73831A_Red Shed, LLC_20190830

CAMA / - DREDGE & FILL NO. 73831 �{ ` ✓
r. GENERAL PERMIT Previous permit # B e D
ew —'Modification ❑Complete Reissue CPartial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality f }
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ! N
'e _/ I 7 , , P � r p G P.Rules attached.
kApplicant Name d -S h Y a I l < < Mat+tie" Project Location: County —D 4 r 4-
Address i3 o Street Address/ State Road/ Lot #(s)
City State ZIP 1- "? Z- -5 % 3 � ^ /� � / � Z
Phone # (SL(.) i 3 2 - SS `1 Y E -Mai l -:t PG rerf4­rt'Subdivision - 95- d (�J =• + fi 1
Authorized Agent L- 5 a_ „ S r City _) U v S ZIP Z7 1 Z
Affected ❑ CW f�EW MA ❑ ES ❑ PTS Phone # River Basin Pam+
❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A (
AEC(s): Adj. Wtr. Body (nat an unkn)
Ej PWS:
ORW: yes / no PNA yes / no Closest Maj. Wtr. Body
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Signature Please read compliance statement on back of permit **
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Application Fee(s) Check #
V'-ZnMe C4 `✓e K
Permi Officer's Printed Name
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Sig tuanSig�^
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 I) 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:
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/ 1-888ARCOAST 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

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Mailing Address: VC) SSo X '7
W�AvQS C,
Phone Number: G,' _ 3 ZZ--
Email Address: C�`� P�S Off ed V✓`
I certify that I have authorized
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 vs
at my property located at � 3 /(/G I Z_
in<� unt .
I furthermore certif t at 1 a authorized to grant, and do in fact grant permission to
Division of Coastal nagem nt staff, the Local Permit Officer and their agents to enter
on the aforement d lands n connection with evaluating information related to this
permit applicatio .
Property Owner
Name
Title
-/ M
Date
This certification is valid through
Revised Mar. 2016

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner:
Red Shed, LLC
Address of Property: 25736 NC 12 Hwy, Waves / Dare County
(Lot or Street #, Street or Road, City & County)
Agent's Name #: Scott Small of LSI Marine LLC
Agent's phone #: [phone]
Mailing Address:
1112 W Kitty Hawk Rd,
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. Contact information for DCM offices is
available at http //www nccoastalmana-cement.net/web/cm/staff-listing or by calling 1-888-4RCOAST.
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, or lift must
be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If
you wish to waive the setback, you must initial the appropriate blank below.)
do wish to waive the 15' setback requirement.
(Property
Red Shed LLC
Print or Type Name
PO Box 472
Mailing Address
wish to waive the 15' setback requirement.
n)
iparian roperty Owner Information)
cgnature
Caitlyn E Gray / Caroline E Gray
Print or Type Name
108 Leon Drive
Mailing Address
Waves, NC 27982 Greenville, NC 27858
Cily/State/Zip City/State/Zip S� Ci�
oZ - (Wrrnuc k
Tele hone Num / Em tl Addr Telephone Number /Email Address
r k1-J� i�✓z-�S.c�'� gma,�
7771)
i
D t Date
ae
(Revised Aug. 2014)

av-91'A'A (),2 �14
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Carver, Yvonne
Good morning Yvonne!
Please find the riparian form for Gray for Red Shed LLC in Waves, NC per your request. Please advise of our next steps.
Thank you and have a great weekend,
?Monica ,C ?fit Smad
Email: monica(d-)Isimarine.com
Website: www.Isimarine.com
Linkedln: htti)://www.linkedin.com/pub/monica-smal1/9/604/823
LSI Marine Construction, LLC
Scott & Monica Small
1112 W Kitty Hawk Road
Kitty Hawk, NC 27949
Home office 252-261-1967
Scott Small cell 252-473-7695 / email [e-mail]
Monica Small cell 252-202-8266 / email [e-mail]

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: 9714'Nf� r QOI"�� j U" —
Address of Property: 0& I4I4 m-w" ( I koa
(Lot or Street #, Street or Road, City & County)
Agent's Name #: /vv � - /ZGt'�'1 di Mailing Address:
Agent's phone #: ��� t'—�� &/ Ale, ;LZ�U
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 desi;r606 or drawing v+rith dimensions'. must be pravided_;with this letter.
a/ I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is beingproposed, 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 http://www.nccoastaimanacement.net/web/cm/staff-listing or by calling 1-888-4RCOAST.
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, or lift must
be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If
you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Prope Owner Information)
Signa re tt4&?' 7-W1oV A114 I %0
Print or Type Name
I l /-310x 41-7-t
Mailing Address
City/State/Zip
Telephone Number/Email Address
�/k/I9
Date
(Riparian Propy caner Information)
SignQ6 e
r©E dL'!
4 KI UO-1
Print or Type Name
Po /.?,;,O N 4 /
Mailing Address
AAIICs AIC 0g19 Z-
City/State/Zip
Telephone Number/Email Address
M-,ip
Date
(Revised Aug. 2014)

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner:
Address of Property:
(Lot or Street
Street or Road, City & County)
Agent's Name #: /�� ii�A/1 f�l t ►n,Q
Agent's phone #:=
Mailing Address: 4V
/�a�
V1e! / / L-41n &A l
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 prdvided with brie ietter.
y 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. Contact information for DCM offices is
available at http.//www nccoastalmanaaement.net/web/cm/staff-listing or by calling 1-888-4RCOAST.
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, or lift must
be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If
you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Prop, Owner Information)
Sign ' ure N1rf T - A/U IU)
Print or Type Name
3p x 41- 2--
Mailing Address
A/C-
City/State2ip
q& (poll
Telephone Number/ Email Address
90ll�
Date
>n)
Mailing Address
Av life,
City/State ,p//�
TelephoneTeiephone Number/Email Address
Date
(Revised Aug. 2014)

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This map is prepared
from data used for the
inventory of the real
• �J property for tax
-�� purposes. Primary
information sources such
as recorded deeds, plats,
wills, and other primary
[� public records should be
consulted for verification
of the information
contained in this map.
25736 Nc 12 HWY
Owners: Red Shed, Llc - Primary
Waves NC, 27982
Owner
Parcel: 014318000
Pin: 064708994394
Building Value: $39,600
Land Value: $312,300
Misc Value: $2,800
Total Value: $354,700
Tax District: Waves
Subdivision: Subdivision - None
Lot BLK-Sec: Lot: Blk: Sec:
Property Use: Residential
Building Type: Bungalow Or Old Style
< k, Year Built: 1940
"6
—J J

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2019
2019-08-20
2019-08-20
2019-08-20
2019-08-20
08-20

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2019-04-201, 2019-08-20
Z. 6 _ M
2019-08-20
f / -
2019-08-20
2019-08-20
2019-08-20
2019-08-20

NC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: '( F V 5f/F � r �- Z
Date: 5 /3 0 / ! y
Permit #: -7 383 (
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)
5 Q n
Dredge ❑ Fill ❑ Both ❑ Other 0
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 ;. ww.nccaastalmanag_ement..net revised; 02103/10