76893A_Roth, Steve & Lovy_20200909

-CAMA / XDREDGE & FILL N19 76 993 �A; B C D
6 GENERAL 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 t 11
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC ' (I I I �•)(� . 4-1l , �I OLJ
n Rules attached.
Applicant Name Project Location: County
Address 211 �i Py ro. � � . Street Address/ State No" Lot #(s) ;2 JCJ [?jeyoelw��IC_
City jLi, % lst- w N 1L 21 8
Phone#( )_116(e M N� E-Mail -VAN&I� M ,u Subdivision �Yl� ..H "� FC M; l.+`j )
Audwind Agent __ L iw wV Tv% C__ Gty C_ C' U. nC fw,.n -_.. --._ - ZIP-9—TA-`- f- E ---
OCW )qEW '(PTA X'ES XM Phone # (*jfRiver Basin 5eJ,Ljt� --
LJOEA J HHF IH :J UBA _1WA
AEC(%). Adj. Wtr. Body =_ I Vl4A (�u*n)
fisWE: �ifMla��
ORMF. yes / Q r� PNA yes / o' Closest Mal. Wtr. Body 11d�1!ll�
Type of Project/ Activity t .1' t r l) j li Cl W syL I2 i,, W-1 L (ki - t W i-eV VV(V61 O i P X i',yl t yttf
h t_.,l A- y A A r 1' A 13 ` hr)(Lt 1.i•4 4-• (t .n c i Ill x aj 1 tOM a,' 12141GV11A G4' a' 1, Qi a se. (Scale: N -f )
Pier(dock)length
Fixed Piatform(s) 11' 1t . s raj ?LY
Floating Platform(s)
Finger piers) V1k _
Groin lengthnumber
ulknea 'Riprapknadt _�
avg distance offshore- + 201 1
max distance offshore .i— �` �q ' f Qs S ► �+(v
Basin, channel
cubic yards
Boat ramp
� i
Boathous Boatfift V,i_
Beach Bulldozing
Other
Sfwrdlne Lettgth _�= �G s
�AV not sure yes C
Moratorium: n/a yes r
Photos:
Waiver Attached:
J e
t �tkis�
f ro I*e K A,3Velj)
A building permit may be required by: f I . See note on back regarding River Basin rules.
( Note Local Planning jurisdiction)
Notes/ Special Conditions
t- -5rti�►. vi c . --
unt ' Nsrtt�
Signature F Please readeompliancestatementonbadto(pensfit~
Application Feels) Chad
Permit0 icc*ess Pdnntted
Skttat"
saftDats
vai
Expiration Date

Lyn Small Inc, Marine Construction
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Steve Roth
Mailing Address: 219 Broad Bay Drive, Kill Devil Hills
Phone Number: .-585-356-477
Email Address: [e-mail]
1 certify that i have authorized Lyn Smali Inc
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Build new bulkhead,install
boat lift and pilings . install forger landing
at my property located at 219 Broad Bay Drive, Kill Devil Hills,_
in Dare —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.
Property Owner
Signature
on,
Print or Type Name
'�Jieaz
Title
This certification is valid through �/_ Z 1'22g�Q
Date
This certification is valid through ./—/ l// l 0WO

F VVl a®t o
August 10, 2020
Jason & Beth Behrenhauser
221 Broadbay Drive
Kill Devil Hills, NC 27948
)AISTRUCTION • CONSULTING • DESIGN
' PROJECT `7,0.N,,GEMi;Ni
-----------------
113 BALL-i ST ROCK DR- POWELLS PUTAIT. MOP.TH CAROLMA 27966
Ptxme 4*91-&%-2 ' Fax: [phone] ntifw.ly� small.Xwn - Liters+#21976U
RE: Adjacent Riparian Property Owner Notification
Dear Mr. & Mrs. Behrenhauser,
My name is John Driver, and I am the General Manager for Lyn Small, Inc. We are required by
the Division of Coastal Management to notify you that your neighbor @ 219 Broadbay Drive, Kill
Devil Hills, NC have contracted Lyn Small, Inc to replace the bulkhead ,install boatlift & pilings
& lower landing
Enclosed you will find an Adjacent Riparian Property Owner Notification Form as well as a
drawing of the proposed project. The purpose of the notification is to make you aware that a marine
structure is proposed on your adjacent neighbor's lot, and the setback will be a minimum distance
of 15' from your common boundary.
Please review the form and initial the appropriate box for your decision, and kindly return it back
to us at your earliest convenience via postal service, fax, or email. If you have any questions or
concerns, please don't hesitate to contact me. My email address is jdriverrcblsilnariileoba.com , or
I can be reached at 252-491-8562.
Regards,
John Driver
General Manager
Lyn Small, Inc
113 Ballast Rock Drive
Powells Point, NC 27966
Phone: [phone]
Fax:[phone]
Email: 'driver Osimarineob_ xicom
enclosures

