Litz

• CERTIFICATION OF EXEMPTION
FROM REQUIRING A CAMA PERMIT
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 15 NCAC Subchapter 7K °tL,1or NCGS 113A-103(5)(b)(5)
�) �I j VbrrI/Ie16)gr^AiI. �.Uel
Applicant Name PA v' [�` \A-)" 1 e - Phone Number
Address /()g'2 -1 �, `l CG1 H. o v P ( l Lf b Or • •
City M 1 el -I" l l State NC- Zip 2 a 7
Project Location(County,State Road,Water Body,etc.) ���&)1,2 t I L'N ' .a� D r , Oa 1c
Y',ruv" SwILle = (....-,/
Ar'1 44 G_ nr .Q Av.,
Type and Dimensions of Project I Y1 Du h 4 �v c No r)-tn c, ( ZA, S • fri a )0 r Pei k'-v f
rri
The proposed project to be located and constructed as This certification of exemption from requiring a CAMA permit
described above is hereby certified as exempt from the is valid for 120 days from the date of issuance. Following
CAMA permit requirements.This exemption to CAMA expiration,a re-examination of the project and project site may
permit requirements does not alleviate the necessity of be necessary to continue this certification.
your obtaining any other State, Federal, or Local �'Gr G'ra/ /j _„j,/ar'z4,44 4_,N r Pcc.,r;red (;,,re_ t_,.,e)rkC .
authorization.
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Any person who proceeds with a development without the con- '--/'- e e"' a l>-�.
sent of a CAMA official under mistaken assumption that the Applicant's signature
development is exempted, will be in violation of the CAMA if there ---
is a subsequent determination that a permit was required for the
development. CA icial's signature `
The applicant certifies by signing this exemption that the I�.f yll2;,Z U 1/ 7/?ci2.
applicant will abide by the conditions of this exemption. Issuing date Expiration(((Date

CERTIFICATION OF EXEMPTION
FROM REQUIRING A CAMA PERMIT
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 15 NCAC Subchapter 7K•D!='or NCGS 1133A-103(5)(b)q (5)_ 01
Applicant Name DA.V1O vtpvie te_ L44-7— Phone Number
Address l aq'2 q C.yta+i..cre CJI it) O)r. ,
City 440;14- /17i1 J State NC--- Zip 2$ZZ 7
IL
Project Location(County,State Road,Water Body,etc.) (Y&21 LA . 4C- Z-Siil D r . Oa�,.rjr
i&.-i4 CG oc v ekieN
Type and Dimensions of Project j 0411 >V44- exf f 4rt, rayd Al s , Manor pe.,
#1d1-i 1 iT,
The proposed project to be located and constructed as This certification of exemption from requiring a CAMA permit /
described above is hereby certified as exempt from the is valid for 120 days from the date of issuance.Following
CAMA permit requirements.This exemption to CAMA expiration.a re-examination of the project and project site may
permit requirements does not alleviate the necessity of be necessary to continue this certification.`�.-e- L--orjc .
your obtaining any other State.Federal.or Local / �?�l et'j Zli'Pvv1 r-anCAie- c .v
authorization. Pied( V e� f/e Z-3'-1/SPied(c' co•,cktc 5�� fa �4cr�e( -ram w.,:►1.., b�Gfc , (S -t.
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Any person who proceeds with a development without the con- ants signature
sent of a CAMA official under mistaken assumption that the 9
development is exempted,will be in violation of the CA e '�
is a subsequent determination that a permit was required for the CA official's signature
development. I��?J�ZV t l7/,�fOZ L
• The applicant certifies by signing this exemption that the { J t
applicant will abide by the conditions of this exemption. Issuing date Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: V(1t;o1lSt 1<tt,
Mailing Address: QQPAO(L 649 fir.
11\ i NC Aq
Phone Number: 10q fin 1110
Email Address: 4AVVIWD111014QPireN
I certifythat I have authorized T 4 f t t1Q.
