76127D - Sanders

CAMA / DREDGE & FILL No. 76127 A B C
P�ENERAL PERMIT Previous permit #
New - Modification El Complete Reissue El 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 I SA NCAC
/-� c ❑Rules attached.
Applicant Name G V 2I ham" Jam^ S Project Location: County . ✓-� L r• • t k-
Address 14
LA ee V< < �^A - Dr Street Address/ State Road/ Lot #(s) Yo Le
City State ZIP L� SV`f �yy `)
Phone # (3 Al) 12 59 S90 E-Mail e5c,"sLO 3G 6C^L• t `— Subdivision
Authorized Agent ��^^-� ��-zS /1'^�1�^� Q�^�^ City .+^s��� ZIPy(o�
Affected cw � 'KPTA [I ES ❑ITS Phone # ( ) River Basin v� be
C 1 OEA El❑ El IH UBA N/A
AEC(s): Adj. Wtr. Body �k�j ✓u �� (1-!nat kgaP/unkn)
[I PWS:
ORW: yes / no L PNA yes Closest Maj. Wtr. Body—
M.
Agent or Applicant Printed Name
Signature "Please read compliance statement onckof permit **
20 c) �n �5
Application Fee(s) Check #
PermitOffi Nam
v
Signature
1-19 -zoz v - I 2020
Issuing Date
Expiration Date

LAMA / ❑ DREDGE & FILL
No. 76127
A B c
EN ERAL PERMIT
Previous permit #
New ❑Modification ❑Complete Reissue ❑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
'
�^ �+
Applicant Namme EV�I.� n Jo,&,-S
❑ Rules attached.
Project Location: County _ e-% ► i w % s. k—
Address 1 1� �t�� �t�_� fit.
Street Address/ State Road/ Lot
R
City JL—%*^ State Ifs- ZIP 2}SV`�
+#(s)J/
��y t1 S"da_ �tr
Phone # (qn)7�'Z�S� E-Mail Se 3t_+L•(a"`
Subdivision
Authorized Agent
City JASj.� ZIP-
Affected O CW �TA O ES ❑ PTS
Phone # (_) River Basin LVA_6, —
AEC(s): O OEA HHF ❑ lH ❑ USA O N!A
"
Adj. Wtr. Body ) t unkn)
❑ PWS:
ORW: yes /�' PNA yes
-
Closest Maj. Wtr. Body t"�c'��'
Type of Project/ Activity
-- n
r
(Scale: jJ t`S
i
-
Pier (dock) length--
Fixed Platforms)
1 Z.
_ -�--
Floating Piatform(XX
Finger pier
-�► i
- - - - - -
-'—
ts)
Groin length
number
Bulkhead/ Ripnp length
avg distance offshore
_ — --
4
I
max distance offshore
i
'
Basin, channel
cubic yards
Boat camp
i
Boathouse/ Boadift-
.
- -
Beach Bulldozing
Other
N
PEI
t`fit,-+
Fes' -
_d�
-
Shoreline Length
SAV: not cure yes
Moratorium: n/a yes
Photos: y� ®
Waiver Attached: Jp no
A building permit may be required
t3: 2
-y-
-
i
_
by: 1►
b-C tc. ❑ See note on back regarding River Basin rules.
( Note Local Planning Jurisdiction)g-
Notes/ Special Conditions
f t) ce6 w, �+.�,
l .�' LOA Mfzy 4 X� G&"(` SV,� n< <r-
;..8hu"re
t or pli t rinted Name
't"' Please read plane statement on -�"35
b ck of permit�dam'` —
Application Fee(s) yV Check #
PermitOffi N
v
Signat
ure
re
Issuing Date Expiration Date

Received From:
Permit No.:
Applicant's Name:
Project Address:
NC Division of Coastal Management
Cashier's Official Receipt
I A-C-A
- ., It.,- i
Ito
�
Please retain
Signature of Agent or Applicant:
Signature of Field Representative:
we,
10922 a s qj�p
0� -
Date: �1 20 l
�a
$
Check No.:
County:
for your records as proof of payment for permit issued.
Date:
Date: t1a

