75544A_Old Nags Head Cove POA_20200218

CAMA / f ' DREDGE & FILL NO, 75544 B
C D
�JPENERAL PERMIT Previous permit # A
ew 'CiModification El Complete Reissue D 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 �� N / J `771
qRules attached.
Applicant Name Project Location: County V 0.
Address Street Address/ State Road/ Lot #(s) a
City 61 Q4d StateZIP 27 Kc� 11d,C + 4o `%/ W. MCyc
Phone # ( S E-Mail 6�"`� 3 I o �.,{ 4a,.. Subdivision d /d A) o S S /->/Q J C - v>
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Authorized Agent v j d k f S City N'- i S Q ZIP 225-5
Affected CW A ;E E" �TS Phone # ( —�---- River Basin Pd 3 `U���--• K
AEC(s): Ll OFA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body C G n a i (at /fn�)
❑ PWS an unkn
ORW: yes / ' no PNA yes / no�
Closest Maj. Wtr. Body
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Agent or It.scant PantedKa-me
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Signature ** lease read compliance statement on back of permit
Application Fee(s) Check#
/vim /I/.m CgrVcl
Permit Officer's Printed Name
<" L'
Sig re/ 17
/5� ��/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 CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: 0 � C� � GCS Oe' x
Mailing Address:
Phone Number:
Email Address:
I certify that I have authorized
n
CjYQ h4 4 —2 Z22 -- /,\-I _ -3
'O I)"/to (' U
nt / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development
It I, ')l Y-1 JL-x:I i
at my property located at
in !_) Gar (f—., 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.
erty Owne Information:
Signature S't�a�JZ
Print or Type Name
or jjnA
Title
02-1 10 1 pia.
Date
This certification is valid through / /
Revised Mar. 2016

DIVISION OF COASTAL MANAGEMENT
iCIV 1 n1rMn1I%11% r..v. �• • • - .- --
MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERED
I hereby certify that I own property adjacent to "
's
(Na a of Property Owner)
property located at
(Project Site: Address, Lot, Block, Road, etc.)
in f���!�, , N.C.
(Waterbody) (City/Town and/or County)
Agent's Name #:
Mailing Address:
Agent's phone #:
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)
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 N you have been notified by Certified Mall.
Ow*1ormation) (Adjacent P o Owner Information)
S Erg t.0
Signs re
yt,
Print or Type Name
Mailing Address
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Print or Type Name
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Mailing Address
N/-Pc4 (�( d 9 S 9
City/Stxelzip
Telephone Nu er / Email A ress Telephone Number / Email Address
Date
*Valid for one calendar year after signature*
Date*
Revised Jan. 2017

1
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HIGHWAY NO. 158 BY- PASS 150
J CAROLINA SHORES DEVELOPMENT CORP.
OLD NAGS hIEAD COVE, SECT. "A"
NAGS HEAD , NORTH CAROLIN A
SCALE I INCH•IOOFEET APRIL .1970
Res. SURVEYOR
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ALBEMARLE WAY so,
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CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERED
vs Ao
NM of Adjacent Riparian rope �lyy Owner
Address ,,4 , — G o� -7 G� 1
ity, S e Zip
To Whom It May Concern:
ThisC
reZVI
ndence is to notify you as a riparian property owner that I am
Iq.I ILL► ���,� � n -I� � o,� St'.� �d G
on my prdperty at
Date
for a. LAMA Minor permit to
in f� County, which is adjacent to your property. A copy of the application and project
drawing is attached/enclosed for your review.
If you have no objections to the proposed activity, please mark the appropriate statement below and return to me as soon
as possible. If no comments are received within 10 days of receipt of this notice, it will be considered that you have no
comments or objections regarding this project.
If you have objections or comments, please mark the appropriate statement below and send your correspondence to:
(LOCAL PERMIT OFFICER, NAME OF LOCAL GOVERNMENT, MAILING ADDRESS CITY, STATE, ZIP CODE)
If you have any questions about the project, please do not hesitate to contact me at my address/number listed below, or
contact (LOCAL PERMIT OFFICER) at (PHONE NUMBER), or by email at: (LPO EMAIL).
Sincerely,
Property Owner's Name
Telephone Number
Address City State Zip
I have no objection to the project described in this correspondence.
, I have objection(s) to the project described in this correspondence.
Adjacent Riparian Signature Date
Print or Type Name Telephone Number
Address City State
Zip

Locality Permit Number
Ocean Hazard _., Estuarine Shoreline ORW Shoreline
(For official use only)
GENERAL INFORMATION
LAND OWNER - MAILING ADDRESS
Name
Address
Public Trust Shoreline Other,
3
city. > state 11 'hone _-- 2 2- v`j
Email n ✓'L kr_4 Qhc> V-% 6e- ✓Gr (%n r- i _ rM M
AUTHORI'LED AGENT
Name
Address
City 1 State _AL 7aIiZTg �9 Phone
LOCATION OF PROJECT: (Address, sheet name and/or directions to site; name ofthe adjacent waterbody.)
'0- �Q :1T ICI (]O_� ✓� `AL' P_ 1 ram✓i Jl>e.4 J C.-. r�, i I ](
11
DESCRIPTION OF PROJECT. (List all proposed construction and land disturbance.)
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SIZE OF LOT/PARCEL: square feet acres
PROPOSED USE: Residential ❑ (Single-family ❑ Multi -family ❑) CommercialAudustrial ❑ Other
COMPLETE ETHER (1) OR (2) BELOW (Contactyour Local Permit Officer• if you are not sure which AEC applies
to yourpropeny):
(1) OCEAN HAZARD AECs: TOTAL FLOOR AREA OF PROPOSED STRUCTURE: square feet (includes
air conditioned living space, parking elevated above ground level, non -conditioned space elevated above ground level but
excluding non -load -bearing attic space)
(2) COASTAL SHORELINE AECs: SIZE OF BUILDING FOOITRINT AND OTHER IMPERVIOUS OR BUILT
UPON SURFACES: square feet (includes the area of the foundation of all buildings, driveways, covered decks,
concrete or masonry patios, etc. that are within the applicable AEC. Attach your calculations with the project drawing.)
STATE STOItMWA'I%R MANAGEMENT PERMT: Is the project located in: an area subject to a State
Stormwater Management Permit issued by the NC Division of Energy, Mineral and Land Resources (DEMC,R)?
YES NO
If yes, list the total built upon area/impervious surface allowed for your lot or parcel: square feet.