'� 6\s-l-roc.„-tion
Agent/Contractor
To act on my behalf, for the purpose of applying for and obtaining all CAMA permits
Necessary for the following proposed development: p biz1( ct(1,QQ fl10 t
4'0 (pAy\t. V OSt6n
at my property located at lQ(oA( tx1 . C}, Or,
iaconsoiC C. 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 Information:
Signature
Print or Type Name
CSC,snc r
Title
-1-�I-- 7#r
Date
This certification is valid through I I

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Litz Residence
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to_ V ( 1 j lt_ 'S
, (R� (Name of Property Owner)
property located at .o i'Dl t 1 \W . 1 yi Non Or.
pp (Address, Lot,Block,Road,etc.),
h
on vvij*‘(`. t14�9f1 , in QR� Stt,c , N.C.
(Waterbody) (City/Town 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 till in description below or attach a site drawing)
k bet + #o pcavon‘- erosion
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.
(Property Owner Information) (Adjacent P e ner Information)
_alfra
Signajure Signature*
1.-, /— Mike Ouimet
Print or Type Name Print or Type Name
/df y cc/eAA. ' oc C/ ,o,- 3621 Odell School Rd
Mailing Address! /� Mailing Address
l //1/Y Al-,I/ !1/� �r1 ri 7 Conrord NC 28027
City/State/Zip City/State/Zip
7D 4/7/ !7 70 k dlc�i t tom.I jV O'1 n1!},/•L00-1 704-701-8635
Telephone Number/email address �/ Telephone Number/email address
/ �a-U 11-12-2020
Date `/ Date*
(Revised Aug. 2014)
'Valid for one calendar year after signature'

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to . ti.I IQ l,.r A.?.., 's
NI (Name of Property Owner)
property located at l0U �0 ( 1 ��
Y1 (Address, Lot, Block,Road,etc.)
I on W Vic4:le. O c Qi1 , in On1(._ t S1.4ncL , N.C.
(Waterbody) (City/Town andlor 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)
yos Izo 'P k >,,)+ -;-® c4. C .
p VInV e osiorl
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.
(Pro rty Owner Information) A scent Pro erty Owner Information)
-i .e:C��,._ 5r,
Signs sere S. ature
Verve.;Ile L.r• ' - kir n('+
Print or Type Name Print or Type Name
JD� 9 ,ce/e neh otz.4_C�I/ .- rr c ' T-y-►o �►r� Q F.
Melling Addresses fling dress
/2jr«/r ,I/ VC- IP I cd , tUr A1A5c)
City/State/Zip City/State/Zip
70 7if i770 YA,t;Ike I ez,n 4-;l.L'a.Y, co► 1 -`IOJ-a811
Telephone Number/email address Telephone Number/email address
%i 1-0 J tt 9 Palo
Date Date•
(Revised Aug. 2014)
*Valid for one calendar year after signature*

(p
;•' _ 5'F-'. 4'-. lfi'`'t:-,,,h�''�'7-0v...,.•S ?W'7P.`+i ,--, y"A-.,-�,,,, rtM'."cS .. .: ."ka 5a,------} •X ,• .n•'��04---2-C' }C'..., •!�, -:,,'2. .+�5f4Einii+l•c1"2 a•W'i:+2�r••SSG•/F
'4 .'Permit.Class'" 4' y
• 4 Permit Number
F :vNEW 101=14 ,. '
i; (by CRC Variance) STATE OF NORTH�,CAROLINA:„
: De''artment;of'Environment.and Natural Resources }{y¢r(
p ,'and i
" Coastal Resources Commission
®Ii:iitt f
., X Major.Development n an Area of Environmental`'Concern i -',..,
,
_< - pursuant to`NCGS.113A-118
r Fa
l: - X- Excavation:and/or filling.pursuanto t ;NCGS 1 13.229
11:1';` (Issued;to Barry'P Cobb,Mark Davenport,DaYid&voncille Litz and Christopher Atkinson,10820 Hob Nail Court,Potomac,MD 20854
5 `Authorizing 5development.in Bmnswickr< `M. County at.Atlantic Ocean, 6615, 661.7, 6621, and 6623 -
'';''i''.:l1?'':''':':::,':
.- West Beach Drive as requested In the permittee's application dated 911.6114, ineluding:the att'd workplan
.'4.. - d .n " ..