=.�Wo
w o o n
n 5 �
S a y
N � N
.9Ul
h1
(I1
Q�
n
K) 0
III v N �
to n oWi
N
7
C;
T
r'
CERTIFIED MAIL RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner. J /1
Address of Property: Qr v(S . I �O r. Ib �, 'cLr SC r n u }- A! L. l� �j �, N�k
(Cot or tibeat •, skW or Road, C*/ a 0ady) Gtb
Agent's Name At, 5 ItAu" M`8l,g ,9&td RI k( sE.
Agent's phone B: 910y 01r
9)U54o �y� r
`.creby cmtify that 1 own property adjacent to the above �sf9rsnosd property. The individual
applying for this pemta has described to me as snown on the attached drawing -the development
they are proposing. A drloron or dawrno v�"+trubns mia oro�ed with th 9 e.:.
-__ I Lave no objections to this Pmposal _ I bave objections tut this proposal,
n you n.r..dyKdau a ~ ` ewq arovo..4 y� mutrraery eraOMaAon or cu..hrs4nr4gwmrrt I�sUIn
m
wn,Mv e(Nth to city-
eF nW f tr6 modke. Corroapoetoese aew.N M aefl�d b rs1 Clnaeaal rYM p
nUs.beiroe. MC. )dlav ata a. DCar mp--aW, M oes stso be COOOCb/ at p1q) Mg, t Xa rrpre et
lee sin s so efYeeegn !fuss Me awr nomad 4v prMprb 111111Y
WAR/ER *ECitON
I understand Ihat a piar, docK mooring pilings, breelowetar, boathouse, krt, or groin must be set
back a minimum distance of 1S from my area of r4 an acres uric" waived by me. (if you
wish to
waive ft setCaclt, You must 111111111all the approprteta btw* baton. )
I�Li..
1 do wish to waive the IT setback requynrtynt.
I de alit wM to eroive the 15' setback requherrneM
(P"Wry owner WOMStlon)
S
alai 2,W4�
ant Preperty Owner
pi1pirrif aTypNisne
M ft Adores,
nr a i �,. UA a ny
cda's+A
7-.� 7 -2y�yZ
Z%27�2U

w PW VOo HOLDPW LLCA
_ - - _. OI�Lrwr IASM SSI
A.IWW
MWW.
i
ISET BEACH
w sc..A
t
1 H, — To all} own Srar rm rRVAY w AA
\
�I wP1]m Vn YAOrOm Y ti Am M Y b S, iV
mar rYt TV mA.- V W Mx
\
M Wlr-PW A4 ASmo1M ww M rmAA1 fSNL
Y ONfO 1wY M� M m1101 iYb re M ATwr V9R
\
rVhr4,rw A'lY
s ow Ywu� lnwm vAx nl �w svmn M1
\
UA[f+SL wl0 M rYAIWYM Snit+
. MY :. m' ♦AVA VJ,U MAfad rAOV M v6Vl nYT
\
m M Gn lVl 1«m mr: M nitdor a
ss a u�w lo, w fow wAs. Ms Ram
\
�=aslw"`is n
wY �o r wlxat ra cwsra AssouYts
mwrA i07n a«S wm1Po YYrt Y
\
\
ACY(.wVD P Ar MlMan m M K OrrtuNKw 5
.tom
\
'� M�-SimNm RA t10 �MIUMSrt OOQm F
� - _ \
w
r �o ceucm slsr AY LVTmo a ,A ral ur (r
\
vr°Y�.
0^alwO w S' YVP 1Q a M W
\\
M
r ronTa owwi w�iYBur�
1
\
rmu l'YyLY LOT AREA '_UMSAARY
TOTAL LOT IRE'- 9 01' COLLAR[ TEST
AREA WIINW DUIIOING 7TFALK LWL5•I>RB SWART IFET
AREA SUIN
RKK15L IIFCI UDRIG 12' 7' UV[FHAfN,S;•
HOUSE NTH COVERED PORCHES (EACLUMNS OVER"%')-
•157 ELEVATED ELOLTR DECK
•7No ELEVATED FLOOR TI[CV.
HVAC-
y (RAVEL WA (TO EDGE OF PAVE4(4T)=
9
x NDICAM, RHEA INSITt THE 30' CAYA BURR 1HL1
\
IIW 51 \
95 1 if \
SS SE \
BS 5 SF
\
71R ST \ l�
\
k..
\
_EYL... Y 'Iy
v
d ��5
\ flip,
o
r
- /T ' YIA t Yb A•�1 NOTIm / + �D�
\
•//'—«a \\ SPENCER a COTERIE SFAN SAW ffACH HOtDI11Df 0. LLG.
R a Rx at
tt •s a � r>>Vji '��11 n
MISE
TO
! N
i 4LTVY. NID AYRHw:(t WV o� avwtV rOYHP rO.Vm w M wr{Vp \ S� 1
� \ SUNSET BEACH NODS A. LLC
r.0 0 A MoNrm mw nrec ww 1 srwlosw., YHs rwu rl,rrS ro a .a x aou m-1 •" a ` 1 t
�aaYm . roAo..A (ar Y, w llac UPAAor ..so' vl a muYY \ a
rAw Haws A l m row nmaw \ �
m A.oTn «+wAc �n r, wm w. T.ulr.ls ma \ /
.Pr-a-res a wme, avw aww<� w/> cwlmrnw.a
YIA' W M VY a MS vw(aAn� \
r Lx}x �1.06 O � M waV ON.IR ♦aVAI[ YV4 o•AAY 4NM'YRS
Ow[AYV ry M VAwswl` a M nA•
Y\
5 Yr«cf Ntl 5[t A «[ 1w3RS :0'v) wl Vv— w
vmVtWN OYhArt�uv!weS �a�AP„r iH 11rA rAM, m. ..m U \
A ITT. wo r VA.or anw .w wH a,wwo «, xr u. NA \
,u AAYu A,AYm nnomlRa s i � ....
lu ralwc w-, mxwwan w Yam Y• m.,c rwxr �, � �
ll mn i°�mrmVw ws1 x.4m
Aw.11 HER
•rn snw. A«
\.s anno „wA. rA.w x v+rc.,
r Y As uor �.�ra
i c ww wawM ws. Na
LOT N
-NwaVw nYYAMf
A YMV f1VIlV'�[
,.1% �'' Vowrt wrNu
_
r.�Ni
6
nr' r
P. .Nr ar

