71221A_Craig & Leigh Sudbrink_20190103

J
LAMA / �:,(] DREDGE & FILL No 71221 CA) B C D
GENERAL PERMIT Previous permit#
❑New ❑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 15A NCAC r] R o 0 U
UD Rules attached.
Applicant Name G i rA
Address ` L., 0k% Y
City State N ZIP at % q lO
Phone # E-Mail
Authorized Agent.�.-
Affected I] Cw ❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ElOEA ❑ HHF ❑ IH ElUBA ElN/A
❑ PWS:
ORW: yes /; no PNA yes /'no
Type of Project/ Activity
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore U
max distance offshore C>
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length rl I Z r
SAV: not sure yes
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no,
Project Location: County�)0. r2
Street Address/ State Road/ Lot #(s)
!.c. ins a\ocic !Ur
Subdivision iv J4 S 00". .
City Uy\ ZIP � !' S `I
Phone # (� ) _ River Basin /�� `.,i Unfit. k-
Adj. Wtr. Body Oa r a (nat banes)
Closest Maj. Wtr. Body poop r o k r C.t
(Scale: j 'a c )
A building permit may be required by: �rC CC . ,�_ t"� CA V\' E C, ❑ See note on back regarding River Basin rules.
( Note Local Planning jurisdiction)
Notes/ Special Conditions l TV„� �p, n.: ♦ c ac,e5 RJ CG W c c
Agent or Applicant Printed Name
Signature Ple compliance statement on back of permit **
Application Fee(s) Check #
sp
rinted rimed Name
(�, `11
Signature"' s
Issuing Date Expiration Date

NC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: C ra,1 J 9 Z-Q (p 54 d b iln k- Permit #: 10,21
Date: t/3/1
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
tempimpacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
Dredge El Fill Both [I Other ❑
I
I q'�''r
Dredge ❑ Fill Both [IOther ❑
71 Pf
'714
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 0 Other ❑

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date f e2 .2 e7 j g
Name of Property Owner Applying for Permit:
Mailing Address: M
c2r�;Us L P- v N_C... 2 % %l D
I certify that I have authorized (agent) I}?fj L67a Ii I7I /) jZ7;jji to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) Gzn) S%iZJ C-7` A jZk J pa `n%�; ti�j� LLk� L-
at (my property located at) 7 A ails, r c e /•1i� ZyI'r
This certification is valid thru (date)
re Date

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
hereby certify that I own property adjacent to > j wf4 LP `s
(Name of Property Owner)
property located at 3? 141)f21/Pv4 A, ".L
(Address, Lot, Block, Road, etc.)
on _ a!"tt�t'r � 'VJ in A Ae,%irY D N.C.
(Waterbody) (City/Town and/or County)
Agent's Name #: Mailing Address: ;7et)jL 7�sn l
Agent's phone #: 2 3 2 - A a d i?1 C
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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
/'C- 3111 t T AN r- w �2 � 70 7--'V
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within it) days of receipt of this notice. Contact information for DCM offices is
available at www.nccoastaimangement.net/contact dcm.htm or by calling 1-888-4RCOAST. No
response is considered the same as no objection if you have been notified bv-Certified Mail,
(Property Owner Information)
'k,
Signature
L`vj vJ1 -S e z' J�'7j.tL
Print or Type Name
76t l r' ;Ai' 7riI
Mailing Address
CitylStatelZip
Telephone Number
Date
(Riparian Property Qwner Information)
SigriaMre
�1
Print or Type Name
5 ? G %"id Uft-
Mailing Andress
CitylstatelZia
Telephone Number
Date

