71536A_Andrew B. Feinsot_20190208

CAMA / ❑ DREDGE & FILL NO. 72536 �j 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 ►y
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC / + ' 1106 t - / i 1 1,20()
n ❑ Rules attached.
Applicant Name r` 504 Project Location: County ha e_
Address 32 0 3 1 i -� &1 A Street Address/ State Road/ Lot #(s)
City r 1,y, I State o, ZIP ao `I0 1 K) LQ - p4mcaS 41),
Phone # (�) W9 — G3 I I E-Mail (A F Q two Cd Vc-Y� ?�� h� i- Subdivision (,y, r A 10 a, G1
Authorized Agent cctr,i e flAr� r City jyOtN ZIP �a rl � 5
r
Affected ❑ CW ®EW R1 PTA �7 ES 1R PTS Phone # ( ) River Basin C,1 c , V
❑OEA ❑HHF .❑IN ❑UBA ❑N/A
AEC(s): Adj. Wtr. Body P c' ,r a1 (nat /man [unkn)
❑ PWS:
1 ,
ORW: yes / no ` PNA yes / no Closest Maj. Wtr. Body �C r,-.
Platform(s)
ing Platform(s)
;in length
number
avg distance offshore
max distance offshore
cubic yards
ramp
house/ Boatlift
.d
Length ROOMINESS
NNEESSISEENEEMEMENEREW ENESSAWINES
■■■■■■■■■■■■■■■■■■■■■■!�i�■►�■Its■■■■�!liGS�llbli■■
■■�■■■■■■■■■N'�Afl�■■�1�1■■�l►�i■■III■■■■■■■■■■■
tPin yl I I r (II rl ­:
}C nt r,plicant Printed Name
5tgtg e * Please read compliance statement on back of permit **
Application Fee(s) Check #
lea 11"4 , , � o
Permit Office 's Printed/Nam a /``✓J
r
Signature
Issuing Date Expiration Date

NC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: ()"I "-"j Fe rx Permit #: `7 Z 5 3 �.
Date: 2,1&1 o
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
Dredge ❑
Fill Q
Both ❑
Other ❑
I Ll$GstU
2. N $ csj'i
Dredge ❑
Fill ❑
Both ®
Other ❑%C-
Dredge ❑
Fill ❑
Both [2
Other
a Lt4
Dredge ❑
Fill ❑
Both ❑
Other
S-L-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 ❑

AGENT AUTHORIZATION FORM FOR PERMIT APPLICATIONS
Name of Property Owner (s) Applying for Permit: Andrew B. Feinsot
Mailing address: g2o31grh Street
North Arlington, Va., 22201
Telephone Number: 70�-627-0311
I certify that I have authorized Gary Price & Jennifer Price (agent)
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the proposed development of Construct bulkhead, Dock and
Boardwalk
at my property located at 4018o W. Antillas Rd.
Avon, NC, 279117
This certification is valid through 02/281201 q (date)
(Properner Info tion) ty
,,e lZt
Signature
Andrew B. Feinsot
Print or Type Name
703-627-0-111
Telephone Number
C� FFe i n s 0 -(d Ile ► -2-Oki. V) e_{
Email Address
12- -3/ 1 2
Date

00UNITED STATES
POSTAL SERVICE
December 19, 2018
Dear gary price:
The following is in response to your request for proof of delivery on your item with the tracking number:
7017 0190 0000 83321796.
Item Details
Status:
Status Date / Time:
Location:
Postal Product:
Extra Services:
Shipment Details
Weight:
Signature of Recipient:
Address of Recipient
Delivered
December 8, 2018, 11:52 am
AVON, NC 27915
First -Class Mair
Certified Mail Tm
Return Receipt Electronic
1.0oz
Note: Scanned image may reflect a different destination address due to Intended Recipients delivery instructions on file.
Thank you for selecting the United States Postal Service® for your mailing needs. If you require additional
assistance, please contact your local Post Officer"" or a Postal representative at 1-800-222-1811.
Sincerely,
United States Postal Service®
475 L'Enfant Plaza SW
Washington, D.C. 20260-0004

PZUNITED STATES
POSTAL SERVICE
January 7, 2019
Dear gary price:
The following is in response to your request for proof of delivery on your item with the tracking number:
7017 0190 0000 8332 1802.
Item Details
Status: Delivered
Status Date / Time: December 12, 2018, 10:14 am
Location: AVON, NC 27915
Postal Product: First -Class Mair
Extra Services: Certified Mail"m
Return Receipt Electronic
Weight:
Recipient Signature
1.0oz
Signature of Recipient'.�
Address of Recipient: I
Note: Scanned image may reflect a different destination address due to Intended Recipient's delivery instructions on file.
Thank you for selecting the United States Postal Service® for your mailing needs. If you require additional
assistance, please contact your local Post OfficeTm or a Postal representative at 1-800-222-1811.
Sincerely,
United States Postal Service®
475 L'Enfant Plaza SW
Washington, D.C. 20260-0004

