75337A_Miyamoto, Lance & Donna_20200128

'CAMA / _ DREDGE & FILL NO. 75537 - B CC D
GENERAL PERMIT Previous permit#
2New Modification El Complete Reissue El Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality ( n
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 1 • I I l �.J
C Rules attached.
Applicant Name L ,Ce,- + INS,4�,ZIL.
Address A Birk j�:ciGe C +
City 1. )h' 1e it r^-.-- State_ ZIP CSS`)
Phone # ( ) '1Dl CC;2 E-Mail
Authorized Agent-) 5Mn I i C r ,�fleji+s z­ ZLC
Affected Cw 54w [ 'PTA PrI€S PUTS
AEC(s): El OF..A ❑ HHF ❑ IH ❑ URA ❑ WA
❑ PWS:
ORW: yes /, no \ PNA yes /( no '
Project Location: County
Street Address/ State Road/ Lot #(s) le/,:� Lc.,,e_
Subdivision i t,
City I -C )IC e ZIP a-7i�fcJ
Phone # O River Basin I'
Adj. Wtr. Body CLd i i 44-C k- � ^ J ( (na0man /unkn)
Closest Maj. Wtr. Body- In i i , +4f'
Type of Project/ Activity , F c, I k ✓ PG cl 2 ' •Ja � e) wcj,-i f 14 P). r�- I fa"C'A
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Groin length
._� umber
Bulkhead/,Rfprap length )(SS
a g distance offshore
max distance offshore 2
Basin, channel
cubic yards_
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length t I C S
SAV: not sure yes no
Moratorium: n/a es no
Photos:
Waiver Attached: yes C not
A building permit may be required by:
( Note Local Planning jurisdiction)
Notes/ Special Conditions
/ -
Agent or Applicant Print ddoName��
X � 2C . 4?
Si natur ** Please read cc mppll'iance statement on back of permit"
_��• li(J � � 7 �-
Application Fee(s) Check #
(Scale:
i
❑ See note on back regarding River Basin rules.
ZOLIC(t Ccl
Permit Officer's Pri9ted Name _
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 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 (9 10-796-72 15) 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/ 1-888-41RCOAST 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

Authorized Agent Cr ent Agreement
!, 4407-6 , Derby authorize Tobin Jay Tetterton of
(Property owners))
i J's Marine Contraction, LLC to act on my behalf in obtaining CAMA permits for
the location listed below.
PROPERTY ADDRESS:
/I / /av�
Tvek Ive z7-9��
PROPERTY OWNER'S MAILING ADDRESS:
64
Phone No.
PROPERTY OWNER'S SIGNATURE:
AUTHORIZED AGENT SIGNATURE:
DATE: 20Cp
W/Author'ized Agent Consent Agree.

AD
I heraby cerfrfy that 1 own
prOPerty adjacent to 4AA
POP" located at l i �,�,►�(NOM 0 of Pr®pgnyW)— s
On Add9g Lot, ®8Y Rgad, etc.)
- the aARfI rR has described to me, as shown below, the deVelt�prrtert proposed at the above
locafi'orr�
- --- �. I have rio. objection to this. proposal..
pF6p�y
oteck one -----,--_ 1 have Objections to this Aroposffi.
AM
DCZCF�JP
Onif Vidaa �A� gM Duel ® i�t� oppROPOSE6 DE"
� �®PMEN F
Mst fill f c'Pescrip on belOw OF aftch a alga draw ng)
0, 11)y / a)all
.idjac�st;
z r
1 understand that a pier, doc{c, moorinW R SECTION
most be set back a minimum distance of ����ramomy area afriparian taccess unless t oP
me, if o9t'oin
( ya wish to waive the setback, you st In't a1 the a ro rrate blank below.) waived by
PA P
----------____ 1 do wish to walva fine IV setback requirement.
,-
1 �® "OR VOsh tO waive the '155, seingf, f I'P ii[t7pBrnnaaF
Date
OF Ustrmatia ns
Sri, �-�-
l emall addles
':Valid fnr one calendar year attar signahW (Revised Aug. 2014)

ins by c*rffy that g oNVII r0 e ' adjacent to 4
ftmc- of
pr0oarty located Car, 44.z
Blo i5 Road, etc.) -
iR Li C
�o � ��� (CEWTOwn and/or Counv) Iva0,
- The appilcant has described =o rye, as shown below, the development proposed of the ab
location
Dave -no -objection to this proposal..
Property
at k I have Objectons to this proposal.
developmentMUSSr7F1In descripflen below or afch a sake �a
t understand that a pier, dock, mooring pilings, � BE ON
g s, boas ramp, breakwater, boathouse, lift, or groin
must be set back a minimum distance of 15, from m;may area of riparian access unless waived by
e. (if you wish to waive the sebbacl� You
r.4�.r .a�sE ii�i€iiai the appropriate blank below.)
«-
1 do Irish to waive the 5' setback requirement.
1 �i® Rat mlish to waive the '15' Setbaelt requirement
CPfopsyty Owner Q raation)
(Adjacent Props
Signature - �` _-
Pffrit or
i „-
RlK ef-
tea; ©63�
ion Nt�rtnpperlemell eddrass
-tlalid for one calendar year afmr signatu ep
-
�, (l ZV20
Telephone s entail addres
{Plevisad AW 2014)

4 1 1

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
111 Settlers LN
Duck NC, 27949
Parcel: 028800000
Pin: 985920819616
4,34
�,It
lIl1.S 'fir:
r. ` /�. � /.mot• F-' _ � �� _
Owners: Miyamoto, Lance -Primary
Owner
Miyamoto, Donna A -Primary Owner
Building Value: $854,500
Land Value: $477,200
Misc Value: $54,500
Total Value: $1,386,200
dL II
5
y r 4 A*
Peer
Tax District: Duck
Subdivision: Founders Ridge
Lot BLK-Sec: Lot: 2b Blk: Sec:
Property Use: Residential
Building Type: Beach Contemporary
Year Built: 2002

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