73869A_Johnson, Dean_20190911

❑CAMA / ❑ DREDGE & FILL NO. 73869 14- A B c
GENERAL PERMIT Previous permit# C:
❑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
L� Rules attached.
Applicant Name
Address , ULi ,���(�
City c1 State t% . ZIP
Phone # E-Mail
Authorized Agent ; i'( ,N t Jz n I,nr
Affected ❑ CW IEW 9 PTA ® ES ® PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A
❑ PWS:
ORW: yes / no PNA yes / no
Project Location: County_. '--E_
Street Address/ State Road/ Lot #(s)
Subdivision jr`,� f S{'-crf
City IJEu�� ����5 ZIP rt(8
Phone # ( ) River Basin
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Closest Maj. Wtr. Body �i 6.'li^G S:-. �/
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Agent or Applicant Printed Name
f
Signature * Please read compliance statement on back of permit
Application Fee(s) Check #
h IZ�
Permit Oft' er's 'nted N e
J
Signature
Issuing Date Expiration Date

Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become
null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The
applicant certifies by signing this permit that 1) prior to undertaking any activities authorized by this permit, the applicant will
confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian
landowner(s) .
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
,77 Tar - Pamlico River Basin Buffer Rules ❑ Other:
❑ Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the
River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of
Water Resources. Contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the
Wilmington Regional Office (910-796-7215) for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave 943 Washington Square Mall
Morehead City, NC 28557 Washington, NC 27889
252-808-2808/ I-888-4RCOAST 252-946-6481
Fax: [phone] Fax: [phone]
(Serves: Carteret, Craven, Onslow -
North of New River Inlet- and Pamlico
Counties)
Elizabeth City District
401 S. Griffin St.
Ste. 300
Elizabeth City, NC 27909
252-264-3901
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover,
Onslow - South of New River Inlet -
and Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/ 17

NC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: l C�. n ,O� PS u q Permit #: 13 �t
Date: 'I / I i 11
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 Both 6Cj Other ❑
7 ��' StiT
a��
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.necoastaimanaaement.net revised.02/03/10

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Dame of Property Owner Requesting Permit:�✓� v
Mailing Address: I n ti- W ca (l P r, S
Phone Number:
Email Address:
I certify that i have authorized
1-0LE _ 42(=, - 0+i.
L 36
) L tA C-
Agent! Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: � � Ty Lie
a4 Od ao � �� SoM
at my property located at
in ba(e,,--County.
3i3b ,t
1 furthermore certify that l 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 infonnation related to this
permit application.
Property Owner Information:
Signaru
J�)OH J,54PJ J29xNs20A,1
Print or Type Name
iWe
Date
This certification is valid through 1 f
Revised Mar_ 2016
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Emanuelson & Dad, Inc.
PO Box 448
6705 S. Croatan Hwy
Nags Head, NC 27959
Phone: [phone]
Fax: [phone]
email: emanuelson(dDembargmail.com
08/08/2019
Town of Kill Devil Hills,
PO Box 1719
Kill Devil Hills, NC 27948
q
c
n
re: Joseph Dean Johnson Trust, 3136 Bay Drive, Kill Devil Hills, NC 27948
We have been requested by the above property owner to do the following work:
1) Add an additional 20' return on south end to stop further erosion.
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 to us as soon as you can. You may fax it to us at
252-261-1115 or scan and email or simply mail. We are also attaching a sketch of the proposed area. If you have
any questions please do not hesitate to contact us. If you do have any objections to this proposed work, you can
contact Cama (Coastal Area Management) at 252-264-3901.
We thank you for your cooperation in this matter.
Sincerely,
Jackie Lewis
Emanuelson & Dad Inc
■ Complete items- 1 r 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 Addres ed t
1 o ,11 _A I��S
II I IIIIII I'll 1111111 I II ll IIII I III' I I I III 111
9590 9402 4341 8190 7592 10
2. Article Number (Transfer from service label)
7018 2290 0000 9428 9292
PS Form 3811, July 2015 PSN 7530-02-000-9053
A. Signature ❑ Agent
X Cl Addressee
B. Rec ' ed by (Printed Name) C. Date of Delivery
J rJticQ, c�-cc t&L
— ❑ Yes
D. Is delivery address different from item 1 .
If YES, enter delivery address below: ❑ No
3. Service Type
❑ Priority Mail Express+
❑ Registered MailT"
0 Adult Signature
❑ Adu ignature Restricted Delivery
❑ Registered Mail Restrict&
ertifled Mails
Delivery
❑ Return Receipt for
❑ Certified Mail Restricted Delivery
Merchandise
❑ Collect on Delivery
Restricted Delivery
❑Signature ContirmatlonT"
Collect on Delivery
Signature Confirmation
— J Mail
Restricted Delivery
J Mail Restricted Delivery
Domestic Return Receipt