AGUNITEDSTATES
POSTAL SERVICE
January 7, 2019
Dear gary price:
The following is in response to your request for proof of delivery on your item with the tracking number:
7017 0190 0000 8332 1826.
Item Details
Status:
Status Date / Time:
Location:
Postal Product:
Extra Services:
Shipment Details
Weight:
Recipient Signature
Signature of Recipient:
Address of Recipient:
Delivered, Left with Individual
December 12, 2018, 2:46 pm
VIRGINIA BEACH, VA 23451
First -Class Mail`
Certified Mail
Return Receipt Electronic
m
Note: Scanned image may reflect a different destination address due to Intended Recipient's delivery instructions on file.
Thank you for selecting the United States Postal Service® for your mailing needs. If you require additional
assistance, please contact your local Post Office"' or a Postal representative at 1-800-222-1811.
Sincerely,
United States Postal Service®
475 L'Enfant Plaza SW
Washington, D.C. 20260-0004

10�,,,++ UNITEDSTATES
POSTAL SERVICE
December 19, 2018
Dear gary price:
The following is in response to your request for proof of delivery on your item with the tracking number:
7017 0190 0000 8332 1819.
Item Details
Status: Delivered
Status Date / Time: December 19, 2018, 8:49 am
Location: SYKESVILLE, MD 21784
Postal Product: First -Class Mail®
Extra Services: Certified Mail"m
Return Receipt Electronic
Details
�..
Signature of Recipient:
�' hcr�l 13c h ,-kz-
Address of Recipient: ((,
�11� ,�IChkji
Note: Scanned image may reflect a different destination address due to Intended Recipient's delivery instructions on file.
Thank you for selecting the United States Postal Service' for your mailing needs. If you require additional
assistance, please contact your local Post OfficeTm or a Postal representative at 1-800-222-1811.
Sincerely,
United States Postal Service
475 L'Enfant Plaza SW
Washington, D.C. 20260-0004

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CERTIFIED MAIL® RECEIPT
Domestic Mail Only
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Domestic mail only
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DMSION OF COASTAL MANAGEMENT
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or
I hereby certify that 1 own property adjacent to AAUDREW EL FE/NSOr 's
. (Name of Property Owner)
Property lo�at yo /AV W AAM I ZAS RD-
(project Site: Address, Lot, Block, Road, etc.)
on 4AVAL OFF PAM11L0 MYA/D , in AWAJ N.C.
(Waterbody) - EAIA/JFER P)e/CE d (CWTown and/or County)
Agent's Name #: i6ARY PRICE MailingAddrWs: PD BOX 27S
Agent's phone M.
Z?Z-30S-Co3q7
4Vad/# MCG 2791S-
He/She has described in me as shaven below the development he/she is proposing at that location,
and i have no objections to the proposal.
AND/OR DRAWING OF
SEE A774cwmEdlr
If you have objections to what is N y prvpos.d, you mud nosy dr. DkW on of CowW Afarrayament
(VCM) in wT*nQ wltnln lO days of roc*W of ttrls nabs. Conespondence should be maJled to 1367US
17 South, ENzaboM C/y, Na 27909. DCM replowntaflvas can a/so ba cont:ctrd at (252) 264%WM. No
nsponss 1s conskiwered tfw saws as no obJectbrt N you Imm been notlfisd by Certified A/ail.
(Property Owner Information) (Adjacent Property Owner Infonnatlon)
SignM"
buD,PEW l3. `Ebt/SOT
Print or T j;m Name
3203 197d Jf.
Moiling Address
AJ, ARUA=ZOAl., Vida Z22G1
CNY1ftftfz0
7b3- 62 7-40311
Te epho»e Number/Emal Address
/Z/0*J8
Date
'Valid for one calendar year after sign W
WaWre'
Print or Type Name
CRYIStaffte$
Telephone N=dW/Ema+T Adi"=
Date'

AVON
SHOPPING
CENTER CROAKERsT, CAMA PLAN FOR
RI
C
ANDREW B. FEINSOT
CLN LN
UNATERRAC SUNFISH CT.
NICHOLE P. FEINSOT
LN,
SIT
LOT 29
DDYLN WINDWARD ISLE SUBDIVISION
ILONA DR niiva wev 40180 WEST ANTILLAS RD. AVON, NC 27915
1 cARPu"CT
AVON. Date 11/30/18
J NC rFIEAY
ry�h
�Q 30 A 10 0 30

ti

This map is prepared
40180 W Antillas RD
Owners: Feinsot, Andrew B
Tax District: Avon
from data used for the
inventory of the real
Avon NC, 27915
Feinsot, Nichole P
Subdivision: Windward Isle
J
yr
property for tax
Parcel: 014771000
Building Value: $194,300
Lot BLK-Sec: Lot: 29 Blk: Sec:
�, •
purposes. Primary
Pin: 064017107879
Land Value: $41,000
Property Use: Residential
r' �^".
information sources such
as recorded deeds, plats,
y�
2�'o�
Z
Misc Value: $0
Building Type: Traditional
.
wills, and other primary
public records should be
i
Total Value: $235,300
Year Built: 2004
consulted for verification
''r! [ �"'•1
of the information
contained in this map.
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