■ Complete items 1, 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 mallpiece,
or on the front if space permits.
1. Article Addressed to:
A. Signature
X 0 Agent
❑ Addresser
ed by p°rirtt�d_me) C. Date of Deliver
Is delivery address dlifferwid from !barn 1? O lie —
If YES, enter delivery address below: 0 No
II I'I�kll 3 Service Type ❑ Priority Mal Express
Adult 5rgSignature❑ RAgft;tered MaYT'"
IN III
11111111111111111111111111111
Adult Signature Restricted DoWn 0 Registered Map Restrict(
9590 9402 4454 8248 7497 60 ;red MailO oe�va y
0 Certified Mail Restricted Delivery ❑ Retum Receipt for
0 Coiled on Delivery Merchandise
2. Art ic(e Number (Transfer from service iabeo Ci Collect on Dehvery Restricted De!isrery ❑ Signature ConrmnntionT"
0 Insured Matt ❑ Signature Confirmation
7 D 1, 8 D 6 8 D D D D D 7028 826 '9 Mml Restricted Delivery Restricted Delivery
PS Form 3811, July 2015 PSN r Domestic Return Receipt

0"
_a
ru
cc
co
ru
C]
N
0
0
0
0
0
ro
�n
a
cc
0
r-
ru
ru
CO
VI KGI,,141 A gAT VA g2345 t
OICertdlad Mail Fee $, 55 I 0 4 b 2
t � � r.

LISPS .Tracking® FAQs >
Track Another Package +
Racking Number: 70180680000070288252 Remove >
Four item was delivered to an individual at the address at 1:40 pm on February 27, 2020 in VIRGINIA BEACH,
/A 23454.
C✓ Delivered
=ebruary 27, 2020 at 1:40 pm
delivered, Left with Individual
/IRGINIA BEACH, VA 23454
aet Updates u
Text & Email Updates
Tracking History
Product Information
u
u
u
See Less ^
Can't find what you're looking for?
Go to our FAQs section to find answers to your tracking questions.
FAQs

AGENT AUTHORiZATiON FOR CANA PFBMIT appuCATION
Name of Property Owner Requesting permit:'V
Mailing Address: I yN 16 h
Phone Number: 9)!q
Email Address: e5 Q.� �� �✓ .S P h G n c CC., ► in I oCS(*that I have authorised tannv j'�} `pelin r� PA)
t r rxN*v N
to act on my behalf, for the purpose of apptyfg for and obtaining ail CAMA permits
necessary for the following proposed deveippmait 440
'W107
M my properly bcaied at
in >'� S ► G Courriy.
1 &rfhe m&* cer8�'y VW ! am auMmkod to qw4 and db M fact gm W psrmisafan df
Dk*hn of Gbaataf bkNagernent aW &e local Porng oftw and their agents to @#*r
on IM alhremeriffoned Jbn* in cwuncfbn *0 evahastng i Awnefton related to this
Perna? epPAbsdbn.
Pmp"ql omier komytion:
U1vg Z A,4e t
PIW or Type ftm
0 ir),er
rft
o�
Thrs oert to valid ft0ugt, 1 07 ► 1 ,,?c�� I

Chock
Don Rocallod
Oero Do ed
Chock From Nano
Noma of Pormk Holder
dor
Chock Numtwr
ounf
Permit Nunn w lCommoncs
RecoApf or R✓undrRoollocafed
—
Cdumnl
Cdumn7
C fumn7
Cdumnl
Columns
Columnd
Cdumn7
Column@
ColumnY
_
3/23/2020
8 & K Marine Costruction
_
Jacqueline Smith BB&T
1310
$ 200.00
G_ P #761890
BB rct. 10921
3/23/2020
Permit Pals
Evelyn Sanders CrasCom Bank
3035
200.00
GP#761270
BB rct. 10922