79406A_Sclafani, William_20210823

AMA / DREDGE & FILL ��<� ^7O 1(j(��`
CA J B C D
ENERAL PERMIT Previous permit # —
(Ww Modification Complete Reissue Partial Reissue Date previous permit issued____ ___
As authdrrized by the State of North Carolina, Department of Environmental Quality 71�e
/and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
VRules attached.
Applicant Name (1 16 o. n� _� ! Oi';'C 1_t tProject Location: County
Address-.:.7- y1 % 1 C�t e, l�� cb, sip+3..._&4,4p, �J Street Address/ State Road/ Lot #(s)
S
City S /JA c0'^' __ state V� 22 zip Y �[ _ S)1 •1 `j—Er
� �• •r ` _. i.� --�i`f {� 8 _
Phone # (1r3',� %(�[ E-Mail SG Iq-�c� �t °' ern--subdivision_f
Authorized Agent C/Kk /�-�s ran q-' r3.� City Fr.f ca- ZIP?-?
Cw f SW �&A C_: ES LI rTS Phone # River Basin ,PiI J V uwD
Affected OEA I HHF IH : URA L-IWA
AEC(s): Adj. Wtr•. Body C �� ___ man unkn)
PWS:
Clncwtt Mai. Wtr. Bodv
ORW: yes /(no ,) PNA yes /?
Type of Project/ Activity 1 $ �4 � � A 4L W w � `j �' � '�` � � � %A '�
b�=1 ` it r�� I (Scale:
_ /��
Pie(dock) le)gth w K
Fixed Platform(s) ""_______ �- 0•,1 V_l -� S ;, u ^ ,
Floating Platform(s)
Finger pier(s)
Grom length
number
Bulkhead! Riprap length C f 141
avg distance offshore P •i 3 �,
max distance offshore rr c ti
Basin, channel
cubic yards
AJ y.j C__
Boat ramp ef
Boathouse/ Boatldt
Beach Bulldozing S
Other —
Shoreline Length
SAV: not sure yes
ti
Moratoi win: Cyes no I
Phocos �s no �L
Waver Attached yes no
A building permit may b�regOired by: ex. ct CIA. 1 See note on back regarding River Basin rules.
( Note Local Planning Jurisdiction)
Notes! Special Conditions
ent/or Applicant Printed
Signature '' Please read compliance statement on back of permit
Application Feels) Chea #
Permr Officer's Printed Name
Sign ure
Issuing Date Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Mailing Address: 6',?-7/ C.,, /?,)
w . l/a 2297/
Phone Number: 43 q
Email Address: /n�cyd'70(WA Ce,,,
I certify that 1 have authorized L-,&, 4,j " /s 11 J A4d ITAC
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAM'lA permits
necessary for the following proposed development: 6 (- (� of Oc_
at my property located at 501760 C T. / i s c o VC 27 9 s C
in D 4 , L 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:
Sigrnature
Print or Type Name
O,,✓r Gi
Title
3 I I I )-I
Date
7- z2-Z-f
This certification is valid through . I lam_

Emanuelson & Dad, Inc.
PO Box 448
Nags Head, NC 27959
Phone.[phone]
Fax:[phone]
Email: emanuelson67056%outlook.com
07/22/21
Lynn & Janice McManus,
PO Box 576
Frisco, NC 27936
Re. W.Sclafani — 50178 Freebooter Ct, Frisco, NC
We have been requested by the above property owner to do the following additional work
1. Demo old dock and install new 6'x40 dock parallel to the bulkhead.
In order for us to obtain the Cama permit for this protect, Cama (Coastal Area Management) requires
each adjacent property owner to be notified. We would ask that you sign the attached form and return it to
us as soon as you can. You may scan and email, fax or simply mail. We are also attaching a sketch of the
proposed project. If you have any questions, please do not hesitate to contact us. If you do have any
objections to the proposed work, you may contact Cama at 252-264-3901
We thank you for your cooperation in this matter
Spwel��''Y�" " _" j
Jacqueline O. Lewis
Emanuelson & Dad Inc

