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X CAMA / D DREDGE & FILL
GENERAL PERMIT
ONew ❑Modification ❑Complete Reissue [-]Partial Reissue
No71220
Previous permit #
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 �� / UG
Y1 Rules attached.
Applicant Name ?
Address i . a. ►JOX 7 a
City areState\k—ZIP `I75 i
Phone # ( ) E-Mail
Authorized Agent M,1I Slurp HCx, ti¢
Affected �E CW ❑ EW ❑ PTA X1 ES ®'PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ WA
❑ PWS:
ORW: yes /!'no PNA yes
Project Location: County
Street Address/ State Road/Lot #(s)
t-1 a YY� l►1Uc:.F- U r.
Subdivision
City eG ZIP � ] 115 y
Phone # ( ) River Basin
Adj. Wtr. Body CCu v CL ( (nat /man /unkn)
Closest Maj. Wtr. Body K G cc r a k-,,
fill
I
ONE
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MEMOMMIMEMOM
MEMEMEME
MEMEMOMM
Agent or Applicant Print am—
Signature * Please read compliance statement on back of permit
goo.
Application Fee(s) Check #
rr it
Permit Ofpcer' Printed Name
Signature
/3 //9
Issuing Date Expiration Date
NC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: Sam r I,x,,� ,, LL,C. Permit
Date: 1 / 3 c
�l 1
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
1�
m9� �' ►�
Dredge ❑ Fill ® Both ❑ Other ❑
i , L N C stk
, 4 y U eft
Slime to'c
Dredge ❑ Fill 0 Both ❑ Other ❑
�i
4
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 ❑
N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date & — -2-1 - ?Z j $
Dame of Property Owner Applying for Permit:
34Pjn&itGTovG�--
Mailing Address:
Fa&R sr i
I certify that I have authorized (agent) _ _/ 65!j6-i /14"uk to act on My
behalf, for the purpose, of applying for and obtaining all CAMA Permits necessary to
install or construct (activit.) C'04 S7RJ CT A 4)j; a' i�+d1</� t ttr-
at (my property located at) U. 94,Ao" ck r IZIJIz
This certification is valid thru (date)
rroperty owner aignature •.-w
DIVISION OF COASTAL MANAGEMENT
ADJAC NT RIPARI=AN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
i hereby certify that I own property adjacent to S 4 t;I C- '5
(Name of Property Owner)
properly located at 3 Q 14'J nt Al G C)_ /JP_T v
(Address, Lot, Block, Road, etc_)
Z.o n: t jet Sr.. _ * A in /%'�lK,7rs c . N_C_
on -
(Waterbody)
(City/Town and/or County)
Agents Name#: Yin L JVL.v. a fV J1Axa« Malting Address: 7 a� A+�i2 s Tfi� 2
Agent's phone #: 2 C 2 - 3C ; - 1211 t7isA)J1.
HelShe has described to me as shown below the development he/she is proposing at that kmation,
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)
G� -f;?"'s CT- A �IJ:_�: ter{ ��:,� w n t
H 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. Contact Information for DCM off ces is
availsbls at www.nccoestalmangement-not/contect_dcm.htm or by calling 1.U84RCOAST. No
response Is considered the some as no objection N you have been notified by Certified Mail.
(Property
_S 4,JPA:A t s-v L b
Pnnt or Type Name
Mailing Address
City/Stateozip
Telephone Number
Date
( Kz:/7�7)
wner Info do
JIL�J/vu___�
Print or Type NFm, a l-
"nMe"th DR
rryrC
Marling Address
cle✓z�
Telephone Number
Date
Nov. 16. 2018 1:01PM NC Orthopaedic Clinic No. 3201 P. 3
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIEQ MAIL - RETURN RECEIPT REQUESTED
I hereby certify that 1 own property adjacent to K�4 aR- &TW
(Name of Property Owner)
property located at _ 3 G _ Aa 1;1 '41 r, c k A AT J rS ,
(Address, Lot, Block, Road, etc.)
on gtnrji4t Sii -*h , in _ J� 7/3 Q N.C.
(Waterbody)
(CltyfTown and/or County)
Agent's Name#: 7I'►rGi3�v,�,a /bisn,��u� Mailing Address:76160 110247,AXw2.
Agent'sphonek -2r',1,- 30,1-
Ne/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)
6 &1b 17 cT- g N1.'L3 b,-r7T4} o,) Y.+L &) A rC. %li 6d'J G 01J :2flJ
Nyou have objections to whatis being proposed, you mustnotffy the Division of Coastal Management
(DCM). in wtiting within 10 days of receipt of this notice` Contact information for DCM offices is
available at www.nccoastalmangementneUcontact dcm.htm or by calling 1-6884RCOAST. No
response is considered the same.as no objection if you have been notified by Certified Mall.