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
C44t&
1 hereby certify that I own property adjacent to f 141414 S1)Q/t%LY4,;)C s
(Name of Property Owner)
property located at 37 N4J21,%z 4 AkC &A
(Address, Lot, Block, Road, etc.)
on Rn) �t/,t s� �>� in APUM(CD . N.C.
(Waterbody)
Agent's Name t Mrcl s sit AP-112yA.
Agent's phone#: 2 r 2 - _7 r r- req2_
(City/Town and/or County)
Mailing Address: zc*-)iu I-'-n -47tw /L
Wit s 9rZTt1�; %fit lid�/tC N` C.. F7 -11.f7
HelShe 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 ANDIOR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
; ri7074vZa,. 4 w 4 4 G AI Ew t+ f* Af.Sl)�
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. Contact Information for DCM offices is
available at www.nccoastaimangement.neticontact_dcm.htm or by calling 1-888-4RCOAST. No
response is considered the same as no objection ifyou have been notified by CoMifled Mail.
(pro Informad ) (Riparian Property Owner Information)
Jr
0= .4 Ora=
J'
Pit ar Type �vame Q Prbnt or Typo Name
�0
1160 p Addles
f rZg u 0t1zo
C4)dSta1&zP
Telephone Number
P a, At x 7.24
Meiling Address
fi R.0 -r-
CAty tatelZip
Telephone Number
Date Date

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER. NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
044 1 &
I hereby certify that I own property adjacent to 441i-44 7;-.1C
(Name of Property Owner)
property loi-.ated a,, -1,7 /.J
(Address, Lot, Block, Road, etc.)
Olt in f t i1-7r N,C,
(Waterbody) (City/Town and/or County)
agent's Name t. d-1t1.Zr-xA, Mailing Address: Zip 11.& J3 Ji-
Agent's phone j-,2 - -1 r
HeJShe 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 ANDIOR DRAWING OF PROPOSED DEVELOPMENT
{individual proposing developmentmust rill in descnption below or attach a site drawing)
if you have objections to whatis being proposed you must notify the Division of Costa! Managen7ent
(0CM) in writing within 10 days of receipt of this notice. Contact information for DChl offices is
available at www.nccoastaimangementneVcontact - dcm.htin or by calling 1-8884RCOAST. No
f2Wonsm� is considered the same as no obiocton ify led M�aff,�
pu have been notified by qe��
(J?rajmrty 0 lnfonrnatipn) j I (Riparian Property Owner Information)
-, `7
r.
Slaw �,!,
C L 6-
Piinf or -yoo Name
;�Safiing Addfass
,,.;fy/S!a1e0Zp
reie-Dnorw Number
Date
Mading Address
Pt i
,.itylstatemp
`-0 � 40horie Number
Date

Nov. 16. 2018 1:02PM NC Orthopaedic Clinic No. 3201 P.
N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date _ 10 — .-Z JIB
N2me of Property Owner Applying for Permit:
Mailing Address;
1(oD 1�iTOAt0%0 }h
i?•,Cfiivs d LPz _ !V_C . ;7�1 O
T certify that Y have authorized (agent) M:&b nAr% M4jZ7nIjL to act oa my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) 6,6+) S7TZJ CT A rl1,.4) pzixizd q q:�t (,
at (my property located at) *1% I&MA i c/c
This certification is valid thru (date)
Property Owner Signature
©uMer Or I1 I16I1,i(
Date

ANA'
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This map is prepared 37 Hammock DR Owners: Sudbrink, Craig W Tax District: Manteo In
from data used for the inventory of the real Manteo NC, 27954 Sudbrink, Leigh F Subdivision: Pirate's Cove Ph 1
J property for tax Parcel: 025694237 Building Value: $411,600 Hammock Vlg
�i purposes. Primary
Pin: 979906285513 Land Value: $231,800 Lot BLK-Sec: Lot: 37 Blk: Sec:
information sources such y c,+`
as recorded deeds, plats, Misc Value: $0 Property Use: Residential
wills, and other primary'456 M®i1 m Total Value: $643,400 Building Type: Beach Contemporary
public records should be /1 `\\ consulted for verification Ia+GCk$ i IOUrTi .l C Year Built: 2000
of the information ^rl Li to
contained in this map.
0

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