72509A_Demosthenes & Darlene Pagonis_20190102

Flom
7 CAMA / l DREDGE & FILL
�. GENERAL PERMIT
[New Modification ❑Complete Reissue ❑Partial Reissue
No. 72509 B C
Previous permit #
Date previous permit issued
`/
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 I SA NCAC H c�� T v
Rules attached.
Applicant Name 1, N-Om-kr- P.-1L&NII Project Location: County (14.r�
Address 11. vt - r)r Street Address/ State Road/ Lot #(s) I is G r •� c, ��✓r S �r
City 1!, r� �< r IL State ftiy ZIP 11-4 S 4
Phone # ((,3% ) (.yI - S 3OJ E-Mail .c"-
Authorized Agent F. v,%& _.-I sLv N ' 0 «1
Affected ❑ Cw NEW � PTA WES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A
❑ PWS:
ORW: yes /,- o % PNA yes / n
w 3D
Subdivision G. 5 c 5 5,, b d t
City I'0ZIP
Phone # ( ) River Basin Pe-vo f,.^ k
Adj. Wtr. Body I b, ,-.c f It S v,, n rl to /man /unkn)
Closest Maj. Wtr. Body A
Type of Project/ Activity P-, n :p J f3 v 1 K k-A -e A
(Scale: �1 w )
Pier
Fixes
Flom
Fingi
Groi
Basii
Boat
Boat
Beac
Oth4
Shor
SAV
Mon
Phot
Wai)
■■■■■■■■■■■■■■
■■■■■■®■■■■■
■■■■■I
:ng Platform(s)
r pier(s)
i length
number
■N■■■■■■■■�■■■N■■■■�■■!��■■■■�■■■■■
rap length
avg distance offshore
max distance offshore
l!�■■■■■■■■■■■
i■■■■■■■■■■■■■■■■■■
■■■■■■■■■■■■®■
■■■®■■■■■■■■■■■■iris■
cubic yards
ramp
■`�■■■■■■■■■�■
■■�■■■■■■■■■■■e■■
jouse/ Boatlift -4
■■■
Ems
!
�■a■■
■■■�
�■■
■__■■■
'Mr!j'!N■OMMU■MEWIM
m""ORn..--��
not sure
yes
010
NO■I■■[C
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■■■■■���■■■'.
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tr Attached: es .T.i�:�e■■■■■■■■■�■■■■■■®■■■■■■■■■��■■■■
A building permit may be required by: See note on back regarding River Basin rules.
( Note Local Planning jurisdiction)
Notes/ Special Conditions
­10r., Im io'--,T
\Agent or t Printed Name
Signature lease read compliance statement on back of permit"
wa. WN e-
Application Fee(s) Check #
r� c 1 cl
Permit Off ante me
Si ature
1 ).LI �y19 ���1aul 9
Issuing Date Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Ree�questi
Mailing Address:
Permit:
Phone Number: t I- 5 +t2 `fig ` 5 `'L 3" >
Email Address: dew 0 5 s `�� ���� �� •``
I certify that I have authorized ` --K o., `,j &Lea
Agent I Contractor
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
in fu�(►�,.�County.
I 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:
C Signature
Print or Type Name
i
Title
zoio
Date
This certification is valid through I I
Revised Mar. 2016

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTI ATION/WAIVER FORM
Name of Property Owner:
0 l
Address of Property: `' S is
(L of or tre i treet or Road, City 8 County}
(� C Agent's Name #: C4aili� Address:
Agent's phone #: �lJ Z
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 roposing. 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 1367 US
17 South, 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, breakwater, boathouse, or lift 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 notwish to waive the 15' setback requirement.
(Property Owner Information)
Signature
e
.. f-W - ��- - - 5 ft cx�rS
Print or Type Name
161 6zo-v ear 6 f- -
M�iling Addr
Citylstatelzip
Telephone Number
Date
(Riparian Property Ov ner Jeto on)
Sign turn
S
PA i /i 1
Pdht or Type N e
Mailing Addddre� / p
Citylstateop
7J�7
Telephone Number
Date _T

■ 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 pergnits.
1 Article Addr
rI .
2� Z b),S
��D�N� cjC�cN
2i
III'IIIIIIIIIIIIIII IIII I �IIIiI II (III ICI
9590 9402 3351 7227 1067 68
2. Article Number (rransfer from service label)
7017 2400 0000 0605 9803
PS Form 3811, July 2015 PSN 7530-02-000-9053
❑ Agent
- —0 Addressee
C. Date of gelivQry
D. Is delivef address different from item 1? LI Ye:
If YES, enter delivery address below: ❑ No
3. Service Type
❑ Priority Mail Express®
❑ Adult Signature
❑ Registered MaiITM
❑ AduIt Signature Restricted Delivery
rbfied Mail®
❑ Registered Mall Restricted
Delivery
❑ Certified Mail Restricted Delivery
❑ Retum Recelpt for
❑ Collect on Delivery
Merchandise
❑ Collect on Delivery Restricted Delivery
❑ Signature ConfirmationTM
n I_—)d Mail
❑ Signature Confirmation
A Mail Restricted Delivery
Restricted Delivery
$500)
Domestic Return Receipt