-' drayvings(4),�l 4.of 4,-dated'9/�1-2'/14,.and the�1EC Hazard'Notices of whi"chi'3 are.dated�9L16/1;4_and,1•rs dated 9/23(14�
This perm it,h
issued on- Nnvemher 2:1,M2014 ,its subject to.compliance with the application (where consistent
'with the permit),all applicable regulations,special;conditions and notesfset forth below;,Any violation of these terms may
r be subject tofnes,imprisonment'orcivil action,.-or.,may cause the permit:to be-null and void.` ,.
r .1)-. In keeping with the Variance granted by the Coastal Resources.Commission on November-19,20414,
r,. and=the CRC Variance Order signed by the=CRC Chairman on`November 21-,2014,fthe base width°�of :i
'1' - the authorized temporary rerosion control structures located at 66°15, 6617, 662;1, and 6623 West
-; Beach Drive shall not-�exceed a-base width of 30 feet,and�"the height'shall:not exceed`a crestEelevation ° ,
of f1;5l feet NAVD 88. . „
'1,..cl!-:r..::; 1.1:. 2) In keeping1with the-Variance granted by the CRC on November;19, 20.:1°4,:and the Variance Order : ,,,
E , „ - signed`by the CRC Chairman on November,2f1,;-2014,petitioners are to.begin construction on the
1 ro osed.`develo ment at the.Site within six,,6 months of the date of the final a enc. decision `
'- � p P p,. , � ) ,. g Y
antin the valiance...If constructionis-A,ot�begun by May`,21,_2015,the variance'granted�by the.. 4: -
t
CRC,Sand this permit,will both be considered null and void
-
r_
.-. ,(See attachedsheets for Additional Conditions)
` This- permit',action:.may.be appealed by' the permittee or' . `Signed„`by the authority:of the Secretary of DENR°and.:the` '
other.qualified;persons•within twenty(20)days of the issuing ,•Chairman,of the Coastal:Resources Commission.
` date. .
f
This permit must be accessible on site::to Department,w
erso7e'
when the''ro'ect'is inspected for com Nance, -
. 1 `-p p-� p zp :,'..:.'..•','..",':':,',,!.'i;:":..:::,:,::,',,:-.,:-.' H:,,:j' '.'1'.,S'777,', ,''.,'....,,:1.,....::;:,:H':::;. , -, ,.:,,::,::':,,',.
Brax n C Davis, Di ector
,� Any:maintenance work o'r project modi:f:c ii n notricovexed
. ' Division of Coastal Management
- , .hereunder requires further Division approval
J y: . i'li::':.
r ` ,• All work must cease when the;permit expires>on, `This permit and its conditions arelher`e�"$atcepted: : '
c • CMV1IL IN ;TCN, NC . yy
'i. - December 31,1.017 _toy 9_ Y
In issuing this permit, the State of North Carolina: agrees.' °
` that your project is consistent'with the North Cai olina,Coastal,
Signature of Permittee
Management Frogrant. -° � � -,
f �. - '
'" {'��FRi.: .ti'',,,,, 'Cy{•04.,`,,":.,+�':l•i4!'.K,:-X.n>-0^`v.,',.? ¢•ap':.,X 7..".�j.' "C.'•..,,, ,,, ,,, y,}•}Sfi.�.':'o-X'L .WS -5� i?`Y�}d'4+uC',,., : S'Q444 '+ fP:� ?J ;-7V�i��',•'+t,; •A!vMiti:•k r`,4'q'}�.
