78718A_Carriker, Robert & Susan_20201104

ACAMA / ADREDGE & FILL
GENERAL PERMIT Previouspermit# 16_111'
ew I 'Modification 'Complete Reissue . Partial Reissue Date previous permit issued&-2J_ 1S
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
Rules attached.
Applicant Name R.o1&0_ t 4„ ` rt ief Project Location: County
Address 211 fQtJtB SS _ 0. %✓s _ Street Address/ State Road/ Lot #(s) all �sti4-roc �,w�
city-- (� S T4l�nci ____stated G ZIP 295.E _jai _2-
Phone # (3 }) 63- •­90fl_ E_Mail %-h Subdivision_.
Authorized Agent_-u(,.�.�_ '► _,'4 .%5,,�1� Lc G City.iCr.,�f
cw PTA
Affected Cw = iH +T�s Pry Phone # ( ) --___ _ _._._ .._ River Basin_ --
AEC s : HHF USA N/A r,
�) Adj. Wtr. Body !�!l*j)5 na lman funkn)
_ PINS: - -----
ORW: yes / d PNA yes / no Closest Maj. Wtr. Body_filt
Type of Project/ Activity Ile, r�
Pier (dock) length _ (Scale:
Fixed Platform(s)
Floating Platform(s)_-
Finger pier(s)-
Groin length
number t
�
P L
Bulkhead/ RI ra la ^ t
P+_8
avg distance offshore 1
max distance offshore A, _
Basin, channel \
cubic yards
Boat ramp _ _
Boathouse/ Boat
Beach Bulldozing
Other_.
IJ
Shoreline Langth
SAY: not sure ye.
Moratorium: 6� yes no i Qn"
Photos: ra no �!?
Waiver Attached: yes no
1
AFL
A building permit may be required by: (fr-Ir:hrc {L %c, See note on back regarding River Basin rules.
( Note Local Planning Jurisdiction)
Notes/ Special Conditions (I N-u &I b
. pton�U•
Name
Agent or Applicant Printed Name
Signature * " Pleas ad compliance statement an back of permits""
Application Fee(s) Check #
Permit Officer's Printed Name
Signature `
Issuing Date Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: R a � e. P T l._ o,r r e f
Mailing Address: o- I 1 Fe_ i ,Vr e$S D I-
Knof+s_ Tslc nd . /VC,
Phone Number: %.S 7 %,35 9-, 81 O
Email Address: rgk@� ,s e-gi c f,+ ' n'` r' ►'� z C 0 .4,^
I certify that I have authorized LS Z %1(\o,rt,,Ie Lnsfr UCI o►)
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: New w `/ Ini./ GiAheo.d
end h c-,.c-'.
at my property located at (`e-n PSS Or -hf s �-J 1ceid NL Z 7 S.Sc
in Larri c K 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 InfornXbn:
Signature
In, n r T CIrr,r, V c
Print or Type Name
-P Y n
I Title
/0 ! 26 ! Zo
Date
This certification is valid through /

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to ROBERT H & SUSAN C. CARRIKER, TRUSTEES 's
(Name of Property Owner)
property located at 211 FENTRESS DRIVE, LOT 1130 SWAN HAVEN, FRUITVILLE ML
(Address, Lot, Block, Road, etc.)
on BELLOWS BAY / CURRITUCK SOUND , in KNOTTS ISLAND / CURRITUCK , N.C.
(Waterbody) (City/iown and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill In description below or attach a site drawing)
NEW VINLY BULKHEAD AND BACKFILL AS NECESSARY
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
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.
nformation)
Signature
ROBERT & SUSAN CARRIKER
Print or Type Name
211 FFNTRF.SS DR1VF.
Mailing Address
KNOTTS ISLAND. NC 27950
City/State/Zip
(Adjacent Property Owner Information)
Signature''
MADELINE M. VAKOS
Print or Type Name
713 FENTRESS DRIVE
Mailing Address
KNOTTS ISLAND, NC 27950
City/StatelZip
Telephone Number/email address Telephone Number/email address
Dale
'Valid for one calendar year after signature'
Dare •
(Revised Aug. 2014)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that 1 own property adjacent to ROBERT H & SUSAN C. CARRIKER, TRUSTEES 's
(Name of Property Owner)
property located at 211 FENTRESS DRIVE LOT#30 SWAN HAVEN FRUTTVILLE ML
(Address, Lot, Block, Road, etc.)
on BELLOWS BAY / CURRITUCK SOUND , in KNOTTS ISLAND / CURRITUCK , N.C.
(Waterbody) (City/Town and/or County)
The gWficant has described to me, as shown below, the development proposed at the above
I
1 have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must f if in description below or attach a site drawing)
NEW VINLY BULKHEAD AND BACKFILL AS NECESSARY
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set back a minimum distance of 15' from my area of riparian access unless waived by
me`�U.Lyey wish to waive the setback, you must initial the appropriate blank below.)
Lf/J I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Own"fhformatlon) (Adjac -rt�
Signature L ure !,
ROBERT & SUSAN CARRIKER CRf
Print or Type Name
71 1 FF.NTRES9 DRTVF
Mailing Address
KNOTTS ISLAND, NC 27950
City/State/Zip
Telephone Number/email address
Date
F.
Print or Tyke-1 me
IN FENTRESS DRIVE
Mailing Address
KNOTTS ISLAND. NC 27950
City/State/Zip
Telephone Number/email address
Date*
(Revised Aug. 2014)
'Valid for one calendar year after signature"

PROPOSED NEW VINYL BULKHEAD - RIPARIAN DRAWING -1 OF 1
FOR ROBERT H. & SUSAN C. CARRIKER, TRUSTEES
@ 211 FENTRESS DRIVE, KNOTTS ISLAND, NC 27950
I NOT TO SCALE - BY SCOTT C. SMALL - [e-mail] - 252-473-7695
PROPOSED
NEW VINYL
BULKHEAD
#211 FENTRESS DRIVE
PROPERTY OF:
CARRIKERS
#209 FENTRESS DRIVE
PROPERTY OF:
CRAIG F. SEXTON
EXISTING --
HOUSE
dt
1
P L `.
LSI MARINE CONSTRUCTION, LLC
1112 W Kitty Hawk Road, Kitty Hawk, NC 27949
252-261-1967 / www.isimarine.com
[e-mail] / [e-mail]
NORTH
EXISTING BULKHEAD
P
#213 FENTRESS DRIVE
PROPERTY OF:
MADELINE M. VAKOS

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