78155A_Humphrey, Daniel_20210416

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GE & FILL
LAMA
PERMIT — 5 C D
(omplete Rmsm Partial Reim*
As awhomed by the State of Narih Carolina Di,p;trtn"t of Fwontysemij Quality -TU 0
and the Coastal Rtsoorce% Comnvsuon wi An area of enwa(vnentAj roiscem (",wAm to I SA NC AC
'to
Applicant Name na*uc KuwtOv"!.", Propea Location: CouwY Ca*v'%-zUA^
Address q, C Street Address i State Road/ Lot #is) R kAt 14.&L,
+K. �J
`Z
C-tY M&�L*- State N JzJJp q,;e P-CL(A
Phone# (Kh23i -3)'NE-MgdtiAIIW.-AftittelV� Subdtvislo- F1 6W(W
T,41
Authmzed Agent City t11111oki ZIP I if 71- 1
Affected CAN )4W )tTA ES FTS phorle # i, -- J —� "r Baw) Pt,)KIVAC`irdO�'
AEC(s): OEA HHF IN USA N A Adl, Wtr. Body eaqj� 14 tx!AAV,1
Closest Mai Wit; Body A
ORW: yes i(,',
PHA
J yes
Type of Project/ Activity cl. I C V a t4t( 4- L2' X. J,
A14
k CL 19-e"O . . ..... . (Scale.
Istef (dock) "h
Fixed Plwunro %)
Flommg Plittlormisl
F#Var pwisj - - �./ATW)ncL
G-001 leorh
rxx"be( PL_ 4* *a*
Bulkhead,kptap knVth
an dmar<e As we rs,Ir L
m.0 6sume
Avov)
(I ity CC)l LIC
goal amp
&�atbousc all
Jv\ k1u,
Beach &AWOZOV
4-
"Joy
Shoreline Lerlth + jolt9
cu ve'l t 1+
$AV rmt sure yes rL L
momomm (BY yes no
phmos: G) - $CANA LA-P 't-44
WaivivAttadved, yes (S)
A building permit may be required br, ('CJVV14L" See we an back regarding Rrier aaw rules
(Note Local PbrintriS Jurisdicuon)
Notes/ Special Conditions
Arm App(K!i4 PYmted Name
StInAttwo, "Please r1.1dC.Pl-,.- 1-tenwnt on back of permit
41W. C16 Oi 13(411
ApOKm,onFeew check 4
�)a vtkVt Lh Lv
PernwtOlker'i Panted Nr-* I
6ti,ratt -�4,eq]O
Signature
4[!L)JJOZJ OJIV12of-i
Issuing te Expoitioll Dme

Coastal Management
ENVIRONMENTAL OUALITY
APPLICATION FOR
DEVELOPMENT
In 1974, the North CarolinaCeneral Assembly passed the Coastal Area Management Act
(CAMA) and set the stage for guiding development in fragile and productive areas that
border the state's sounds and oceanfront. Along with requiring special care by those who
build and develop, the General Assembly directed the Coastal Resources Commission
(CRC) to implement clear regulations that minimize the burden on the applicant.
This application for a minor development permit under (*AMA is part of the
Commission's effort to meet the spirit and intent of the General Assembly. It has been
designed to be straightforward and require no more time or effort than necessary from
the applicant, Please go over this folder with the Local Permit Of (LPO) for the
locality in which you plan to build to be certain that you understand what information he
or she needs before you apply.
Under CAMA regulations, the minor permit is to be issued within 25 days once a
complete application is In hand. Often less time is needed if the project is simple. The
process generally takes about 18 days. You can speed the approval process by making
certain that your application is complete and signed, that your drawing meets the
specifications given inside and that your application fee is attached.
Other permits are sometimes required for development in the coastal area. While these
are not CAMA-related, we urge you to check with the Local Permit Officer to determine
which of these you may need. A list is included on page two of this folder.
We appreciate your cooperation with the North Carolina Coastal Management Program
and your willingness to build in a way that protects the resources of our beautiful and
productive coast.
Coastal Resources Commission
Division of Coastal Management
10
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KM Form F'13 143Z-2013, Ro ised