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner: Steve Roth
Address of Property: 219 Broadbay Drive, Kill Devil Hills
(Lot or Street #, Street or Road, City & County)
Agent's Name #: Lyn Small, Inc
Agent's phone #: [phone]
Mailing Address:
113 Ballast Rock Dr
Powells Point, NC 27966
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing with dimensions must be provided with this letter.
I have no objections to this proposal. I have objections to this proposal.
if you have objections to what is being proposed, you mustnotify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at hyg://www.nccoastaimanagement.netlweblcrn/staff-listing or by calling 1-888-4RCOAST.
No response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift must
be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If
you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Riparia
Signature 11si
Steve Roth �son Beth Behrenhauser
Print or Type Name Print or Type Name
219 Broadbay Dr
Mailing Address
Kill Devil Hills, NC 27948
City/State/Zip
Telephone Number/Email Address
Date
221 Broadbay Dr
Mailing Address
Kill Devil Hills, NC 27948
City/State/Zip
-.2 ;7/3' 0
Telephone Number/Email Address
a v
Date /
(Revised Aug. 2014)

Ri�mj 1#�ADD G Uqua7
.; .) N p p l }! F f •'. \ -_ T R :1 11 1
August 10, 2020
David & Andrea Grant
3111 Hyatt Lane
Goochland, VA 23063
COkSULTiNG • DESIGN • }PROJECT KANAGEMEN'r
113 BALLAST ROCK DR- POWELLS POINT. NORTH CAROLINA 27966
Phone. [phone]h2 • Fax: (252j 491-85A4 • Y:lYw IY=IlimaII port: • Ucemw #297Fo
RE: Adjacent Riparian Property Owner Notification
Dear Mr. & Mrs. Grant,
My name is John Driver, and I am the General Manager for Lyn Small, Inc. We are required by
the Division of Coastal Management to notify you that your neighbor @ 219 Broadbay Drive, Kill
Devil Hills, NC have contracted Lyn Small, Inc to replace the bulkhead ,install boatlift & pilings
& lower landing.
Enclosed you will find an Adjacent Riparian Property Owner Notification Form as well as a
drawing of the proposed project. The purpose of the notification is to make you aware that a marine
structure is proposed on your adjacent neighbor's lot, and the setback will be a minimum distance
of 15' from your common boundary.
Please review the form and initial the appropriate box for your decision, and kindly return it back
to us at your earliest convenience via postal service, fax, or email. If you have any questions or
concerns, please don't hesitate to contact me. My email address is jdriver(a lsinnarincobx_jq( , or
I can be reached at 252-491-8562.
Regards,
J
John Driver
General Manager
Lyn Small, Inc
H 3 Ballast Rock Drive
Powells Point, NC 27966
Phone: [phone]
Fax: [phone]
Email: jdrive r .1 InI4rineobx.com
enclosures

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: Steve Roth
Address of Property: 219 Broadbay Drive, Kill Devil Hills
Agent's Name #
Agent's phone #:
(Lot or Street #, Street or Road, City & County)
Lyn Small, Inc
252.491.8562
Mailing Address:
113 Ballast Rock Dr
Powells Point, NC 27966
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A -description or drawing, with dimensions, must be provided with this letter.
I have no objections to this proposal. I have objections to this proposal.
It 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. Contact information for DCM offices is
available at Min:/lwww.nccoastalmanagemenLnef/web/cmistaf -listing or by calling 1-888-4RCOAST.
No response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift must
be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If
you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) ( arian Property Owner I ormation)
Signature Signature
Steve Roth David & Andrea Grant
Print or Type Name Print or Type Name
219 Broadbay Dr 3111 Hyatt Lane
Mailing Address Mailing Address
Kill Devil Hills, NC 27948 Goochland, VA 23063
City/State/Zip Cit /statelZip
Telephone Number/Email Address Telephone Number/Email Address YA j
Dale Date
(Revised Aug. 2014)

t ►
!
1 !
% ✓GL�G3 Z—}- 'g�-�
ZZ 1 ►
�
i NG Z 7`� i
v o 2� i
BULKNEAD
!
DOCK
i
PROPOSED BOAIUFT
js.♦ / D NEW
BULKHEAD
o\ I 1 r�' A>ISO 1'tCUl-'UlJL:1J "UA I L1C
219 BROADBAY DR., KDH, NC
of STEVE ROTH
DOCK
GRAPHIC SCALE
,o
op
i sxaola � Ro rs.
Ar
in

MIM
At im

�y