purpose of obtaining any needed Coastal Area
Management Act and/or Dredge and Fill Act permit ,that may be needed for the
proposed development at the above indicated property, which entails:
QoPQne�_ �,pA�I�,.Q
(Describe proposed development for which permits are being sought)
This agency is limited to the specific activities described above, and will expire
on:
(Date on which authorization expires)
(Signature)
G� (Date) �J
(Pnnhdaeme ofo (Title, ifofficerofcap.o - anstw forpmperty)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
[t
I hereby certify that I own property adjacent to -J n,,,_ •s
(Name of Property Owner)
property located at �' 1�� 1)I
�o��(Lot, Block, Road, ect.)-�tr
on .�.,TeU _ Ud -lcll. 1 G �i
NIeDL✓ , in K.'ll�
aterbody (Town and/or County)
The applicant has described to me, as shown below, the development
Proposed at the above location. I understand that any construction, excluding
bulkheads, must be set back a minimum distance of fifteen feet (15') from my
area of riparian access unless waived by me.
I have no objection to the project as proposed but do not wish to waive
the (15') setback requirement.
i have no objection to the project as proposed and do wish to waive the
(15') setback requirement.
I object to the project as proposed.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development.)
J
Print or Type name V Sign. turn
4l o - k
Telephone Number ,D to

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify, that I own property adjacent to s
(Name of Prope er)
property located at 4o r 121. P. Q 3 7 rA: e k 1,o-
(Lot, Block, Road, ect.
on
aterbody) (Town and/or Comty)
The applicant has described to me, as shown below, the development
Proposed at the above location. I understand that any construction, excluding
bulkheads, must be set back a minimum distance of fifteen feet (15') from my
area of " 'an access unless waived by me.
I have no objection to the project as proposed but do not wish to waive
the (15') setback requirement.
I have no objection to the project as proposed and do wish to waive the
(15') setback requirement
I object to the project as proposed.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be tiled in by individual proposing development.)
R' Qom• lij�
14 c-"/ta/I ('n C�'
Print or Type name
Go�.��IG'Tonf HARBo��
3u5-2q��
Telephone Number
Signature
G�SSbC.

Nj
County of Dare, North Carolina
`Owner and Parcel information is based on current data on file and was last updated on June 15 2018
Primary (100%) Owner Information:
DOUGLASS, SHARON LTTEETRE
937 COLINGTON DR
KILL DEVIL HILLS NC 27948
Parcel Information:
Parcel: 020821000 PIN: 986420824265
District: 03- COLINGTON
Subdivision: COLINGTON HARBOUR SEC Y
LotBlkSect: LOT: 126R BLK: SEC: Y
Multiple Lots: -
PlatCabSlide: PL: I SL: 335 Units: 1
Deed Date: 03/16/2010
BkPg:1827 24
Parcel Status: ACTIVE
Property Use: RESIDENTIAL 937 COLINGTON DR
BUILDING USE & FEATURES
Tax Year 81dg1aluT.—W8,900
Next Year Bldg Value: $138,900
Building Use:
RANCH
Exterior Walls:
MASONRY & FRAME
Actual Year Built: 1979
Full Baths:
2 Half Baths:0
Bedrooms:
3
Heat -Fuel:
3 - ELECTRIC
Heat -Type:
2 - FORCED AIR
Finished sqft for building 1: 2244
Air Conditioning:
4 -CENTRAL W/AC
Total Finished SgFt for all bldgs: 2244
Disclaimer: In instances where a dwelling contains unfinished living area, the square footage of that area is
included in the total finished sgft on this record. However, the assessed value for finish has been removed.
MISCELLANEOUS USE Tax Year Misc Value: $5,100 Next Year Misc Value: $.5,=
Misc Bldg c: (RS3) FRAME UTILITY SHED Year Built: 1979 sgft: 144
Misc Bldg d: (WD3) WOOD DECK OR RAMP Year Built: 2002 sgft: 162
Misc Bldg e: (BK3) BULKHEAD Year Built: 1998 sgft: 28
LAND USE Tax Year Land Value: $116,900
Land Description : 003-Canal Front p
nee Q ar ii^:ys.- �brl CS- I/
11 'J o
TOTAL LAND AREA: 26500 square feet
-- - -- - -- -- ----Tax Year Total Value: $260,900
'Values shown are on file as of June 15 2018
Next Year Land Value: $116,900
2�

CAMA and DREDGE AND FILL
GENERATa;.4
P E R M I
asauthorizedby the State of North Carolina
Department of Environment and Natural Resourcd and the Coastal Resources Commission
in an area of gQnvironmental c�
2o4ncern pursuant to 15 NCAC /.%i% •
Applicant Name cpr ` __� Phone Number
Address Jaa�u /4 A4
/15
yNE ?�J
City /'GtoyF _ R2 � - dselzl/ {
Project Location (County, State Road, Water Body, etc.)_
Type of Project Activity,tZdl7 - /1-CQd26
u✓L/ r. /
State
l
14574
TUN F-�r
Zip
4�fCsuc70At, rV uo
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number
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This permit is subject to compliance with this application, site drawing °' ='°"
-�
and attached general and specific conditions. Any violation of these terms
applicant's signature
may subject the permittee to a fine, imprisonment or civil action; and
�- -
may cause the permit to become null and void. C
This permit must be on the project site and accessible to the permit of-
permit officer's signature
ficer when the project is inspected for compliance. The applicant certi-
y _ �7 - p
fies by signing this permit that 1) this project is consistent with the local
issuing date expiration date
land use plan and all local ordinances, and 2) a written statement has
been obtained from adjacent riparian landowners certifying that they
have no objections to the proposed work.
attachments
/
In issuingthis permitthe Stateof North Carolina certifies that this project
. (�' �'�. a?,C-._
is consistent with the North Carolina Coastal Management Program.
application tee