Lmalitv Permit Number
Ocean Hazard - Estuarine Shoreline ORN%1 Shoreline - Public Trust Shoreline- Other -
GENERAL INFORMATION
LAND OWNER -,N1AlLIN'(; ADDRESS
Address
�110611-1
IMIMIrAbro "AXk1B7AiYA-VFJ1
AUT114ORIZED AGENT
name
Address
tl-'t)r oficial use onk)
-3s
State Lifx2M Phone
C11% Slate Zip ptu)l
w . .... ---- - ---
Email
LOCATION OF PRO.) FCT- (Addre*,,;, street name and or directions to site: flame of (tie adjJacent Nvaterbody.)
DESCRIPTION OF PROJECT. (List all is construction and land disitirbance.)
11 J P
SIZE OF LOT/PARCEL: square tcct acres
PROPOSED USE: Residential (Single-family Multi
11 [D \ -fillnilyEl) 0immercial'Industria)[3 iot 0
CO.NI PLETE EITHER (1) OR (2) BELOW (Contac•t ►wurLocal Permit Officer irjwu are not.vure which AEC applies
toyoarpropern,):
(1) OCEAN HAZARD AECs: TOTAL FLOOR AREA OF PROPOSED STRUCTURE: - square ficet (includes
air o mdl I toned living space. parking cievated above ground level. non -conditioned space elevated abo% e ground keel but
excluding non -load -hearing attic "cc)
(2) COASTAL SHORELINE AECS: SIZE OF BUILDING FOOTPRINT AND 01'1 IF.R IMPERVIOUS OR BUILT
UPON SURFA('FS: square lect fincludes the area ofthe fi--tindation ol'all buildings, driveways. coveted decks.
raw concretcorniasonry, patios tc. that are within the applicable Al-.(*. Attach your calculations with the project d ing.
STATE STORMWATER Is the pri�ject located in an area subject to a State
StornmraterManaec-itent Pernill mmied h) the N(' Division of Energy. Mineral and Land R"Itirces (DF,\ILR),!
YE S----- NO'... _/ -
If ves. list the lotal built tenon area, imrvn ltw,-i stirfwealloned fi-,r vour lot ter narcel: -.auare feet.

OTHER PERINuTs NIAN' BE REQUIRED: Thy activiiy, you are planning may require pennits other than the (AMA
minor development permit. including, but not limited to: prinking Water Well. Septic: Tank for ether saanitarN, ccastc
treatment system). €wilding. Fle trical. Plumbing. t (eating and Air Conditioning, Insulation and Energy Consery ation. FIA
Certification. Sand Dune. Sediment Control. Subdi\ ision Approval, IN -labile Home Park Approval, l lgh%%ay ('connection. and
others. C'hcck �%'ith your Leal PermitOfficerlior more information.
STAVENIENT OF O'%VN ERSHIP:
1. the undersigned. an applicant for a ('AMA minor development permit. being either the owner of property in an AIX' or a
Person authorized to act as an agent for purposes of applying tor a (',A\1A minor deeeleopment permit, ccrtlk that ttae person
listed as landowner on this application has a significant interest in the real property described therein. This interest can be
described as: Icheck cone)
oz an owner or record title. Title is tested in name (it` n-je-1
see f)ccd Book 1-*gc � � in the _}Q
- -..,-,an owner by virtt:e of inlieritancc. Applic:ml t, an heir to the estate of
ijIn
j �+ t"ounty Registry of Deeds.
Probate cites an
C cotantc-
if other interest, such as written contract or lelse. e\pl €in t lco c etr use a separate sheet & attach to this application.
NOTIFICATION OF ADJACENT RIPAifl:V\ PROP1r RTi' ONVNERS
I fttrthe:rmorc certify that the t'otlowing p i-sotts are owners ot'prope:rties adjoining this property. I affirm, that. I have given
ACT VAL NOTICE to each of them ctonc%miing, my- intent to develop this property and to apply for a C AMA permit.
(,1)
t?t
(3)
(4)
ACKNOWLEDGE NI E VFS:
1, the undersigned. acknotc ledge that the land cote€ur is aware than the Proposed development is ptatnncd for an area which
may be susceptible to emsicon and or tf xting. I acknowledge that the Local Permit Officer has explained to me the particu-
tar hazard prcoblems, associated with this lot. This explanaticoat was accompanied by recommendations concerning stabilizat-
ticon and floodproofing techniques.
t furthermore certify that I am authorized to grant, and do in fact grant. permission to Division eof Coastal M ant staff:
the Local Permit Officer and their agents to enter on the atiorememioned lands in connection with evaluating int'ormation
related to this permit application.
This the P day of k 'tl ,21
Landowner or lvrs auto act as his. her agent for purpose of filing a C A M A permit application
This applicatiart includes: gene v al iniiwintrtion (this ji;,r im, tr sitt, tltztot-09 as ties t•ibeti tm the hulk- of fhis upplicalion, the
snevte°t.�'lril� sttrtc�rrrc�rrt, tlrt, Ot°t`%i wvhciv no ooe ar-t: it check fr►r Sl(10.00 rrtttttepq*oah/ta ttr the hit -mica: tale/
trill' i�ajirrrrtcrtitrrr trs tttttt` htt ixr ttei<`h�tF tot tllt° i>a tfr<° cri�(rlic crrtt. 77rc� tic atilt t�J tiro trlxJolit trtr`art ct+ t%°.er r ihE l fat- thc,.ve .voittY•c v (we
inc•crr1)t1rtiletl 10111trrrt irli'l-enc'e ire curt° ire ona which rrrtn• be issrrc=cf theve cletttlls will ccu:rtitttttr o vildatioll of
tact, permit. '4111, irt't-strlr dt=t Io Darla ire tilt : IEC" wr'lhoul 14,1 trait it subject ter civil, c°r-intittrr/ oriel ticlrrtiltistrrrtive tle hilt.

