75608A_Gruenberg, Hans_20191002

i-'CAMA / _ "DREDGE & FILL
- GENERAL PERMIT
+ New ❑Modification ❑Complete Reissue ❑Partial Reissue
No. 75608
1
�B C D
Previous permit #
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
[LAules attached.
Applicant Name
Address j? 11 Grni !c? wu j ✓A) Ajib- 3C
City NGV State ZIP 54 C
Phone # (YL3) !-(? ( 71'i 1 E-Mail
Authorized Agent A> /Aof i'A0-
Affected ❑ CW ❑ EW dPTA ❑ ES V PTS
,oAEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ WA
❑ PWS:
6RW: yes / no ; PNA yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
L L-' 4 )
Subdivision t,ik u, C1 "'tc' s r�ll /�
ZIP
Phone # (— ) River Basin 41
Adj. Wtr. Body ! .. , f" v t- ,'4� ' '(nat k( ah /unkn)
Closest Maj. Wtr. Body (6­ 4 4, C /[ SL-t-- ' J
Type of Project/ Activity "i
(Scale:
Pier (dock) length \
Fixed Platform(s)
Floating Platforms)
Finger pier(s)
Groin length
number`
B khead/ 'prap length
avg distance offshore__
max distance offshore_'
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length y I (` C;
SAV: not sure yes
Moratorium: yes no
Photos: yes no
Waiver Attached: es (not
A building permit maybe required by: �h �„ Inc t S 1U2 / ( i cA
( Note Local Planning jurisdiction) /
Notes/ Special Conditions
Agent or Applicant Printed Name
Signatu4 Please read compliance stitement on back of permit
UC. . (_'k­� -�3
plication Fee(s) eck #
❑ See note on back regarding River Basin rules.
Zo),e f � Cc, ke-4�-
Pe it Officer's Printed Name
Signature
j(,)_2_1� a -- - mac,
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 Orher:
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

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date 91 so I I 1
Name of Property Owner Applying for Permit:
n�-1
Mailing Address:
TL
I certify that I have authorized (agent) WE m a r1 n t- to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessaryto
-
install or construct (activity) � C C 4= hu K-L�I 1 eoA o 1 1 � 4 li'C�-�" I'1
at (my property located at) ; ,L Fvj ryyoi-A T, -)Y Y. �:) JhOhT----,
This certification is valid thru (date)
August 20, 2019
Property Owner Signature
Date

USPS TRACKING #
First -Class Mail
Posta
USPS e & Fees Paid
Permit No. G-10
9590 9402 4940 9063 8640 74
United States • Sender: Please print your name, address, and ZIP+4� in this box -
Postal Service
Northeastern Marina Construction Co.
P•O.Box 42
K;tty Hawk, N. C• 27949
261-36,92

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERED
I hereby certify that I own property adjacent to 14an5 's
property located at
Lt � 1�
e of Property Owner)
(Project Site: Address,, Lot, Block, Road, etc.)
on U OCO in Do- = N.C.
(Waterbody) (CitylTown and/or County)
�
Agent's Name #: Mailing Address:
Agent's phone * ID 1- 3(6WAl�'r `I
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individuatpmposing development must filt in d - Yat s]i '
Lch
I 0 -�-v M�Y- n
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.
(Property Owner Information)
Signature
Print or Type Name
1q�`1 C--� �_1�,shove,93v8 N-
Mailing Address NT
K&Oes -FL- 3t 4 to
CitylS&IeMp
Hl0-LA—t1,-rlolt
Telephone Number/Email Address
6 ►
Date
*Valid for one oalend�ir year after siggnature*
(Adjacent
Print or Type Name
Owner Information)
J';�L
Mailing Address
City/State2ip
Te�?� / l 3 �l-
Number/ Email Address
/ �
Revised Jan. 2017
v C.r

104.80
4.80
Y�
This map is prepared
from data used for the
inventory of the real
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
56 Fairway DR
Southern Shores NC, 27949
Parcel: 022349000
Pin: 986706381363
50,F-
1.010
10,
0, �A
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� pop
C �� � je\-eymine
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Owners: Gruenberg, Hans S - Primary Tax District: Southern Shores
Owner Subdivision: So/sh Community Blk 118
Lot BLK-Sec: Lot: 9 Blk: 118 Sec:
Building Value: $0 Property Use: Vacant Land (Private)
Land Value: $157,200 Building Tyke:
Misc Value: $0 Year Built:
Total Value: $157,200
%,0
D YC)c r

104.80
This map is prepared
from data used for the
inventory of the real
property for tar
purposes. Primary
information sources such
as recorded deeds, plats,
wills, and other primary
public records should be
consulted for verification
of the information
AJR L-
C
�b
56 Fairway DR
Southern Shores NC, 27949
Parcel: 022349000
Pm:986706381363
�t-
a "ll.op
100 lei 11 C 6fV-M,(--)t
I
k
Q�rrU-enV--)� V-�I
Owners: Gruenberg, Hans S - Primary Tax District: Southern Shores
Owner Subdivision: So/sh Con•munity Blk 118
Lot BLK-Sec: Lot: 9 Wk: 118 Sec:
Building Value: $0 Property Use: Vacant Land (Private)
Land Value: $157,200 Building Type:
Misc Value: $0 Year Built.
Total Value: $157,200
,,,

NC Division of Coastal Mgt. Habitat impact Computer Sheet
Applicant: tK%,nS G-IL"'6WS Permit #:
Date: i 0/1/ 1 °
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 & Other ❑
ac)
j�yjc e i C+
Dredge ❑ Fill ❑ Both Other ❑
GG
V
Dredge ❑ Fill ❑ Both L�/ Other ❑
t-�
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 -- 9.383-4RCOAST .. .vvrw. ctrsas:a7 z�^z� err i_^ .i revised.- D-01-:C

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•
E,, ."- 'tip �� � •
This map is prepared :.
from data used for the 56 Fairway DR Owners: Gruenberg, Hans S -Primary Tax District: Southern Shores
�' l} inventory of the real Southern Shores NC, 27949 Owner Subdivision: So/sh Community Blk 118.
/J property for tax { .
Parcel: 022349000 Lot BLK-Sec: Lot: 9 Blk: 118 Sec:
.•xn 'Y purposes. Primary
information sources such Pin: 986706381363 Building Value: $0 Property Use: Vacant Land (Private)
as recorded deeds, plats, Land Value: $157,200 Building Type:
wills, and other primary Misc Value: $0 Year Built:
(� public records should be ?
xkl fJ Total Value: $157,200
\%k' consulted for verification `
of the information '•