78502A_Pirates Cove HOA_20200123

iC CAMA / ❑ DREDGE & FILL N'9 78502 B C D
GENERAL PERMIT Previous permit #
YNew ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality
00
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC H . 1,
n W Rules attached.
Applicant Name r 11 rg#eS Cove H 0 A
Address i SQ i 1 b o q'( d 6 st f_
City jmaNfeo State NC ZIP 2795y
Phone #( 252-) Ll J 3- W AO E-Mail
Authorized Agent 14 i 11Sio.e /4og6% N e
Affected ❑ Cw :'Ew XPTA KES WPTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ WA
❑ PWS:
ORW: yes / no PNA yes / I!a}
Project Location: County DCA ( e
Street Address/ State Road/ Lot #(s) JT E)q IIAS� qi 4 t ►7('
Subdivision Vi f ck s Cove 'Pt tP i, 1
City. / aN+eo ZIP 1 t5y
Phone # ( ) River Basin S t uoia v i(
Adj. Wtr. Body Roy .►o Ke Sour.►!A (mat:) /man /unkn)
Closest Maj. Wtr. Body AIbe.ma f I-e SOuN�A-
��/ •
Ii
�:.�: ■■■■■
■■■■ram■■��■■■��■■■■■■■■■■■
.�ri
::■■■■■
■■■■■■■■
..■lz�■■!
■
■■■■
■■
■■milli
■■
...
■■
,MNUMUMEMEM11
No
0•
_�
_M■.■■■■■■r
■■■■
■■■
M.
_•CAI
■■■■■■
MEN
- - ■■■■■IIrJ■!►.ilk■■■■■■■■■■�■■■r■■■■■�
■ ����!�
w ■�■�� M■■■i�■
'Piroks Cove }kbA 7
Agent or Applicant Printed N
Signature Please rea compliance statement on back of permit
11066.00
Application Fee(s) Check #
A,xA , Q16oa le S
Permit Officer's Prin ame
Sign re
�GI /Z3120ZP
Issuin 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/ 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

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date
Name of Property Owner applying for Permit:
� Cc�A"7S ASS,c
Mailing Address:
_SVLra#
I certify that l have authori7.ed (agent) /k7LL dT- A,02 X,F to act on my
behalf, for the purpose of applying for and obtaining aU CAMA Permits necessary to
install or construct (activity) ___ (-7&( v7JC-1 4- AJC<--� AkR
at (my property located at) (s� L,4t(n I'f D1,16-
This certification is valid thru (date) �- /- .26,2?
Property Owner Signature
Date

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PRQIll, ERTY OWNER NOTIFIr�TION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
I hereby certify that I own property adjacent to
N n6-(V1, 7 4 Soy ,s
(Name of Property Owner)
propertylocated at (� i�j2S��
�<Ji4
(Address, Lot, Block, Road, etc.)
on U3ir�gfiLt>r- S�`ix+vl
N.C.
(Waterbody) (CitylTown and/or County)
Agent's Name #:. /fit I 7o,,;,L,. �s L w� Mailing Address: t i
Agent's phone #: - o
t_Az .�67h' Ql?x1 Rer, 7r� :tf ?791"(
HeiShe has descnbed to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
----------------- _ ---- _ _------------ --------- --------- ------------ --------
IPTION
DEVEL
(Indivldual proposing development pDment DRAWING
fill n d&S PROPOSED ow or attach aNsite drawing)
n you nave objectrona to whatls befng proposed, you must reohfy [ise l�tv/sion of Coastal Management
fr1cM) in writing wtthfn 10 days of receipt of this notice, COnrat7 information for DCM oNices is
evadable at www.nccoastalmangementnettcontact_dcm.htm or by tailing 1-8884RCOAST. No
res nse is considered fhe same as no ob/ection�ou have been ed D Certified Mail,
(Praper�t rr Owner information} Ri
canor Info rmatton)
i y
Signnat -
fiiL.< �«; t QC o fll/1JY/J 47i«rr((�
Fir n or Type Name Pent or TypB blame
l
z(l
Mailing Address
/'tilt., 71 1�0, C ,
CitylStail
17�.. ,7 .
Telophone Number
Date
y* AckJOR,)>£.
Mailing Address

