78623A_NC 12 Investors 1, LLC_20200910

---
AMA / ' REDGE & FILL \10 7,S ; B C D
ENE L PERMIT Previous permit #
Modification i Complete Reissue Partial Reissue Date previous permit issued
As authorized by the State of North Carolina. Department of Environmental Quality ^ // t) �
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC / r
.--;Rules attached.
Applicant Name � C / 2 -rAV zS7'o V - LL C Project Location: County S A
Address 10, 0L, 6 • X 12S Street Address/ State Road/ Lot #(s) --
City 6 t�, x -f-b ,^ State PA—Z ZIP -Z %1.2 D S? 1 7 I 4 %h /t o- Lm 14
Phone # (252.) % 9 (a' a /DYE -Mail +r1,f1n G n Subdivision
Authorized Agent G o_ r Or, i C o- City ff q- f- crak s _ ZIP 2 7 9 f% 3
I'm i ! EW I PTA YES rs Phone # ( ) River Bazin PqS LAo _jUA%(
AfectAEf C(s) OEA I HHF IN UBA I N/A Adj. Wtr. Body C a`A oL I
i PWS: Q1 -(nat tan unkn)
Closest Maj. Wtr. Body v 0.<►tljCa Sp ",c4 -
ORW: yes /(66 PNA yes q.) - -- -
Type of Project/ Activity
a M en
Pier(dock)length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Groin length _- -_ _----
— -
n ber
Bulkhead/ Ri fXaP length-Ys'-
avg distance offshore
(J '
max distance offshore
Or
Basin. channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
(Scale:
N
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k
6341 s.a
Shoreline Length s''
SAV: not sure yes i ra)
�4
• C �! R
+
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to
Moratorium. ( N.) yes no
re �
U
h
H 1
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Waiver Attached: yes
A building permit may be required by:
` ! ��
u �. r See note on back regarding River Basin rules.
,(-Note.Local Planning jurisdiction)
Notes/ Special Conditions rA ',
n p r
'- 3 X- 2 0 2 e J S u, J c% ?- /2 a
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Agent or Appli t Printed Nary
Signature *' Please read compliance/atement on back of permit **
I q
Application Fee(s) Check #
l/o n n �
Per it Officer's Printed Name
Si cure
Issuing Date
Expiration Date

AGENT AUTHORIZATION FORM FOR CAMA PERMIT APPLICATION
Name of Property Owner Applying for Permit:
NC 12 Investors 1, LLC
Mailing Address:
P.O. Box 125, Buxton, NC, 27920
Telephone Number:
252.996.0140
I certify that I have authorized Gary Price & Jennifer Price, agents to act on my behalf,
for the purpose of applying and obtaining CAMA Permits necessary for the
proposed development of: Bulkhead replacement; and reconfiguration of exitisting
boardwalk and deck.
My property is located at: 57174 Altona Ln., Hatteras, NC, 27943
1 further certify that I am authorized to grant permission to the Division of Coastal
Management staff, the Local Permit Officer anf their agents to enter upon the
aforementioned lands in connection with evaluating information related to this
permit application.
This certification is valid through 11/30/20 .
(Property Owner Information)
P"a
A
Print or Type Name
V 1 l � ✓ Ib
Date
Z--���
Telephone Number
4V/'��',- F41<0 " J1 & n' ''�
Email Address

Rew
AMA / ' DREDGE & FILL ���1 -7 ? jOg C O
EL PERMIT Previous permit #
Modification i 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 1 SA NCAC . /
f :Rules attached.
Applicant Name �% C-- 2 =/►V'¢$' ! C Project Location: County 118-5 a (-�Q-
Address 10, 0. 6 - X /2S Street Address/ State Road/ Lot #(s) -
City 6t.t.X 4-an State t%< ZIP ?7 D S? / % /l417 ri ice- Le, -
Phone # (2:572) 9 9 ' 6 JOYE-Mail T(aflD.n Q n -/2r-e-4 ' Subdivision
Authorized Agent 7 Or"I Cw- City ff a,4 er'-%L S ZIP 2 7 9 y 3
1 CW ! EW PTA ES OTS Phone # ( ) River Basin PqS 1 l o
Affected C(s OEA i HHF IH ZUBA I W
AEA Adj. Wtr. Body Gan e7L
PWS: {nat J®/unkn)
ORW: yes /(ntl� PNA yes /�n) Closest Maj. Wtr. Body (r ct,114%Ge .So w
Type of Project/ Activity B " I ^ IN A aL
n^"
Pier (dock) length
Fixed Platform(s)
Floadng Platform(s)
Finger pier(s)
Groin length - - - - -
nub
Bulkhead/ Ri
avg distance offshore
•
max distance offshore O
Basin. channel
cubic yards
Boat ramp
Boathouse/ Boatlift
r
£�iS�if� 1`I`ja�rd'
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(Scale:
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f
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SAV: not sure yes -' no)
O
—A
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/
A
Moratorium: n/a) yes no
Photos:
V
h f
"A,
( yes no
p
I L �5
u oa i A-j IID FV '600CH64f)L
Waiver Attached: yes l` no)
A building permit may be required by:
c>\{ �- u n T i See note on back regarding River Basin rules.
(.Note,,Local Planning Jurisdiction)
Notes/ Special Conditions M
n p r 41 3
ff
2<- 2 0 211
/K D, 3 C�
f
/o
/
cJ0./!r'
2x,
Ik-
ar U ri ��-
Agent or Appli t Printed Na ryg g-
Signature #' Please read complianceJatement on back of permit '
Application Fee(s) Check #
✓� ti n e-
Lar J C
Per itofficer's Printed Name
Si cure /
Issuing Date
// 07 2 %
Expiration Date