In
--wman rw Va.,tz, 0459
$ $2.75 07
Extra Services & Fees (chwk bm add fee
❑ Rstu- RecW (hwdcopy) $
❑ — —pt (-1c) $ Postmark
E] Certified Mail Fteebteed IDWy $ in. nn Here
I-] Adult Signature Requimd $ U - Oil)
0 Adult Skjnature Restricted Dah" $
Postage $0.50
Total Postage and fr. 70 12/04/2018
Sent
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----------

Emanuelson & Dad, Inc.
PO Box 448
Nags Head, NC 27959
Phone: [phone]
Fax: [phone]
email: emanuelson(Wembargmail.com
11/28/2018
Phillip & Kim Richardson
212 Griggs Acres,
Point Harbor, NC 27964
re: Demosthenes Pagonis — 216 Griggs Acres, Point Harbor
We have been requested by the above property owner to do the following work:
1) Install a 6 ft tall x 120 ft Vinyl Bulkhead to include 1-12' return on South end and tie in
to vinyl wall on north end.
2) Install sandfill.
In order for us to obtain the Cama permit for this project, Cama requires each adjacent property owner to be
notified. We would ask that you sign the attached form and return it to us, as soon as you can. You may fax it to us
at 252-261-1115 or scan and email or simply mail in the enclosed stamped addressed envelope. If you have any
questions please do not hesitate to contact us. If you do object to the proposed work, please contact Cama (Coastal
Area Management) at 252-264-3901
We thank you for your cooperation in this matter.
Sincerely,
Jackie Lewis
Emanuelson & Dad Inc
,V

CERTIFIED MAiL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL. MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOT[ ATIONiWAIVER FORM
Name of Property Owner:
Address of Property. �' S �"S 0 J'
(Lot or tre i treet or Road, City & County)
Agent's Name #: C%4ailin Address: '
rli
Agent's phone #: �� J Z� l/") ` 2 ! "�,�►S "i
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 1357 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 notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift 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 notwish to waive the 15' setback requirement.
(Property Owner information)
Signature
be^ +kekv_s' pe�0-vtS-
Print or Type Name
161 6.��r 6 r- -
Ma�iling Addr
CitylStatelzip
Telephone Number
Date
(Riparian Property Owner Information)
Signature
Print or Type Name
liliZ r4rDty 11)_^15"r
Mailing Address
U ))-I tnn , h a n 2yx::��-
C� atS atS t6op
L -
Telephone Number
I
Date

■ 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 Addressed to Co's
11111111111111111111I I IIIIII I I IIIIII I I I I I I IIIIII I III
9590 9402 3351 7227 1067 51
2. Article Number (Transfer from service label)
",'1117 2400 0000 0605 9957
PS Form 3811, July 2015 PSN 7530-02-000-9053
❑ Agent
❑ Addressee
ec ived y rin d me) �C.Date of Delivery
a IT
D. Isdeliveryadd s different from IteYes
If YES, enter delivery address below: ❑ No
� D D -7 �q� �QI6'h
26, (M 17
3. Service Type
❑ Priority Mail Expresso
❑ Adult Signature
❑ Registered MailT"
9Adult Signature Restricted Delivery
❑ Registered Mail Restricted
CertifiedilMailo
Delivery
❑ Certified Mail Restricted Delivery
O Return Receipt for
❑ Collect on Delivery
Merchandise
❑ Collect on Delivery Restricted Delivery
0 Signature ConfirmationT"'
n Insured Mail
❑ Signature Confirmation
Insured Mail Restricted Delivery
Restricted Delivery
(over $500)
Domestic Return Receipt

U.S.
Postal
Service"
CERTIFIED
MAIL°
RECEIPT
Domestic
Mail
Only
07
❑ Return Receipt (hardcopy) $ � V • �� V
❑ Return Receipt (electronic)
$ - i •
Postmark
❑ Certified Mail Restricted DelNery
$ 0. [(c(
Here
❑ Adult Signature Required
$ sw 00
[:]Adult Signature Restricted DelNery $
'ostage
12/((4/2018
7(I
IBC

Emanuelson & Dad, Inc.
PO Box 448
Nags Head, NC 27959
Phone: [phone]
Fax: [phone]
email: emanuelson(a�embargmail.com
11/28/2018
Frederick & Carolyn Ayers
PO Box 285
Point Harbor, NC 27964
re: Demosthenes Pagonis — 216 Griggs Acres, Point Harbor
We have been requested by the above property owner to do the following work:
1) Install a 6 ft tall x 120 ft Vinyl Bulkhead to include 1-12' return on South end and tie in
to vinyl wall on north end.
2) Install sandfill.
In order for us to obtain the Cama permit for this project, Cama requires each adjacent property owner to be
notified. We would ask that you sign the attached form and return it to us, as soon as you can. You may fax it to us
at 252-261-1115 or scan and email or simply mail in the enclosed stamped addressed envelope. If you have any
questions please do not hesitate to contact us. If you do object to the proposed work, please contact Cama (Coastal
Area Management) at 252-264-3901
We thank you for your cooperation in this matter.
Sincerely,
Jackie Lewis
Emanuelson & Dad Inc