73857A_Klein, Faith_20190828

000,
YCAMA / N.DREDGE & FILL j NO. 73857 B C D
GENERAL PERMIT Previous permit#
GA
ew ❑Modification El 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 f / J
jAZRules attached.
Applicant Name 4-1, K / 9- ' Project Location: County- 'D ( —
co Address / 2 /0no. c t �--" c Street Address/ State Road/ Lot #(s)
City 4 n rya n c M I e State VA ZIP :L.2 --, z,3 y (p o y S,
Phone # (9,:13) 9" 7- 3 3 a /E-Mail F k be 3 Q Vt (`, Za,1. riQ'+Subdivision O 1d N J Q o v S
Authorized Agent � M v ^ - `! s - ^ -:'> d City e ZIP 2
Affected ❑Cw ($EW P47A %ES 6"S Phone # ) River Basin /�a sy c^
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A I `
AEC(s): El PWS: Adj. Wtr. Body C c.k /1 C. If (nat / ! /unkn)
�
ORW: yes / no PNA yes / no Closest Maj. Wtr. Body?Q
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Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit **
Application Fee(s) Check #
Permit fficer's Printed Name
Signat
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/ 1-888-4RCOAST 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

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Q J �x
Mailing Address: % 6 U4 -13 /�4 /;7^,-h-, �a�r
111'49s Ale 2
Phone Number: v 3 CZ0 '"3 4�e /
Email Address:
I certify that I have authorized 3 D 11
Agent I Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: g v I k k a_
at my property located at y6 Oy /3I✓-e- 41a -/' ^ 1-i I'- y 7
in, - T)a re
County.
I furthermore certify that I 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 Ov ner Information:
G'�fi✓' '
Signature
r,/ 7/f /V
Print or Type Name
)/-j S -
T rile
Date
This certification is valid through I I
Revised Mar_ 2016

I hereby certify that I owns property adjacent to
prc
W-11
t�
The applicant has described to me, as shown below, the development proposed at the above
location.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin 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.
(Property Owner Information) \Vf` (Adjacent Property Owner Information)
E
C 1
Sig na1*W--�T I C .Z ✓1 41gn� / it 1�—
Print or©►L10.S
�Type Name - -�
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City/State/Zip -- ,� q.7 L J (((3�( n V,4
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Telephone Number
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Dare
(Revised &1&2012)

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UtH I IF-IED MAIL" RECEIPT
Domestic Mail Only
For delivery information. visit our —heHn
Edward & Karen Thomas
215 Royal Dublin Ct
Williamsburg, Va 23188
re: Faith Klein — 4604 S Blue Marlin Way, Nags Head
We have been requested by the above property owner to do the following work:
1) Construct a 54' bulkhead in front of existing bulkhead with 1-8' return on left side of property.
In order for us to obtain the Cama permit for this project, Cama requires each adjacent property owner to be
notified. If you would please sign the attached form and return it to us, as soon as you can, we would be grateful.
You may fax it to us at 252-261-1115 or scan and email or simply mail in the enclosed envelope. 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
object to the proposed work, please contact Cama (Coastal Area Management) at 252-264-3901
We thank you for your cooperation in this matter.
Sincerely,
Jackie Lewis
Emanuelson & Dad Inc

Emanuelson Dad, Inc
To: [e-mail]
Subject: Faith Klein - 4604 S. Blue Marlin Way
Attachments: CCE08212019_000OO.jpg
Mr. Thomas,
We have received your signed form back (see attached) after receiving our letter notifying you of the proposed work at
Ms. Klein's. You did not however, initial one of the boxes stating whether you had or had not any objections to the work
proposed.
Can you just email me and let me know if you do or do not have objections.
Thank you.
Jackie
Emanuelson & Dad Inc
P.O. Box 448
Nags Head, NC 27959
252-261-2212
252-261-1115 fax
[e-mail]
Y

■ Complete items 1, 2,4nd 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 mallpiece,
or on the front if space permits.
1. Article Ad ssed to:
IIIII III IIIII�I IIIIIIIIIII'llll
9590 9402 4341 8190 7592 27
2. Article Number (Transfer from service label)
7018 2290 0000 9428 9216
t PS Fnrm 3R11 _ .luly 9015 PSIJ �S�n n9-nnn-9n53
❑ Agent
D. Is delivery addt6ss diff6rent from Item 1? U Yet
If YES, enter delivery address below: ❑ No
3. Service Type
❑ Priority Mail Express®
❑ Adult Signature
0 Registered MalITI
❑ Adult Signature Restricted Delivery
❑ Registered Mail Restricti
P-MIfied Mall®
Delivery
❑ Certified Mail Restricted Delivery
❑ Returr Receipt for
❑ Collect on Delivery
Merchandise
❑ Collect on Delivery Restricted Delivery
0 Signature ConfirmationTl
^ '-sured Mail
0 Signature Confirmation
>ured Mail Restricted Delivery
Restricted Delivery
rer $500)
Domestic Return Receiot