,

`f 9 .+tfGc4h�SihWiz, t• ti+.} r.�F`o'f:^t- +�F9<o �k�SagSfi^h";2!i�.kt C'*'n�aS{+ro-s-' rtr6aN =}65 o-aC Ea',;.3`so-5+"N.c�'K 4��..i'�✓�'-r•�+�i tr',•Y `ti ?¢S k�48: -:::?':C1.$p i U` •7
Barry�Golob
y; Peiell'#10" 14 ,
t Page..<2 o▪f 3; Y
y ,
it . ADDITIONAL CONDITIONS -,
Is f 3) No portion of the authorized temporary erosion control structures shallbe:located_waterward of the` , - .1
. existing zsandbags • �., 1
I' v C it N C T Syb' j^ ,� 'Y" . '
4) -Sandbags used to construct the temporary erosion control structuresushall'be tanin color and three>to �� ,
a d , five feet wide and seven to 15 feet long when=measured flat _
1F 0 ; d* z1' -
NOTE: 'The configuration of the individual sandbags may vary,rom that shown on the attached
- ,`3 z'�• work_lan drawin s so lon ,as the dimensions,alr nment,-:and sizere uirements�o£Conditions 1 -
�. �- .P �g , g ,' g • q. - .' ,
.-,„. t-- .,-i
3 and 4 of this permit are riot exceeded:, -` ` ti ,
1f
y5) Soldier pilings and other types of;devices to anchor the sandbags shall not`;be allowed -
,,- -..: .-_:::- ..-,:',1,,;,.!...:',.::‘. .:,i ',..-.i
Ff. G) Sand used to cover the sandbags shall be of`thewsamegeneral characteristics as the sand:n the�area in° 1--..,
f -`which the material is to beplaced In order to ensure`cornplianee`with this trequirement the permrttee r
6 • shall coordinate the tlocation of the backfill borrow source with a representative..of the Division of
i- ,Coastal Management prior to initiation•:of anyFl a.:c .ling+activities.
a qs #
k, ti 7 In.keepingwith 1.5 NCAC 07H1:0308 a 2 G` of'the rules of the.Coastal Resources Cornmisston
,. (CRC),Faswell as th'e Variance,granted by the CRC`.on November 19, 201'4,and the• Variance Order
signe▪ d',by the:CRC Chairman on November 21:, 2014,the temporary erosion control structures=may " i
:remain in place for up to eight years from November 21,2014 ;
;8) • Oncethe temporary�=erosion control structure tis,determined to be unnecessary due to relocation or
:rem• oval of the threatened.structure, a sto.77 rm protection project constructed.by the U S Arm.71 y Corps of
,: Engineers,a'large:.scale;beach nourishment project`or an inlet relocation project,it shail,�be removed by
,F the permittee threa,30�days of our--' .notification by the D-ivisron of Coastal.Managemen▪ t regardless , .,
of the�time limit placed on.the temporary erosion.control structure However,°removal:of theauthorized
temporary erosion contro structures shall not;be required if=they are covered•by:dunes with stable and •
�:natural�vegetatit.
9 If the tem orar erosion control structure becomes;dama ed`, the ermlttee shal1°be'res onsible for he
,,hkiit al of remnants of all portions of`.the structure(s) I
' l0) In order to`reduce the possibility impacts to nesting-sea turtles and their;nests,the ,
ermittee is encouraged to'ex edite the authorized work as=much as ossible.to work;onl durin
p g Pp y .� g �� =
daylight hours, and'to coordinate all authorized activities with existing sea turtle.monitoring efforts=in i
the area `, ° -
;11) There is the:•potential^that,.work may occur during the nesting sea turtle moratorium which runs from 01_.
`' ' May to 15 November, o-,' -. l the last known hest has hatched To-reduce_the potential for any --
=,, t , ... .., . unin▪ tended impactsito nesting sea turtles and their:nests, should any work take:'.-lace during the sea turtle`
nesting window,the NC Wildlife Resources Commission requests that~tl e work be expeditedr:to the. ',
,,,,ri'„, .1-,..i:,;: ; ,,i.,,.1.,..- .. '.,.:. ,
greatest extent possible All work should 3be conducted during the daytime only and only begin after
qualified sea;turtle monitors have.;evaluated the project area4for any potenl?i se7-gift lb ie brig activities.
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