75537A_Miyamoto, Lance & Donna_20200128

'CAMA / DREDGE & FILL
' GENERAL PERMIT
2New JModification ❑Complete Reissue ❑Partial Reissue
No. 75537 e(L Lr
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
E7Rules attached.
Applicant Name L ,CC + I�nr`c_ MProject Location: County F�'- rc--
Addressijic� l� c1cP C -i' Street Address/ State Road/ Lot #(s) I I j 5cft lei g L
City 1. � 4elr �.s� c`�� StateA5 ZIP )-- 4 -� U
Phone # (` ) -1✓ S - QC-3 3 E-Mail
Authorized Agent '� .5 ME 1 i.,e— Cr—SJie-(! rs c„ LLC
Affected El CW [AW PVTA RtS LVTS
AEC(s): Ll OEA ❑ HHF ❑ IH ❑ UBA ❑ WA
❑ PWS:
ORW: yes / \n� PNA yes /; no
Subdivision
City I h_C 1 ZIP •; 7lgci
Phone # ( ) River Basin I �i
Adj. Wtr. Body �Zi i 46e k- � � �l ((na /man /unkn)
Closest Maj. Wtr. Body- L,l i �J 4r k S A
Type of Project/ Activity l ,. cI (-k- ( ka"C- !
(Scale: 3c) )
Pier (dock) length
Fixed Platforms)
Floating Platform(s)
Finger pier(s)
Groin length
,,umber
Bulkhead,/ Jk�prap length )CS
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 O
Moratorium: n/a no
Photos: ` yes
Waiver Attached: yes no
A building permit may be required by:
( Note Local Planning jurisdiction)
Notes/ Special Conditions
—J(y.,,^ 4 Fk(' Y ❑ See note on back regarding River Basin rules.
Jr� NN L
Agent or Applicant Pr ntecr lame
x deti 5 � 1�
Si nattuuref "Please read compliance statement on back of permit" C
Application Fee(s) Check #
Permit Officer's Pri ted 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 (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

Authorized Agent Cr ,ent Agreement
L 4AVAF l yA4f®TZ _ , herby authorize Tobin Jay Tetterton of
Ir (Property owner(s) )
1 Ts Marine Construction, LLG to act on my behalf in obtaining CAMA permits for
'the location listed below.
PROPERTY ADDRESS:
"l
'Dve-js-. ,
PROPERTY OWNER'S MAILING ADDRESS:
, f, " 111410" e ,QiW� . `&.
Phone No._��s--5D-3`Q& 33
PROPERTY OWNER'S SIGNATURE:
AUTHORIZED AGENT SIGNATURE:
DATE: 2100
W/Authorized Agent Consent Agree.

t.6��
1 hereby cerffy that i own grope* adjacent to EN _
=periy located a, (Name of property -Omer) s
on Addreas eat, ®lo! - Read, etc.)
kval enbooyj in
arre�/gp���a��) N.C.
- lcc aAF�I.,arri has described io me, as shown below, the developmerri proposed of
tocah�or�. the above
`� r----.✓ t have-no-objecfiion to this proposal,
Peapy
I have ObjacUons to this propa8al.
�r�per c� �rrel � `nust �t fill I,"�l� PROPOS EID D
L®PNiIiB�'F
escripfPon below Qr of Ch a site draIA07y)
=,I l ' '�f/)67`2 o, 1,I) y / 1,da0/
per , !understand that a pier, doc{c, moorinWAIM
g pilings, boat ramp, breakwater, boathouse, iifi oP
�•�• must be Set back a minimrsm distance of IS. from my area of riparian access unless waived
me, if y � groin
rtt (You wish to waive the setback You Est ia�itie9 the
appropreie blank below.) b�
vRL
-----------__ t do wish to waive the 15, setback requirement
--=_ ! �® 6�� wish to waive the '15` seibaclt re uiremen�. G �
/ nit Pa® saes � rraaetle��a
Pfintor
©V/93
Telapho n Num er/emell eddrass
;;
Date
Nalid for one calendar year aver signature'
'O'43
(PeVised Aug. 2014)

r
N'N«"�4tY'L(O- Mal g4T$ M ZARIIM O
i lie btu 6 (MM property adjacent to 4 oVe,,o 8M
's
PrOU�c,F iowted at /// - Pr®Pam-mar)
art
fflaterbnc,-p
Mile applicant has descrit)ed to
location
(garess, lea#3 BH� i !Read, �t;oj
— in 1�Z � - , N.C4
(OWT®Wn acid/a? County)
Pitt', as shown below, the deve1013m8rit proposed at the above
AQEMM ._,�/ i- have-rIO-Object"On to this proposal,
Na;lerty
Gas i i avOl Objectons io this proposed.
development MUS 711 in dwcrip on F-3&Inw OF a ch a e§te dnzw Y,7g)
V1
AMMER SECTION
PMPWW l understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, OF rein
_ ..� must be set back a minimum distance of 16irom my area of riparian access unless waned b1f
1. Gd:3 me_ (if you wish to waive the setback you �5iti iia�i$aaH the appropftte blank below.)
1 do wish to waive The 15, setback requirernant
1 C90 Rot M ish to Waive the I5` setback requirement
ant
Qnformate®np Pape
Sign
)/ -
or
U
�V-v 01*411
lemail add
-Valid for ores calander year afiter signeive-
� ��YiYYYN G
6
Print or T A�re
/6 M(P RW &525k Air-Y'Wyr
dd
VA
Telephone a email addrsas
jJ' ate--
fRev!WdAug. 2014)

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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
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1 'ip'V"figg `iI' fjg
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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
u> S Les HI�Y
Tax District: Duck
Subdivision: Founders Ridge
Lot BLK-Sec: Lot: 2b Blk: Sec:
Property Use: Residential
Building Type: Beach Contemporary
Year Built: 2002
7�- 134

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