iollowi l f jpa s i,cace
i

CERTIFIED MATL
DiVt RETURN "MM
,CEtPr R�QU
ADJACENT RtPgRtAN pJOjlQ�p F CpgSTgLANq ESTFp
Name of propert RTy pWNFR N GEMEN�. �-- -.
PerIY Owner..
C'3�:
� pS l� f1CAitpN A1VERFpAddressof Property J O RAI
(Lot or stre i
Agent`s I t , Stree
Name #: c t or Road. City
,cl, , �(� r C �K� in ty)
gent s Phone #: ZS I�laitin
Z -Z6 � Z Z jZ g Address: . J
© t%
GEC j.
I herebyC f`
certify fhat i �� S
applying own pro .
g for this permit has c - adjacent to the
they are Proposing, described to ab0'Je referent
c✓ 9• A descriotion or drawrne as shown t q
n with di on he aftache PrOPerty, The indi have mensions must be rawirg the vidtrat
no objections to ?►ovrded deveioprnent
his P�'oposat with this letter.
If you have objection I have
(DCM in s to what is °bject�IIS
writing within 1 p oa berr?9 pra to this 17 South, Elizabeth Cif ys ofrecei posed, you must pFoPosai.
Y, NC, 2790g. pt of this notice notify f/�e Divrsi
res onse is considered the ©CMre Comes on of Coastal
same presentatives can Pondences�ouldbe Mana9'ement
as no ob ection if also be con mailed to 1367 US
ou have bcted at
I under a been nolifiedb (252) 264-39p7 Ma
understand that a WAl1/ER S Cedifed Mail.
min' Pier d
rmum distance of I I from moorin FCTION
waive the g Pilings breakwater,
e setback, 1rou must r y area of riparian boathouse i
the a access unless waived, mf usi be set back a
PPropriate blank below, I (If ou I d°'wish to Waive Y wish to
give the 15'setback requirement.
do not wish to waive the 1 5' Setback re
require t.
tPooperty Owner Information)
(RI arian Pra
pew Qwne' Information)
�7rurn.
Print or Tvpe Name
Maili,�ggdarEss ��
City/Stafe/Zip
Telephone Number I
D¢te
Ion, S'0— Coln te �p
X,
n
❑ Ad 9
? Yey
saw .
riortty, M Ecprese®
legistered Mall�
le egistg Mall Restricted
Retuum Receipt for
Merchandise
Signature ConfirmoonTm
Signature Confl rr'oWn
Restricted Delivery
7018 229U uw--
PS Form 3811, July 2015 PSN 7530-02-OW-e0n
mastic Return Receipt

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This map is prepared
from data used for the
inventory of the real
/J
'` !r
property for tax
purposes. Primary
information sources such
as recorded deeds, plats,
wills, and other primary
rf _
public records should be
'�/ r� t +,1•s+��'
consulted for verification
of the information
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3136 Bay DR Owners: The Joseph Dean Johnson
Kill Devil Hills NC, 27948 Revocable Trust - Primary Owner
Parcel: 001067000
Pin: 987516822655 Building Value: $147,900
Land Value: $244,600
Eby WeLIK 5 Misc Value: $0
VA Total Value: $392,500
Zsbyi
Tax District: Kill Devil Hills
Subdivision: Moor Shores
Lot BLK-Sec: Lot: 131 Blk: Sec
Property Use: Residential
Building Type: Salt Box
Year Built: 1997
,i,I

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