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONWAIVER FORM
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
( 11
Name of Property Owner. W , � � � <• ,�� S c �- T' �- n .-II
Address of Property: s I `,I K r e... J a {-,� GT . rr � S- c a /„ c "z- 7 73 (c
Meiling Address of Owner S
Owners email: S ca-'i 0 o a o l ^Owner's Phoneft:
Agent's Name: ggerk Phonett:
Agent's Email: t.-w���(Se...(o/�SeJU'� �o�{(,cI, 'I
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(BottomDortion to be completed bV the Adjacent Property Owner)
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
de - n or drawing. with dimensions must be vided with this letter. (D X y o' D J cam. c /c,
a. I DO NOT have objections to this proposal _ I DO have objections to this proposal.
If you have objections to what is being proposed, you must notify the N.C. Division of Coastal
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 401 S. Griffin St., Ste. 300, Elizabeth City, NC, 27W9. DCM representatives can also be
contacted at [phone]. No response is considered the same as no objection if you have been
notified by Certified Mail.
WAIVER SECTION
I understand that any proposed 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
(this does not apply to bulkheads or riprap revetments). (if you wish to waive the setback, you must sign
the appropriate blank below.) Z g g e- e e- Lo i 4 h + C k ..
I DO wish to waive sometail of the 15' setback o
> %
Signatu Adjacent ' rian Pmpedy Owner
-OR•
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner. t�
Typed/Printed name of ARPO/: Lt4J1 G )-n q /i US
n
Mailing Address of ARPO: P0 OX $�' 1/7(o f- r i Sc / • C _:;i, % `'/ 3 t0
ARPO's email• 14 ^ I r^t +'''r ARPO's Phoned: g / �—� / � — 3 3 O Cf
Date: 2waiver is valid for up to one year from ARPO's Signature'
Revised July 2021

nc%.ctr t KGt11 —t I tl)
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMIAIVER FORM
Name of Property owner�t (� %' I'Y� jJ C �C -�411 t
Address of Property: _� li f i�y- t C ( O /Q<
j/ (Lot or Sh •, Sham or Road. City 8 County)
Agent s Name * ✓tell l; e.-�,\_ t I r ` ff
G Malil�utg Address �
Agent's phone #: 2 Z I Z
I hereby certify own property adjacent to the above referenced
frt1` that I property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing..4 descnotion or drawing with dimensions. must be Grovided w th this iette'.
X-4— 1 have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Mana (DCM) in writing within 10 days of receipt of this noticegement
_ Contact irNormation for DCM offices is
available at _R _www.nccoastaimanauement net web cm stall-hsang or by calling 1-888-4RCOAST.
No response is considered the same as no objection it you have been notified by Certrned Mai!
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 (it
You wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement
do not wish to waive the 15' setback requirement
(Property Owner Information)
SiiQ7KIfY7C
i u fIti .�C C- �-�Q t k ,
Pnnt or Type IvmTw �j I
Me
j(intg Address
i�,('t «. Va- . 2-2)7i
aty/saiwip
L+34--�z�- oiS►
Telephone Number/Email Address
(Riparian Pro" Infolmatloft)
4i nnttnY' t
Ly/7n rnc/?1C1nvS
Pnn or Type Name
f C' 180 X 5 7/P
Maairtq Address
Ft^, 5I AIC -31 `4)3 Gr
Cay/staftrzto
Iy- --/ -a 304
Telephone Number/Email Address
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(Revised Aug. 2014)
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Emanuelson & Dad, Inc. F
PO Box 448 r`
Nags Head, NC 27959 a
Phone: [phone]
O
Fax: [phone]
Email: emanuelson6705Aoutlook.com - o
m
07/22/21 a
rl
Ms. Judy Davis, o
123 Willowbrook Place
Bermuda Run, NC 27006
Postal Service
DomesticCERTIFIED c ILI
RECEIPT
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Re:
We have been requested by the above property owner to do the following additional work:
1. Demo old dock and install new 6'x40 dock parallel to the bulkhead.
In order for us to obtain the Cama permit for this project, Cama (Coastal Area Management) requires
each adjacent property owner to be notified. We would ask that you sign the attached form and return it to
us as soon as you can. You may scan and email, fax or simply mail. We are also attaching a sketch of the
proposed project. If you have any questions, please do not hesitate to contact us. If you do have any
objections to the proposed work, you may contact Cama at 252-264-3901.
We thank you for your cooperation in this matter.
Sincerely,
Jacqueline O. Lewis
Emanuelson & Dad Inc.

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONlWAIVER FORM
Name of Property Owner: i U I Q 1Yl `� C 16i
Address of Property: �U� L(L�'`�rr �/ Z7
13c—
(Lot or S&vM #, Street or Road. City & County)
Agent's Name : AGO "Mailing Address: C 0 3 D�f �a
�1Q-�,� 2SLZ�I.22t2 N=� I-lFf�l tic
Agents phone #
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
�rnI have no objections to this proposal. t have objections to this proposal.
if 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
availableat!,i;• o r;ran,+yement.rerwcuun staff-Irsnaorby calling I 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)
Signature
0,(( 10 (Vt SC C— l f\l,
Print or Type Name Q/)
�Z-71 [�I,:2e,��sColeFc�
Address
r, r,.,,C, �,
C11yBtate;Zip
g3L(.-�, �- oiS1
Telephaiie Ntxnber/Emad Addtess
�, L� z(.
Date
(Riparian Property Owner Information)
Print or Type Na e
�- �, a) : I low br .d P la 0-C.
Mailing Address
Cityistowzip 9700
telephone Number/Email Address
�p' ft/'u , tti.-ya F-s 1?'av►1a d . coat..
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Cosm-f�—k (Revised Aug. 2014)

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