Fee Amt S26A0 �V� V v Page 1 of 2
Excise Tax: $150.00
Camden County North Carolina
Tammie Krauss, Register of Deeds
LT#
$750.00
Tax Lot No.
Verified by _
by 14Va _
BK 398 PG 636 - 637 (2)
NORTH CAROLINA GENERAL WARRANTY DEED
Revenue Stamps $150.00
Parcel Identifier No
County on the aday of Q
1-1 7-5 0 _ oo MA.-- al — b 9D
03.8899.00.46.6507.0000 & 03.8899.00.465708.0000
�& —
Mail after recording to The Twiford Law Firm, P.C.
This instrument was prepared by Starkey Sharp, Sharp, Graham, Baker & Varnell, Attorney at Law.
Brief Description for the index Lot 18 & North % of Lot 17, Fisherman's
Village
THIS DEED made October 13, 2020 , by and between
GRANTOR
James D. Evans, Widower and not remarried
209 Clamshell Drive
Kill Devil Hills, NC 27948
GRANTEE
Daniel Humphrey, Unmarried
1735 Caratoke Highway
Moyock, NC27958
RE26233tf
The designation Grantor and Grantee as used herein shall include said parties, their heirs, successors, and assigns, and shall include
singular, plural, masculine, feminine or neuter as required by context.
WITNESSETH, that the Grantor, for a valuable consideration paid by the Grantee, the receipt of which is hereby acknowledged, has
and by these presents does grant, bargain, sell and convey unto the Grantee in fee simple, all that certain lot or parcel of land situated
in the Shiloh Township, Camden County, North Carolina and more particularly described as follows:
Lot No. 18 and the northern one-half of Lot No. 17 as delineated on plat of Fisherman's Village as recorded in Plat Book 2 at Page 58
in the Camden County Registry.
The property hereinabove described was acquired by James D. Evans and wife, Deborah A. Evans, by instruments recorded in Book
83, Page 800 and Book 88, Page 306, Camden County Registry. Deborah A. Evans died on April 14, 2015 vesting sole ownership in
the property to James D. Evans.
If checked, the property includes the primary residence of at least one of the Grantors. (NC GS §
105-317.2)
This instrument prepared by Starkey Sharp, a licensed North Carolina attomey. Delinquent taxes, if any, to be paid by the
closing attorney to the county tax collector upon disbursement of closing proceeds.

10 HAVE AND fO HOLD the atoresaid lot or parcel of land and all privileges and appurtenances thereto belonging to the Grantee in
fee simple.
And the Grantor covenants with the Grantee, that Grantor is seized of the premises in fee simple, has the right to convey the same in
fee simple, that title is marketable and free and clear of all encumbrances, and that Grantor will warrant and defend the title against the
lawful claims of all persons whomsoever except for the exceptions hereinafter stated.
Title to the property hereinabove described is subject to the following exceptions:
Easements and restrictions of record, if any, in the Camden County Registry.
IN WITNESS WHEREOF, the Grantor has hereunto set his hand and seal, or if corporate, has caused this instrument to be signed in
its corporate name by its duly authorized officers by authority of its Board of Directors, the day and year first above written.
(SEAL)
Janpelrss D. Evans
STATE OF NORTH CAROLINA COUNTY OF CL Q a�+Lk.CC V-
I the undersigned Notary Public for the State and County aforesaid, do hereby certify that James D. Evans personally al ;a,� before
me this day and acknowledge the due execution of the foregoing instrument. Witness my hand and official seal this o—tday of
Qr, 2020.
My Commission Expires 1 — 02 Dot- C LI
Notary Public
(Place Seal or Stamp Here)
Tamm sham
Notary Public
Curlitudc County
North Carolina