9590 9402 4341 8190 7592 27
United States
Postal Service
First -Class Mail
Postage & Fees Paid
111111 USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4° in this box*
EMANUELSON & ,-iAU it -ye
P.O. BOX 448.
jl► NAGS HEAD, NC 27959

t* CAMA / N_DREDGE & FILL ! NO. 73857 P �
GENERAL PERMIT Previous permit# A B C D
ew 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
Rules attached.
Applicant Name Fca, 4, K c .. Project Location: County Z) a ( --
Address (o / 2 Pa c c L c* Street Address/ State Road/ Lot #(s) -:>4
Cityn r, a n cl a l e State VA ZIP 2 2�'z, 3 5/ & o y S, Mc, r V
Phone # (9 ­-3) a " I - 3 3 J /E-Mail F AJe , 3 Qy<<', 2an. eie +Subdivision O /c/ /N, �J HQ, � C oy, ' /S, , D
Authorized Agent
J� /P'� a ^ - ` I. ; - -1 ti- _-'�> G d
City
ZIP 2 -2 /S 7
ElCw
ij$EW f-PTA %ES 6PTS
Phone # - )
River Basin a s y v' r" I
Affected
❑ OEA
AEC(s):
❑ HHF ❑ IH ❑ UBA ❑ N/A
Adj. Wtr. Body C. ck n G (
(nat /�/unkn)
❑ PWS:
Closest Maj. Wtr. Body
ORW: yes /
PNA yes /'no
i
Type of Project/ Activity U ,A /a < y
(Scale: i- y
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A building permit may be required by: See note on back regarding River Basin rules.
( Note Local Planning jurisdiction)
Notes/ Special Conditions 6 i -,
--i -w ( / ,_ � a
Qv `14/ C.4�1 n h '�
c
7
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
Permit fficer's Printed Name
Signat
1 120/17 /2 /7 ��/,
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:
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

AGENT AUTHORIZATION FOR LAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: �ti �'� �` 1C � e (n
Mailina Address: U� 3 /t/e- /P1 1,-" �av
/V� 2
Phone Number:
Email Address:
I certify that I have authorized YO A bra?
Agent I Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: 19 v I k k e g j
at my property located at Z/6 Oy oll I-e r4la,-/; ^ W '�- y -- a
in T)a rt
County.
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 information related to this
permit application.
Property Ovrner Information:
Signature
r,4/7ce IV
Prinf or Type Name
) S
Title
2_ j /0 l
Date
This certification is valid through 1 1.
Revised Mar_ 2016

I hereby my that 1 own Property adjacent to
Property located at OL� '� , U M,,(Wrr0Pn Owner)
on ( � E (Address, Lot, �k, Road etg -
(Waterbo ') N.C.
( /Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
60N'S�"'i JSL�-' 6,1 V, ke,,,J w--+(- I - � lfe4urr\ .
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin 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.
(Property Owner Information) (Adjacent P
/ roperty Owner Inform n)
C 4
Sign _
Pnnt or Type Name j Pn or Tyke
Madrng Ad ss yt
Cily/5taACk
�� _ pD , 04ys wzp
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7�I � Telephone Number �j
Date
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(Revised 611& 12}
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POStal Service"'
P'CERTIFIED MAILER
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Extra Services &Fees (check box, ❑Retum Receipt add feej.. _ ��499
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Receipt (electro Pc) $ �—.,I r;i;"`' i! C
❑Certified Mail Restricred $ � i ,
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Edward & Karen
215 Royal Dublin Ct
Williamsburg, Va 23188
re: Faith Klein — 4604 S Blue Marlin Way, Nags Head
We have been requested by the above property owner to do the following work:
1) Construct a 54' bulkhead in front of existing bulkhead with 1-8' return on left side of property.
In order for us to obtain the Cama permit for this project, Cama requires each adjacent property owner to be
notified. If you would please sign the attached form and return it to us, as soon as you can, we would be grateful.
You may fax it to us at 252-261-1115 or scan and email or simply mail in the enclosed envelope. 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
object to the proposed work, please contact Cama (Coastal Area Management) at 252-264-3901
We thank you for your cooperation in this matter.
Sincerely,
Jackie Lewis
Emanuelson & Dad Inc