DIVISION OF COASTAL MANAGEMENT
A A C Tirtki
CERTIFIED MAIL . RETURN RECEIPT REQUESTED
I hereby certify that I own property adjacent to _AA"'My ( A..CSG-`e
(Name of Property Owner)
Property located at (Sl+t'Cn $T �
(Addrese, Lot, Block, Road, etc.)
on-A3R6pQla. Sam in Arn•�T�.._.,
(Waterbody) N.C.
(CttyfTown and/or County)
Agents Name #: ,t rk{, MailingAddress:1k,�
Agenrs phone # -.�i • 7 _!L _ rbn TisJ L
He/She has des 79�y
gibed to --shown shown below the development helshe propoSing at that location,
and I have no object)ons to ft proposal.
DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT
Ondhdalua/ proposing development must fill In deapfption below or attach a aft drawing)
K you have ob/ecHons to whet fa
Moog PrOP0264 you mast no
(DCAf) In wrftlnp wNhln !D deya of Hfylhat'fvlalona}GopditJ/n
MOW of this notice. Contact
—Habig at www.nc of "Mddon for DCAI alftes is
dcm.hrm or calling 1.8f84RCOAST. No
�1�onw is coni/dered
no ob
dAMX
Pr erty Owner Information)
:Z��=wner
`.J
rgna -�JiQ
r
Signature -'�—
iL iJ t S Q c n r
•+i or Type Nervem
lAb,-� 5 >lr1Tt<�
Pnnt or Typo Name
—StlzcFcrN n2rJeL
McBing Address
Pa67 94ft/V {irckFafrp >( SrzrR
Mal!(ng Addreoct
ctyrsr 79
+Annex IJ,- fn7t3G
Crry�srare�z�P
7elaphone Number
Tolephone Num .,r
Dare

0T'
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
I hereby certify that I own property adjacent to _ j"( A01A- y"j.? 446C 5
(Name of Property Owner)
property located at (� �un S� �,� I,L
(Address, Lot, Block, Road, etc.)
on AAj storlta. in fn,ti TR
N.C.
(Waterbody) (CitylTown and/or County)
Agent's Name#: _ Atr�,,s;-C; L Mailing Address: ji`nv i0A/4rr--M i J•��S
Agent's phone #: Z T2 h?tom r /19;� Tito ( ' 79ry
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
(Individual proposing development must fill in description below or attach a site drawing)
�_ GAL T(l.✓ , m
If you have objections to what is being
ol must n� U 0 [X Divisionthe k• f Coastal
(DCM) in writing within fo days of receipt of this notice,Contact Information for DCM offices is
available at www.nccoastalmangement.net/contact_dcm.htm or by calling 1-8884RCOAST. No
res onse is considered the same as no otlnotiedbyCert/ed Mail. _
(Props htfortnation (Riparian Pro aIV Owner Information)
_ c c
SIgna ure Signature
�L �ii�nn,c Ocs:.u-4S liC cn r i'ilrk ,��86ir�y/ or Type Name Pnnl or Type Name
_C/l i 1=11;L Al.-- 6)SC i /t(ZRit ftw A2rJtt
Mailing Address Mailing Address
45.;- J4-73-Ls4)y
Telephone Number
Date
Telephone Numbor
i J0• �p2Z>
Date

F-C

.r
_
a ,
4
A �
'4
r r.p ✓ .,.
i
Re
AA
r � ^
� M e
AV
k
ti
r
r
mn rruo n m.wr.e
Iro. a ...a rm th.
�Y O/ n�nmmy.Iwrw
D+pmn gnn.ry
..' JL ' .eanMn.nnrc.. wh
Nme.a 6n1a pbLL
xk. ne NMr pnmNy
rr pr k retard. thnnli h.
'r/ r m.IMJ I�r vNilrtNnn
d rti Planar m
tpnGmert in rtr. mp

w ,
r �y ha.
This map is prepared
from data used for the 0 Ballast Point DR Owners: P.c. Homeowner's Tax District: Manteo In
inventory of the real Manteo NC, 27954 Association, Inc D/b/a -Primary Owner Subdivision: Pirate's Cove Ballast Pt Ph 1
• ��� property for tax Parcel: 025694410 Pirates Cove Homeowner's Assoc., Inc Lot BLK-Sec: Lot: Common Area Blk: Sec:
rpurposes. Primary
information sources such Pin: 989018314938 -Primary Owner Property Use: Vacant Land (Prop Owners
as recorded deeds, plats, Building Value: $0 Association)
Wills, and other primary Land Value: $100 Building Type:
public records should be
cMisc Value: $0 Year Built:
consulted for verification
of the information Total Value: $100

wfp 3R
�,
��
�;�.
�, �.
�� �
.
.:�:�
��..
,.
i
�.
y
�`
a.
��
•�.
M1
4�
1
�(�
,� 1
I1
�.I
� A:
i*1. ,: �,
I