78167_Daniel & Jennifer Johnson_20210422

0
r —
C (6-
Vq AMA DREDGE & FILL
gE IT
Previous permit . ............
ew Moclificatlort Complete Reissue Partial Rei!SSLJC
Date previous permit issuecf-
As authorized by the State of North Carolina, Department of Environmental Quality
17 14,
and the Coastal Resources Commission in an area of environmental concert) pursuant
to 15A NCAC
Applicant Name, IV- RI rr' o -7
Project Location: County To-x-PL,
Address
Street Address/ State Road/ Lot #(s)
City State f C ZIP
5-9 �1>;-
Phone # 3'�,-51:--O E-Maill
Subdivision pca'e-nj 't IC -Or, (9ia r r-1
Authorized Agent e'
City ZIP
'rW A
CW 'Y '4VTA ES I PTS
Affected
Phone # '0 "",51 "Ilk
River Basin
OEA 14HF I IN UBA f N/A
AEC(s):
Adj. Mr, Body '.Ak - /man /unl(n)
Pws
ORW: yes /.no PNA yes "(0,
Closest Maj. Wtr. Body
Type of Project/ Activity 5,� w cA—
(Scalw
Fier (dock) length
Fixed Phatlorm(s)
Floating Pladorin(s)
Finger pjes'(s)
GroinqengLh
number I ot;
Bulkhead/ Riprap length
aYS distance offshore
n)aX Off$f)olre
Basin, channel io,
CUbic yards
Boat rarnp
Beach Bulldozing
IS
7-0-JG hj>A
Other
Shoreline Length
SAV; not sure yes C"6�
Morat� Ye oriurn: 11";�' 5 no
Photos no
yes,
Waiver Attached: yes (11.)
A building pert may be reqUired by;
See note on back regarding River Basinrurules.-1tote
Local Plmianniogjurisdiction)
N,!7/ Special Conditions A t t
r -Z. e-J
C Lo
Agent or Applicant Printed Naine' PerrnrEOfficer's Printed Narne
"YO
Signature Please;•earicor-npliancestateiiiefitonbickofperr-nit*I Sigrytfture,
42 4
Application Fee(s) Check # Issuin11g Date Expsration Date

Name of Property Owner Applying for Permit:
Daniel C. Johnson
It
I certify that I have authorized Gary Price agent to act on my behalf,
for the purpose of applying and obtaining CAMA Permits necessary for the
proposed development of: Construct boat -lift including 6 pilings
My property is, located at: 57'021 Kohler Dr., Hatteras, NC, 27943
Management staff, the Local 7r�n cti•
aforementioned lands in con Pe
permit application.
This certification is valid through 06/30/21 .
(Property Owner Information)
nature
... ....... .......
Print or Type Name
Telephone Number
mmm= �

m
EXSITING BOARDWALK
18, 6'
MITING
PILE (typ)-.o 0
/pll, 0
PROPOSED PROPO E
PILE (typ) B6AT-LIFT
lfi,"�6' WfyITH ui
32'
tD K" EXJSTING°
m
NAMMIMOSTOMIN

47-�'

Inea. 4 Ai.. i b. y •si, • •. yi fM n ,
I hereby certify that I own property adjacent to -0le L E Jr?IMiVS'0
property located at -T7201 1OUl. M bRi
(Project Site: Address, Lot Block, Road, etc.)
on R Ileh _SIVAIL) , in UA 7 e� ,+�& N.C.
(Water'body) (City/Town and/or County)
Agent's Name #. 64AV Mice Mailing Address. 0731T 14FAY& l -0
Agent's phone #: 2-52-5 !T= isjq? SMIM71 RA 3 q9 ?
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
."&�" RC-vE)ULC SIDEOF 71413 51JEE "
If you have objection's to what is being proposed, you must notify the division of Coastal lWanagement
(DCIW) in writing within 10 stays of receipt of this notice. Correspondence should be mailed to 1367 US
97 South, Elizabeth City, NC, 2,7909, DW representatives can also be contactedat [phone], No
response is considered the same as no ob ectivn If you have been nolffledpX Certified Mail
Signature
RIAI&L 6 IW SDA
Pffnt or Type Name
PI BOX 6 317
Mailing Address
Citylstatealo
2d2-3 &U3
Telephone Number/Emall Address
ab /9, 21
Gate
'°Valid for one calendar year after signature*
/(Adjacent Property Owner Information)
Gam-- J �' "
Sl mature*
Akk
Print or Type Name
1
Malting Address
citylState/ p
Telephone Numbert Email Address I
Fri
Date*

D, 40EVIN M,
Dear gary price -
The following is in response to your request for proof of delivery on your item with the tracking number:
7019 2970 00017694 4727.
Status:
Status Date / Time:
Location:
Postal Product:
Extra Services:
Delivered to Agent for Final Delivery
January 26, 2021, 2:23 pm
MECHANICSVILLE, VA 23111
First -Class Mail"
Certified Mai ITM
Return Receipt Electronic
I
Signature of Recipient: X 1<1
(Authorized Agent)
Address of Recipient:
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,
*0
LWOW M14 rOTIMP)m

�i f��I✓��/��i,„r(rI r°ar✓rl�; Hl �,����7/�,�rr,���AY f� �if'1 �r�ri�f�lPg if'i'/��!°�r i�i �I�F���'1I1��J`..
r
,r, � ✓iFfl�� � � � �
nal
HMr`C%
_..
E'
e re
r
tA0 it 3 „_
rc
ru
�c°s...:..
ofPd%.'......... ......... .........-
BMW
p I d � lr-N � I IN ���u�� � I, u. n 9p 2 pr%ROfl ^� n ��i��f���J
1Wf 4�.r tl1 4�V ,Imk PYp ^' Ir-_ r' ...
rq 1s1 N>t¢x r�r t .. r�"oArulor
J. Heqo
iR
Ir
ni
k, _. ..,, ..... k .. ..
icYk+V @"t`a rk$Nas uellYrJLV
1 �prcarrP,*irra'd �P'-M,;, of POVoXuL?ar

57021 Kohler Dr
flatte,ras, NC 27943
I X x a r c
BW
,fi rqp2rty Summary
Parcel #: 029779000
PIN #: 9595,17116839
Tax District: Hatteras
Lot BLK-Sec: Lot Parcel One f3k Sec
Property Use: Residential
Building Type: Traditional
Year Built: 1995
Drop 2rty_gwflersI'LJp
Tax Owners: Johnson. Daniel C -Primary Owner
Johnson, Jennifer F -Primary Owner
Mailing Address: 11 0 (3ox 637
Hatteras, NC 27'943