73700_John & Susan MacQueen_20190725

-CAMA / DREDGE & FILL No. 73700 g 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 I SA NCAC
Rules attached.
Applicant Name Sod? r. I P
Address i'� (� Sc a r I )nj' o (2v'ee u Or.
City a nA en State W' ZIP
Phone # ( ) 3 L1,1- - 3a 34 E-Mail rl�o n u t-e 1, ,)c1,,�� ha,
Authorized Agent L `> j f lAa r irC Qcr S 1(,ucLn LUZ
Affected ❑ Cw K EW (A PTA ❑ ES ❑ PTS
AEC(s): El OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
PWS:
ORW: yes h, no PNA yes / ,rfo—
Project Location: CountybaL-Q-
Street Address/ State Road/ Lot #(s)
Subdivision r
City o,\ , ZIP
Phone # ( ) River Basin 1 C. Sg, c 1
Adj. Wtr. Body C C`•- r C (natnat m�anl /unkn/unkn)
Closest Maj. Wtr. Body `� c rnk E S"
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Agent or li Print Name �
Signatur ease read comp i e s atement do back of permit
Application Fee(s) Check #
PermitOffi r' Printed Name
h. X,�
Signaturer
Issuing Date Expiration Date

NC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: .�Cjf`vl �¢ �s e-v\ LA . ,P ej . Permit #: '7 �'- L© A
Date: 77?g5 ?
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
r l x:C C,r
Dredge ❑ Fill ❑ Both ❑ Other j�
' �O Z S
( "s t4,
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 ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
252-808-2808 :: 1-888-4RCOAST :: www.nccoastalmanaaement.net revised: 02/03/10

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
(N\ n-p- Q t
n +
Mailing Address: , '�o �, �_�-1„rx�-r,
cx'e - l�
Zs ka
Phone Number: lit 3 t1V - L 3y
`� ��
Co 9S - Z 3 k 1
Email Address: b ,��z�o t,,�
J L& cy+-
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Y( L-kc -> �c
I certify that I have authorized
r, ei—
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
6\4-A . T ko
at my property located at l c7 -Scc`, ti��r�.
cr k ice . 1`ncy,..A,.a
VO
in Dx-,r-e— County.
a�}q!�-i
1 furthermore certify that / 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:
Signature
Print or Type Name
(9 Wr�c
Title
'4 / oS / ZQL`?
Date
This certification is valid through
Revised Mar. 2016

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERED
Name of Property Owner: John MacQueen & Susan L Scott
Address of Property: Lot #7 / 170 Scarboro Creek Drive Manteo / Dare County
(Lot or Street #, Street or Road, City & County)
Agent's Name #: Scott Small of LSI Marine, LLC Mailing Address: 1112 W Kitty Hawk Road
Agent's phone #: [phone] Kitty Hawk, NC 27949
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 401 S.
Griffin St., Ste 300, 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 bring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set ack a mini dista 15' from my area of riparian access unless waived by
me. (If y04 to se ack, you must sign the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
(Adjacent Property Owner In rmat'on)
Signature
Sign re
_John MacQueen & Susan L Scott_
Jay W Wheless & Elizabeth M Wheless
Print or Type Name
Print or Type Name
_170 Scarboro Creek Drive
PO Box 1419
Mailing Address
Mailing Address
_Manteo, NC 27954
Manteo, NC 27954
City/State/Zip
City/State/Zip
714-348-3234 / [e-mail]
Telephone Number/Email Address
Telephone Number/Email Address
7-3-2019
yZ/ Z //-j
Date
Date * f- —t
'Valid for one calendar year after signature"
Revised 2017

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERED
Name of Property Owner: John MacQueen & Susan L Scott
Address of Property: Lat #7 1170 Scarhnro Creek Drive Manteo / Dare County
(Lot or Street #, Street or Road, City & County)
Agent's Name #: Scott Small of LSI Marine, LLC Mailing Address: 1112 W Kitty Hawk Road
Agent's phone #: [phone] Kitty Hawk, NC 27949
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to ,,.e as shown on the a`.taehed drawing the deve!opment
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 401 S.
Griffin St., Ste 300, 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, boat ramp, breakwater, boathouse, lift, or groin
must be set back a minimum distance of 15from my area of riparian access unless waived by
me. (If yo wis o w ive a setback, you must sign the appropriate blank below.)
i
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjagdot PrppWy OW
y4r Information)
Signature
_John MacQueen & Susan L Scott_
Print or Type Name
_170 Scarboro Creek Drive
Mailing Address
_Manteo, NC 27954
City/State/Zip
714-348-3234 / [e-mail]
Telephone Number/Email Address
7-3-2019
Date
Jeffrey G Pierce & Anmarie R Pierce
Print or Type Name
1317 Hermitage Road
Mailing Address
Colonial Heights, VA 23834
City/State/Zip (/
2
Telephone Number/Email Address
7-�
Date *
*Valid for one calendar year after signature*
Revised 2017

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERED
Name of Property Owner: John MacQueen & Susan L Scott
Address of Property: Lot #7 / 170 Scarboro Creek Drive, Manteo / Dare County
(Lot or Street #, Street or Road, City & County)
Agent's Name #: Scott Small of LSI Marine LLC Mailing Address: 1112 W Kitty Hawk Road
Agent's phone #: [phone] Kitty Hawk, NC 27949
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.
d* t 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 401 S.
Griffin St., Ste 300, 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 (bring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set ack a minjmufndistan_f 15' from my area of riparian access unless waived by
me. (If y t4' tottra"seTback, you must sign the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
.Signature
_John MacQueen & Susan L Scott_
Print or Type Name
_170 Scarboro Creek Drive
Mailing Address
_Manteo. NC 27954
City/StatelZip
714- 348-3234 r` macclueen.john:° i,,yahoo.com
Telephone Number / Email Address
7-3-2019
Date
(Adjacent Property Owner In rmation)
.Signat re
Jay V,' Wheless & Elizabeth M Wheless
Print or Type Name
PO Box 1419
Mailing Address
Manteo. NC 27954
CitylStatelZip
Telephone Number/Email Address
/ jell
Date* 7� f
`Valid for one calendar year after signature* Revised 2017