(Property Owner Information)
Signature
AK) 04 L 4-�PAJ la & L t-
Priin! or Type Name
Mailing Address
Afi,7sl—
C►ty/Stateop
Telephone Number
(Riparian Prop" Owner Information)
Si
&Co77 c
Print or Type Name
S 1 S'
Mailing Address
r^#Aatcc
cityistatplrp
,QI q - 3,06
Telephone Number
Date Date
N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date
Name of Property Owner Applying for Permit:
flailing Address:
C
I cerfift that I have autharized (agent) _,j'74—" to act on HIN
AJA, _--
twhalf. for the purpose of applying for and obtaining all CANIA Permit-, neceV'sary to
#47A44L
install or construct (activity) rmgE Y- � L�P,, , -
I G
at (my property located at)
"1 '3 / — 2
This certification is valid thru (date)
rroperry vwner :-)ignatury
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
i hereby ceT* that I own property aciacent to 06- 4� L]_ 7
(Name of Property Owner)
property iocated at 7 L- 14,j rip �? £,
(Address, Lot, Block, Road. etc-)
on Al N_C_
(Waterbody)
(City/Town and/or County)
AgenvsNarne* f2a.�. MadinqAddress: 7.i;,�
Agents phone 4: 7
HeiShe has described to me as shown below the development helshe is proposing at that localton,
and I have no objections to the proposa!,
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Indtodual proposing development must rill in description below or attach a site drawing)
tf you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCU) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at www.riccoestaimangementneftcontect dcm.htm or by calling 1.888-4RCOAST, No
response is considered the same as no objection if you have been notiflod by Certiflad !Mail.
(Property m net Info)ation)
) 7Y
ptin; of 7YP& Name
P. L t -).-
_J2
Via ifing A ddmss
tp
caylslatelzP
Telephone Numb-w
(Rtgarian Property owner InforrnoatiD
Print Of lValne tic �
Mtlj Die I LIZ
Mailing Addmss
Telephone Number
Date Dale
TULL
Nov.16.2418 1:81PM NC Orthopaedic Ciinin
No.3201 P. J
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATI()N FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
f hereby certifiy that 1 own property adjacent to i.-t c_ `s
(Name of Property Owner)
property located at 3 - L44m Ihr, ck (ls
(Address, Lot, Block, Road, etc.)
on AsA44t Se,��.,(� ,in 1l'11��7�r N.C.
(Waterbody) (Cltytrown and/or County)
Agent's Name It /b&4;-,uA. Mailing Address: 7b60 MA12 7-Gsi L
Agent's phone #:
He/She has described to me as shown below the development helshe 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)
G&Ja S 7; t.j) e r— 4 Nr= L3 4+-� %r1: �� Sri- 4_ er) A r C. /; 6dn1 G 4PA-AfJJ
Ifyou have objections to what is being proposed, you mustnotify the Division of Coastal Management
(DCM), in wrfting within 10 days of receipt of this notica Contact information for DCM offices is
available at www.nceosstaimanger»entneticontact dcm.htm or by ceiling 1.888-4RCOAST. ND
response is considered the same.as no objection if you have been notified by Certified MaU. -
(Property Owner Information)
a•
Signature
Sg1;) P&A 4-P4 4, & L C_
Print or Type Nome
Marling Address
Aata Sl-
City/stateop
Telephone Number
Date
Prope3#y Owner information)
c4D7`7r
int or Typs
Mailing Address
tr'#qpfi L_ mac L� ! 2 7 EJ 7
citylststolz;p
Qiq-LA —75((
Telephone Number
Data
1
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r ' 39.42
39:42
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25.18 i
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This map is prepared
from data used for the
1/-
inventory of the real
lJ
property for tax
purposes. Primary
information sources such
AL'^
as recorded deeds, plats,
wills, and other primary
r
public records should be
consulted for verification
of the information
contained in this map.
36 Hammock DR
Manteo NC, 27954
Parcel: 025694236
Pin: 979905284557
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Owners: Sanderling Llc
Building Value: $505,000
Land Value: $226,900
Misc Value: $0
Total Value: $731,900
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#11'7.36
Oki' 01
Tax District: Manteo In
Subdivision: Pirate's Cove Ph 1
Hammock Vlg
Lot BLK-Sec: Lot: 36 Blk: Sec:
Property Use: Residential
Building Type: Beach Contemporary
Year Built: 1998
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