4,4,Y4V4 1
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RE: 117 Blue Heron Rd Shiloh
From: Toney Smith (toney.smith@)hal tau to, com)
To danhu m pfireyvC&yahoo,com
Friday, February 19, 2021, 112:59 PM EST
Dan,
See attached ..if you all are driving pilings, the canal is DEEP!9M
Thanks,
Toney
From: Daniel Humphrey [rnaiIto:[e-mail]
Sent: Friday, February 19, 2021 11:53 AM
To: Toney Smith <[e-mail]>; Daniel Humphrey <[e-mail]>
Subject: 117 Blue Heron Rd Shiloh
M�
It's Dan again - this time we are looking to repair the boat dock at 11713lue Heron Rd - please see the attached 2
pages needing your review and completion -
Ml=•I
M
ATTENTION: This email originated from outside of the organization.
Do not open attachments or click on links unless you recognize the sender and know the
content is safe.
dan2,pdf
IN
https:llmaii.yahoo-comldifoldersl2lmessagesl2355341APABrnivA3oCGYC_8fwllsN—An90 2?,eason=invand—cred

CERTIFIED MAIL RETURN RECEIPT REQUESTED or NAND DELIVEREC
Date
of Ad*& N nt Propert 0%%-tier
)k
ss
City. State Lip
To Whom 11 May Concern:
This correspondence is to notiry you as a riparian property owner that earn applying for a LAMA Minor permit
1
LIC
o''n"" my property at /1_.( �.!l� �C�° -_ I7 6Ji C _, in
(..l�.Lrl6 r 7/N _ County. which is adjacent to your property.
If you have no objections to the proposed activity, pleat mark the appropriate statement below and return to
me as soon as possible. If no comments are received within 10 days of receipt of this notice, it will be
considered that you have no comments or objections regarding this project. If you have any questions about the
project, please do not hesitate to contact me at my address/number listed below.
I f you have objections or concerns about the project, please mark the appropriate statement below and send your
correspondence to the NC Division of Coastal Management (DCM) at 401 S. Griffin St., Ste 300, Elizabeth
Cite, NC 27909. 'the staff at DCM can he reached at 252-264-3901.
Sincerely.
Property Qw 's Namv ,
Telephone Number
v c navy tto 001c;cuun to utv prvacul =WFIlmu ur tr►ca cusrcapvarucrrt;c.
I have objectio s) to the proll*vct described 'n this Correspondence.
�,//Adj ent Ripanan Signature I ��(t7 Telephone Number
Pridi or Type Nate !Date it Address
3.;•�±��� >. ��,:,7sC=as'sY?.e+".zW'�+it`'� * ,`�";*t"`�X"5�':.: ..- ,. '.:".:' '"x:;=s

IAND DELIVERED
REQUVS FED or I
Z(accnj wlict
If
71 P
I Fo Wholli It \-Izo, Cc m-1:111
I
it) notifN Hililtlat, propet,i% rut that I mn appkitiv lot a CAMXA . firior permitto f
ctriytlli prolvrix 11
//,/ /4 A,L
P t\Jjlclj vi ,d!)cc ot it� �our prolivi-tv Acopy of theapplication tuld project
drawing is attachedlenclosed for your mview-
file is st,411) its pos--i 111c, I i, no comilicills are recel \ ed \k I thin 10 days ofrecelpt ol'11w, notice. it NaI H he:
ti:ollmdelvd that ott have Ilk) C0111111clits ol objections regardillp On', projecl, It' you have any queslioll's about the
pl,olca pleast. (to Ilot llcNilate to contact mc ist [)I% ilddres-SI'llumber listed tvitm,
11 \oil hmv obfccll()W� 01* c011ecTill, 11bow the pro , lect, please mark the appropriate mmement Wow alld Selid your
S� (jid'im St.. Ste 300. 1,11i/AcIll
Ot\. XC 27909 '1 lie staffat I )(AI call he tvached at 2 i__)-,)64- 390 1,
sincercl\,
Idd
Properly 0-,\ncv*s Nam,c,
P73�)
Address
. I have no ohiection to 111C project (iescriOcd III this corre.sportileace.
I have ohTccfiojl(s) to flic prolect described III till-, corrcspondence.
Ad, jaccill Riparian S11,11;;
PI-1111 -or I kpe N"llik" Date!
Feleplione Nitniber
Finall Athfiv,
11)

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1 [7 1-1017, 7-
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117 Blue Heron Rd, Shiloh - D. Humphrey
April 10, 2021
Streets f Addresses
Streets Parcels
L_J
mw Main Roads 13 County Boundary
1:781
0 0.005 0.01 0.02 mi
0 0.01 0.02 0.04 k
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US GS,AeroGRID, IGN, and the GIS User Community
Esrt HERE, Garmin, (c) OpenStreetMap contributors, and th
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