Emanuelson Dad, Inc
To: [e-mail]
Subject: Faith Klein - 4604 S. Blue Marlin Way
Attachments: CCE08212019_000OO.jpg
Mr. Thomas,
We have received your signed form back (see attached) after receiving our letter notifying you of the proposed work at
Ms. Klein's. You did not however, initial one of the boxes stating whether you had or had not any objections to the work
proposed.
Can you just email me and let me know if you do or do not have objections.
Thank you.
Jackie
Emanuelson & Dad Inc
P.O. Box 448
Nags Head, NC 27959
252-261-2212
252-261-1115 fax
[e-mail]

IN Complete items 1, 2, and 3. A.
■ 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, B
or on the front if space permits.
1. Article Ad ssed to:
I t3
S
e,t- `0
VC-1 217
II I �II II IIII I'I I III II i II II IIII IIII II �I I I
9590 9402 4341 8190 7592 27
2. Article Number (Transfer from service label)
7018 2290 0000 9428 9216
PS Form M11 .I,dv Pnit; PRN 75.4n-n9-nnn-nnri3
❑ Agent
❑ Addresse(
D. Is delivery addr6ss different from item 17 ❑ Yes
If YES, enter delivery address below: O No
3. Service Type
❑ Priority Mail Express®
❑ Adult Signature
❑ Registered Mail-
0 Adult Signature Restricted Delivery
❑ Registered Mail Restricts
;�.IMfied Mail@
Delivery
❑ Certified Mail Restricted Delivery
O Returr Receipt for
❑ Collect on Delivery
Merchandise
❑ Collect on Delivery Restricted Delivery
❑ Signature ConfrmationTl
'-cured Mail
El Signature Confirmation
3ured Mall Restricted Delivery
Restricted Delivery
ier $500)
Domestic Return Receipt

9590 9402 4341 8190 7592 27
United States
Postal Service
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4" in this box•
EMANUELSON & -IAU With;
P.O. BOX 448,
I. NAGS HEAD, NC 27959
:'1flijl;,ri4ii

U.S. Postal Service TM
CERTIFIED MAIL° RECEIPT
' Domestic Mail Only
For delivery information, visit our website at www.usps.com `•
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Edward & Peggy Jones
c/o Perry M. Beale
62 Cardinal Forest Drive
Fredericksburg, Va 22406
re: Faith Klein — 4604 S Blue Marlin Way, Nags Head
We have been requested by the above property owner to do the following work:
1) Construct a 54' bulkhead in front of existing bulkhead with 1-8' return on left side of property.
In order for us to obtain the Cama permit for this project, Cama requires each adjacent property owner to be
notified. If you would please sign the attached form and return it to us, as soon as you can, we would be grateful.
You may fax it to us at 252-261-1115 or scan and email or simply mail in the enclosed envelope. 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
object to the proposed work, please contact Cama (Coastal Area Management) at 252-264-3901
We thank you for your cooperation in this matter.
Sincerely,
Jackie Lewis
Emanuelson & Dad Inc

certified Mail

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This map is prepared
4604 S Blue Marlin WAY
Owners: Klein, Faith N Ttee -Primary
from data used for the
inventory of the real
Nags Head NC, 27959
Owner
✓J
p}operty for tax
Primary
Parcel: 006387000
rr�
pprposes.
information sources such
Pin:989116940910
Building Value: $108,700
as recorded deeds, plats,
Land Value: $185,700
y.
wills, and other primary
Misc Value:$13,800
yljlr
public records should be
Total Value: $308,200
consulted for verification
of the information
I
it
contained in this map.
s�� 6ggt
Tax District: Nags Head
Subdivision: Old Nags Head Cove Sec D
Lot BLK-Sec: Lot: 77&pt 76 Blk: Sec: D
Property Use: Residential
Building Type: Beach Box
Year Built: 1975
t

NC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant:
Date: V-1--r .?
Permit #: % 3g-r?
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)
�7rQ—
Dredge ❑ Fillig—.Both ❑ Other ❑
S
S y
Dredge ❑ Fillig- Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ®--
Z.
/ 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 ❑
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