AGENT AUTHORIZATION FORM FOR CAMA PERMIT APPLICATION
Name of Property Owner Applying for Permit:
NC 12 Investors 1, LLC
Mailing Address:
P.O. Box 125, Buxton, NC, 27920
Telephone Number:
252.996,0140
I certify that I have authorized Gary Price & Jennifer Price, agents to act on my behalf,
for the purpose of applying and obtaining CAMA Permits necessary for the
proposed development of: Bulkhead replacement; and reconfiguration of exitisting
boardwalk and deck.
My property is located at: 57174 Altona Ln., Hatteras, NC, 27943
1 further certify that I am authorized to grant permission to the Division of Coastal
Management staff, the Local Permit Officer anf their agents to enter upon the
aforementioned lands in connection with evaluating information related to this
permit application.
This certification is valid through 11/30/20 .
(Property Owner Information)
Sign
pa i-� I V,
Print or Type Name
V '- l � `J
1,46
Date
�Z_C�'j6-6loL�
Telephone Number
4iA P-h" A. n &r-,leC4
ss

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CONTROL CORNER N/F" �•
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SITE
VICINITY MAP • SCALE
CONTROL CORNER N/X
NC NAD 83(2011) GRID COORDINATES (U.S. FT.) R7SHERMANS HERITAGZ LLC
= N-553,209.23' D.B. 14J4 PC 463
E=2,990,092.2,V y
OESTABLISHED WITH RTK GPS USING THE NC RTK NETWORK
Z E � --
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s
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NC GRID NAD83(2011) E►LA ZONE
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FISHERMAN'S HER/TALZ LLC. 12'X12'
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/\
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(UNNAMED EAS7ERL Y 77?ACT,
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LEGEND
-- --
RIGHT-OF-WAY
PROPERTY BOUNDARY
— —
ADJOINING PROPERTY LINE
WOOD FENCE
— OHE — DHE — OHE — OHE —
OVERHEAD UTILITY
SET MASONRY NAIL
Q
EXISTING IRON ROD
Q
EXISTING IRON PIPE
El
EXISTING CONCRETE
MONUMENT
QCP
CALCULATED POINT
®
WATER METER
UTCM POLE
TELEPHONE PEDESTAL
N/F
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TOWNSHIP
P.C.
PLAT CABINET
SL.
SLIDE
D.B.
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M.B.
MAP BOOK
PG.
PAGE
SF, DR SQ.Fi.
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SFD
SINGLE FAMILY DWELLING
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FIRST FLOOR ELEVATION
G
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UN/TEDSTdTES
POSTAL SERVICE - -- - - - --- - ---- ---._ _ -_-
September 2, 2020
Dear gary price:
The following is in response to your request for proof of delivery on your item with the tracking number:
7020 0090 0001 4256 5548.
Status:
Delivered, Individual Picked Up at Post Office
Status Date / Time:
August 27, 2020, 2:49 pm
Location:
HATTERAS, NC 27943
Postal Product:
First -Class Mail®
Extra Services:
Certified MaiITM
Return Receipt Electronic
ShipmentDetails
Weight:
Signature of Recipient:
Address of Recipient:
1.0oz
Note: Scanned image may reflect a different destination address due to Intended Recipient's delivery instructions on file.
Thank you for selecting the United States Postal Service® for your mailing needs. If you require additional
assistance, please contact your local Post Office TM or a Postal representative at 1-800-222-1811.
Sincerely,
United States Postal Service®
475 L'Enfant Plaza SW
Washington, D.C. 20260-0004