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER REQUESTED o
NOTTIHOAND DIVER FOR
r-�-rider) h/lAll • RETURN RECEIPT REQJ
Name of Property Owner: Jahn MacQueen & Susan L Scatt
Address of Property: L (Lot or Street #, Street or Road. City & County)
Agent's Name #: Scott Small of LSI Marine. LLC
Agent's phone #-. 252-261-1967t 252-473-7695
Mailing Address: 1112 W Kitty Hawk Road
Kitt`�t Hawk NC 27949
The individual
I hereby certify that I own property adjacent to the above referens shown on the ced property. drawing -the A„nd n+
applying `ur this permit has described t with dimensions must berovided with this letter.
they are proposing. A descri tion or dra
win
I have no objections to this proposal.
I haNe ob.jectiOns to this proposal.
you must notify the Division of Coastal Management
If you have objections to what is being proposed,
t?CM) in writing within 10 days of receipt of this
notice. an also be contacted a mailat (252) 264�
Griffin St., Ste 300, Elizabeth City, NC, 27909.representatives
3g01. No response is considered the same as no objection if you have been notified b CertifiedMail.
WAIVER SECTION
l understand that a pier. dock, mooring pilings, boat raamp rea breakwater,
an access unless nlessl waivedft, or by
must be set back a minimum distance of 15 y ro riate blank below.)
me. (If you wish o waive the setback, you mu___s5ipn — the app p
�— I do wish to waive the 15' setback requirement.
f I do not wish to waive the 15' setback requirement.
(Property Owner Information)
.Signature
_John MacQueen & Susan L Scott_,.,
Print or Type Name
170 Scarboro Creek Drive________
Wailing Address
_Manteo, NC 27954
City/State/Zip
714-348-3234 ! macqueen.john i yahoo.con,
Telephone Number/ Email Address
7-3-2019
Vate
`Valid for one calendar year after signature`
(AdjacerAt Proi
Ow r information)
...............
.Signutur�`,,�
jeffrG Pierce & Anmarie R Pierce
Print or Type Name
1317 Hermitage Road
Mailing Address
Colonial Heights.. VA 23834
City/-tatetZip f
- S/
Telephone Number/Email Address
Revised 2017

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: -4c (­,,,,,, „ --(-- lr4`�,�;-tt
Mailing Address'. ( 4C:� -- ", , I,., "', ., (— c, - - (-- �-,A- I ",
Phone Number: � I c� S, S- - 2- 3 k I
Email Address: c-- t
I certify that I have authorized L - Is -1- `I'I�,, T--1 I(, e
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: -1
at my property located at
ins County.
/ furthermore certify that / 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:
Signature
'S
Print or Type Name
Title
2-
Date
This certification is valid through
Revised Mar. 2016

LSI Marine Construction, LLC
1112 W Kitty Hawk Road
Kitty Hawk, NC 27949
252-261-1967 www,isimarine.com
iggtt,@Isimarine.com [e-mail]
NORTH
REMOVE EXISTING STORM
DAMAGED 2 PILE ELEVATOR
STYLE LIFT & INSTALL 4 NEW 10"
BUTT X 30'ROUND PILES & NEW
]21' -4- LOT FRONTAGE, 12'X 12'TIDETAMER 7K BOAT LIFT
27***
EXISTING 3'X 12'
BOARDING
PLATFORM (TO
REMAIN)
0 SCARBORO CREEK DR,
PROPERTY OF.
JAY W WHELESS &
ELIZABE-m m.,ATtEi.iSs
PO BOX 1419
MIANTEO, NC 27 '954
P'll
P"L
PROPOSED NEW BOAT LIFT & PILES
@ EXISTING PLATFORM FOR
JOHN MACQUEEN & SUSAN L SCOTT
0 170 SCARBORO CREEK DR,
MANTEO,NC
IRIPARIAN DRAWING 1 OF 1
7/3/2019 - SCALE 1 1' = 3011
0 SCARBORO CREEK DR
PROPERTY OF:
JEFFREY G PIERCE &
ANMARIE R PIERCE
1317 HERMITAGE RD
COLONIAL 11FIGHTS, VA 23834
SCARBORO CREEK DRIVE

This map is prepared
from data used for the
inventory of the real
!`J
property for tax
purposes. Primary
-• wre
.:
information sources such
as recorded deeds, plats,
wills, and other primary
• _"
r�trt
public records should be
r ot'•a
consulted for verification
of the information
IL
170 Scarboro Creek DR Owners: Macqueen, John - Primary Tax District: Manteo Out
Manteo NC, 27954 Owner Subdivision: Harris Prop-scarboro Creek
Parcel: 030561000 Scott, Susan L - Primary Owner Lot BLK-Sec: Lot: 7 Blk: Sec:
Pin: 978912866925 Building Value: $198,500 Property Use: Residential
Land Value: $113,800 Building Type: Traditional
Flo 5c0-'I0Cw Cre-�)' Misc Value: $4,900 Year Built: 1992
Total Value: $317,200
a't-t5--y

a
w ..fin
Ai,-
170 mu,
Scarboro Creek Dr
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r rm
i
m