OTHER PERMITS MAY BE REQUIRED: The activity you are planning may require permits other than the CAMA
minor development permit, including, but not limited to: Drinking Water Well, Septic Tank (car other sanitary waste
treatment. system), Building, Electrical, Plumbing, Heating and Aix Conditioning, Tnsulation and. Energy Conservation, FIA
Certification, Sand Dune, Sediment Control, Subdivision Approval, Mobile Home Park Approval, Highway Connection, and
others. Check with your Local Permit Officer for more information.
STATEMENT OF OWNERSMP:
I, the undersigned, an applicant for a LAMA minor development permit, being either the owner of property in an ABC or a
person authorized to act as an agent for purposes of applying for a CAMA minor development permit, certify that the person
listed as landowner on this application has a significanpt interest in the real property described therein. This interest can be
described as: (check one)
an owner or record title, Title is vested in name of
see Deed Book
page in the
an owner by viFiue of inheritance. Applicant is an heir to the estate of
probate was in
County Registry of Deeds.
County.
_:�, ,if other interest, such as written contract or lease, explain below or use a separate sheet & attach to this application.
NOTIFICATION OFADJACENT RIPARIAN PROPERTY OWNvl+'M:
I furthermore certify that the following persons are owners of properties adjoining this property. I affirm that I have given .
ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit.
(Name) (Address)
(1)
(2)
(3)
(4)
ACHNOWLEDGEMENTS:
I, the undersigned, acknowledge that the land owner is aware that the proposed development is planned for an area. -which
may be susceptible to erosion and/or flooding. I acknowledge that the Local Permit Officer has explained to me the particu-
lar hazard problems associated with this lot. This explanation was accompanied by recommendations concerning stabiliza-
tion and fioodproofing techniques.
I furthermore certify that I am authorized to grant, and do in fact grant, permission to Division of Coastal Management staf3;
the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information
relatdd to this permit application.
This the _ day of . , 20 _
Landowner or person authorized to act as his/her agent for purpose of filing a CAMA permit application
l` & application includes. general information (this form), a site drawing as described on the back of this application, the
ownership statement, the Ocean Hazard AEC.Notice where necessary, a checkfor $100.00 made payable to the locality, and
any information as may be provided orally by the applicant. The details of the application as described by these sources are
incorporated without reference in any permit which may be issued. Deviation from these details will constitute a violation of
anypermit. Any person developing in anARC. without permit is subject to civil, criminal and administrative action.

Complete item V, 2, and 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 mailpiece,ir,
or on the front if space permits.
I. Article Addressed to:
hl m vs j Am I I
y-3oo rNa Kl errs
13�t s5%"I I VP� a4o� 5
A. Signature
X ❑ Agent
i ❑ A dresser
B. F�aoeived by (Pori Name C. Date eliv
� _i
D. Is delivery address dlfferen from item 1? ❑Yes
If YES, enter delivery address below: ❑ No
3. Service Type
❑ Priority Mail Express®
II
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❑ Adult Signature
❑Registered Mall*""
❑ Adult Signature Restricted Delivery
❑ Reegglst;ed Mail Restricb
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9590 9402 4910 9032 9575 39
Restricted Delivery
❑ Returneceipt for
Dilvery
'L 5 9 6 (] 0 0 6 0 9 T O 6 T O Z Slivery Restricted Delivery
Merchandise
0 Signature Confirrnadon"
E Q O h
u Insured Mail
❑ Signature Confirmation
0 Insured Mail Restricted Delivery
Restricted Delivery
(over $5W)
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USPS TRACKING #
-V 'fill
9590 9402 �4 ? �032 9575 39
United States
Postal Service
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
ender: Please print your name, address, and ZIP+4® in this box"
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Extra Services & Fees (check bar, add fee pa gppprapdate) O
❑ Retum Receipt (hardtop» $
Q ❑ Return Receipt (electronic) $ S I ! .11! I Postmark
i_ ❑ Certified Mail Restricted DeINwy $ $ 4 . 00 Here �
O ❑Adult Signature Required
❑Adult Signature Restricted DelNery $ ,
Postage cc
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�

2/12/2020
Members of the Board i Old Nags Head Cove
R, 252-441-4562 i PO BOX 517, NAGS HEAD, NC 27959 S [e-mail]
Select Page
Members o� Lhe hoard
Our Team Is Here to Help!
President
Sethjohnson(2017-2020)
321 Sandpiper Drive Nags Head, NC 27959
252-441-3215 home
252-216-8853 cell
[e-mail]
Manager
Brenda Lowe
4705 South Pamlico Way Nags Head, NC 27959
252-207-6483
blowe321 @yahoo.com
Steve Pearce(2017-2020)
4341 Hesperides Drive Nags Head, NC 27959
252-715-1305 home
443-838-8255 cell
Vice President
Angie Lowe (2014-2017)
PO Box 534 Nags Head, NC 27959
https://oldnagsheadcovehoa.com/members-of-the-board/ 1/2

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