UNITEDSTATES
POSTAL SERVICE
August 31, 2020
Dear gary price:
The following is in response to your request for proof of delivery on your item with the tracking number:
7020 0090 0001 4256 5555_
Status:
Status Date / Time:
Location:
Postal Product:
Extra Services:
Weight:
Signature of Recipient:
Address of Recipient:
Delivered
August 31, 2020, 3:53 pm
BUXTON, NC 27920
First -Class Mail®
Certified MailTm
Return Receipt Electronic
1.0oz
Note: Scanned image may reflect a different destination address due to Intended Recipient's delivery instructions on file.
Thank you for selecting the United States Postal Service® for your mailing needs. If you require additional
assistance, please contact your local Post Office TM' or a Postal representative at 1-800-222-1811.
Sincerely,
United States Postal Service®
475 L'Enfant Plaza SW
Washington, D.C. 20260-0004
D (/C� S - 9 �/,/ ;7-�

00 UNITEDSTATES
POSTAL SERVICE
August 31, 2020 L Q J S-� o �- /� r
Dear gary price:
The following is in response to your request for proof of delivery on your item with the tracking number:
7020 0090 0001 4256 5562.
Status:
Status Date I Time:
Location:
Postal Product:
Extra Services:
Weight:
Signature of Recipient:
Address of Recipient:
Delivered
August 31, 2020, 3:53 pm
BUXTON, NC 27920
First -Class Mail®
Certified MaiIT""
Return Receipt Electronic
1.0oz
(Ja,,,5t-_/tt
Note: Scanned image may reflect a different destination address due to Intended Recipient's delivery instructions on file.
Thank you for selecting the United States Postal Service® for your mailing needs. If you require additional
assistance, please contact your local Post OfficeTm or a Postal representative at 1-800-222-1811.
Sincerely,
United States Postal Service®
475 L'Enfant Plaza SW
Washington, D.C. 20260-0004

Dare o nt Hi-38.2020
Local Government Permit Number
as authorized by the State of North Carolina, Department of Environmental Quality and the
Coastal Resources Commission for development in an Area of Environmental Concern
pursuant to the Coastal Area Management Act, Section 113A-11e of the General Statutes.
Issued to N.0 12 Investors-1 Ilc, authorizing development In the Estuarine Shoreline (AEC) at 57174 Altona in, in
Hatteras N.C. 27943, as requested In the permlttee's application, dated 8-24-2020, and received complete on 8-25-
2020. This permit, issued on 9-2-2020, Is subject to compliance with the application and site drawing (where consistent
with the permit), all applicable regulations and special conditions and notes set forth below. Any violation of these terms
may subject permittee to a fine, imprisonment or civil action, or may cause the permit to be null and void.
This permit authorizes: Reconfigure existing Boardwalk and deck
(1) All proposed development and associated construction must be done in accordance with the permitted work plat
drawings(s) dated received on 5-25-2020.
(2) Ail construction must conform to the N.C. Building Code requirements and all other local, State and Federal regulations,
applicable local ordinances and FEMA Flood Regulations.
(3) Any change or changes In the plans for development, construction, or land use activities will require a re-evaluation and
modification of this permit.
(4) A copy of this permit shall be posted or available on site. Contact this office at 262-475-6879 for a final Inspection at
completion of work,
(Additional Permit Conditions on Page 2)
This permit action may be appealed by the permiliee or other qua0ed persons
Whin twenty (20) days of the Issuing date. This permit must be on the project
slte and aocessible to the permit officer when the project Is Inspected for
oompllance. Any maintenance work or project modifieatlon not covered under
this permit, require further vrritten permit approval. All work must cease vrhen this
permit expires on: DECEMBER 31, 2023
in issuing this permit it Is agreed that this project Is consistent with the local Land
Uso Plan and all applicable ordinanoas. This permit may not be iransferred to
another party vAthout the written approval of the Division of Coastal
Management.
Check t#`1020_,, In the amount of $100, was received on
3.1-2020 _ for the permit fee.
D. Jackson
CAMA LOCAL PERMIT OFFICIAL
P.O, Box 859
uxton, N. . 27920
PERMITTEE
(Signature required if conditions above apply to permit)

Name: N.C.12 Investors•111c
Minor Permit # HI.38.2020
Date: 9.2.2020
Page 2
(5) The amount of Impervious surface shall not exceed 30% of the lot area within 75 feet of Normal High Water
(Estuarine Shoreline Area of Environmental Concern), in this case,270 square feet is authorized.
(6) Unless specifically allowed in 15A NCAC 07H. 0209(d)(10), and shown on the permitted plan drawing, all
development/construction shall be located a distance of 30 feet landward of Normal High Water. No portion of the
roof overhang shall encroach Into the 30 ft. buffer,
(7) All unconsolidated material resulting from associated grading and landscaping shall be retained on site by effective
sedimentation and erosion control measures. Prior to any land -disturbing activities, a barrier line of filter cloth must
be installed between the land disturbing activity and the adjacent marsh or water areas, until such time as the area
has been property stabilized with a vegetative cover.
(8) Any proposal for grading within the 30' buffer from the Normal High Water must be contoured to prevent additional
stormwater runoff to the adjacent marsh. This area shall be immediately vegetatively stabilized, and must remain In
a vegetated state.
(9) All other disturbed areas shall be vegetatively stabilized (planted and mulched) within 14 days of construction
completion,
SIGNATURE: `,' 2
DATE:
PE MITTEE

n9YMNANsHERTAGE ttC.
D.B. 14.X PC.. 463
S27' 25' 46" E g°E
14.31
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SUM EMMI CER I V ATM
t 1, Michael 0. Sa►r, certify that this plot was drown under my supervision
from an actual survey made under my supervision (deed and description
recorded h Books refersncedj, that the boundaries not surveyed are
deody Indicated as gown from Information found In Books referenced;
that the ratio of precision or positional accuracy is 1:10,000; and that
this map meets the requirements of The Standards of Practice for
Land Surveying in North Carolina (21 NCAC 56. 1600).'
Witness my o�riigiinal signature, registration number and seal this
day of �jf/- 2020.
29&WEt-=-� L-1756
Professionoi L-aniaMrveyor
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2020-OOBASB
PRQECT No:
2020-008

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NC GRID NAD83(2011)
DECK 0.1' \
INSIDE SUBJECT
PROPERTY
N/F
AUS77N BROTNERS, LLP
D.B. F899, PG. 30
(UNNAMED EASIERLY TRACT
P.C. H", .k. 41) ,
LEGEND
-- --
RIGHT-OF-WAY
PROPERTY BOUNDARY
— --
ADJOINING PROPERTY LINE
- - o
WOOD FENCE
— OHE — OHE — OHE OHE —
OVERHEAD UTILITY
SET MASONRY NAIL
O
EXISTING IRON ROD
O
EXISTING IRON PIPE
EXISTING CONCRETE
MONUMENT
QCP
CALCULATED POINT
®
WATER METER
r L
UTILITY POLE
aTELEPHONE
PEDESTAL
N/F
NOW OR FORMERLY
TWP.
TOWNSHIP
P.C.
PLAT CABINET
SL
SLIDE
D.B.
DEED BOOK
M.B.
MAP BOOK
PG.
PAGE
SF. OR SQ.FT.
SQUARE FEET
SFD
SINGLE FAMILY DWELLING
FFE
FIRST FLOOR ELEVATION
NOTES:
1- TOTAL AREA OF SUBJECT TRACT: 10,195 SO. FT. AREA
DETERMINED BY COORDINATE METHOD.
2. IRON PINS AT ALL LOT CORNERS UNLESS OTHERWISE
NOTED HEREON.
3. ELEVATIONS SHOWN HEREON ARE NAVD88 DATUM.
4. UNDERGROUND UTILITIES, IF ANY, WERE NOT LOCATED BY
THIS SURVEY, FURTHER EVALUATION MAY BE REQUIRED,
5. THIS SURVEY IS SUBJECT TO ANY FACTS THAT MAY BE
DISCLOSED BY A FULL AND ACCURATE Tf1LE SEARCH.
6. SUBJECT PROPERTY IS LOCATED IN F.I.R.M. ZONE VE(8)
AS SHOWN HEREON. REFERENCE F.I.R.M PANEL i
3720959500J, EFFECTIVE DATE: SEPTEMBER 20, 2006.
(SUBJECT TO CHANGE BY F.EM-k)
7. PIN NO.: 959513030185
8. RECORDED REFERENCE D.B. 1772, PG. 331
9. PROPERTY OWNER(S): TRAFTON REYNOLDS
10. PROPERTY ADDRESS: 57174 ALTONA LANE
CONTROL CORNE
NC NAD 83(2011) GRID COORDINATES (U.S FT
N=553,209.2;
E=2,990,092.2,
ESTABUSHED WITH RTK GPS USING THE NC RTK NETWOR
FEMA 70NE VE (si
,c-
N/F
FISHERMAN'S HERITAGE, LLC.
D.B. 1433, PC. 463
SET MASONRY 31�� 9 �2
NAIL ��
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2�
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N/F
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LEON R.
SCARBOROUGH, JR.
D.B. 798, PG. 654
hti
20 0 10 20 40
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