86149A_Spencer, Randy_20211014

o�0(OAS '"1❑CAMA ❑ DREDGE & FILL
3
GENERAL PERMIT
New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
49 86149 ' a", B C D
Previous permit i
Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality and the Co tal Resources Commission in an area of environmental concern pursuant to:
15A NCAC T� El ' f I !/ r"' ❑' Rules attached. General Permit Rules available at the following link: www.dgq.nc.gov/CAMArules
Applicant Name QR4 1\ Lr SJ7 -, t r
Address ri I / CO3ro r nf./ A�1'
City ' l �+ e 3 r. e State ZIP "- 2
Phone # (151 1 S �1 ` S -5 3
Authorized Agent % ` i `' L
Project Location (County): '
Street Address/State Road/Lot #(s) L o T
Email EC, n rA T� G n 4.1L Subdivision �. \ r �: S-A '> / ,
City t o ZIP `�' % 5' �r
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body s (na i unk)
AEC s : OEA IHA UW SPIMA PWS
() ❑ ❑ ❑ ❑ ❑ Closest Maj. Wtr. Body
ORW: yes/no PNA: yes/no
of Project/ Activity r r,
Shoreline Length
Access Length
Fixed Platform(s) 1
Floating Platform(s)
Finger pier(s)
Total Platform area(F `2 .S t• f 3`
Groin length/# '
Bulkhead/ Riprap length if
Avg distance offshore 1
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed: yes no
Moratorium: n/a yes no
Site Photos: 'yes no
Riparian Waiver Attached: yes `y
A building permit/zoning permit may be required by
Permit Conditions ;�
a. ✓ !n C .c,-i1 e ,�� L�N
k �1
c., 4 11
r/ 1- Q1 D. , 1/ l 3 C,-k "
(Scale: tyr`i�
TAR/PAM/NEUSE/BUFFER (circle one)
/ c ) a r ': ❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial) ZO r
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature "Please read compliance statement on back of permit" Signature `
Application Feels) Check #/Money Order Issuing Date Expiration Date

Statement of Compliance and Consi� cy
This permit is subject to compliance v
this application and permit conditions. Any violation of these terms may
subject the permittee to a fine or crin
it or civil action; and may cause the permit to become null and void.
This permit must be on the project sit,
nd accessible to the permit officer when the project is inspected for
compliance. The applicant certifies by
ning this permit that: 1) prior to undertaking any activities authorized by this
permit, the applicant will confer with
)ropriate local authorities to confirm that this project is consistent with the
local land use plan and all local ordina
�s, and 2) a written statement from the adjacent riparian property owner(s)
has been obtained, or proof of delivei
f certified mail notification of the adjacent riparian property owner(s).
The State of North Carolina and the Di
on of Coastal Management, in issuing this permit under the best available
information and belief, certify that thi
oject is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your I ect:
Tar - Pamlico River Basin Buff Ves Neuse River Basin Buffer Rules
If indicated on front of permit, your p
--ct is subject to the Environmental Management Commission's Buffer Rules
for the River Basin checked above du:
its location within that River Basin. These buffer rules are enforced by the
NC Division of Water Resources. If yo
3ve any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946 31) or the Wilmington Regional Office (910-796-7215).
Notes/Additional Permit Conditions:
Please ensure all debris associated with the r
project area and disposed of in an appropriate
Division of Coastal Management Offices
Morehead City Headquarters
val or construction of the permitted development is contained within the authorized
land location.
400 Commerce Ave Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST Fax: [phone]
(Serves: Carteret, Craven — south of the Neuse �r, Onslow
Counties)
Elizabeth City District
401 S. Griffin St. Ste. 300
Elizabeth City, NC 27909
252-264-3901
(Serves: Bertie, Camden, Chowan, Currituck, D, Gates, Hertford,
Pasquotank and Perquimans Counties)
Washington District
943 Washington Square Mall Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Craven — north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext. Wilmington, NC 28405-3845
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover and Pender Counties)
http://portai.ncdenr.org/web/cm/dcm -ne Revised 6/01/2021

O`NEr`e
SEAL s 0 B
_ LOT 3
L-2958 lr
LOT 8
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POg 192 P9 CJ _ \ 'O,ac�
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LOT 32 00
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LEGEND
❑ EXISTING CONCRETE MONUMENT 1, Freddy D. Rankin, PLS, certify that this survey is of
A GEODETIC MONUMENT an existing parcel or existing parcels of land and does
O EXISTING IRON STAKE not create a new street or change an existing street.
W PK NAIL QUI MON.
6ac WATER METER "
�"—QUIDLEY"
M UTILITY POLE Fredd . Rankin, PLS, L-2958
PP 10' X 20' PARKING PAD
LOCATION SKETCH, NOT TO SCALE 30 20 10 0 30
NOTES:
1. This survey is subject to any facts that may be disclosed by a full and accurate title search.
2. Minimum Building Lines (MBL) shown hereon must be verified. The surveyor makes no
mo !z certification as to zoning and/or restrictive covenant setbacks.
9 3. This lot is a nonconforming lot of record platted prior to November 29, 1982.
scorch 4. Survey based upon physical evidence found as shown. Meridian for survey based upon recc
m BONNET SITE bearing N 28000'00" W for line A-B per MB 3, Pg 77.
MARINA
5. This area is located in the Wind -Borne Debris Region.
0 6. Impervious lot coverage is 16% (based on total lot area).
p 7. All proposed improvements shall conform to sections 22-47 and 22-56 of the Dare County Zc
AIDA T Ordinance.
m 8. CAMA permit obtained by property owner under seperate drawing prepared by property owns
gACCUSDi_ v Property owner responsible for verfying this site plan is in compliance with CAMA permit, before
m commencing any work.
coo CT 9. Property owner responsible for verfying proposed house shown is setback from existing septic
FRISCO, NC cT system as required by the Dare County Health Department, before commencing work.
REO DRIiM
Freddy D. Rankin, PLS SURVEY FOR:
50232 S. Buccaneer Dr., PO Box 121 RANDYFrisco, NC 27936-0121 L. SPENCER
[phone] Fax [phone]
LOT 31
I, Freddy D. Rankin, Professional Land WIND -HAVEN SHORES
Surveyor, certify that this plat was drawn
from an actual field land survey and that the 51180 LASSITER LANE, FRISCO, NC 27936
error of closure as calculated by latitudes
and departures is at least 1:10,000. Township County State
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,qZ t
Date
KL%ar V SCe}12609-00614
PAdjacent- 7--7�ner
MaM Addres<60s
City, State, Zip Code
Dear Adjacent Property:
Receipts for
Certified Mail
(Staple Here)
This letter is to inform you that I, Q a n& .0e11 W-i— have applied for a CAMA Minor
roperty Owner
Permit on my property at 51190 LP115S I 51--a (,ObO k" FfZ-+5C C) , in COUNTY
Property Address
County. As required by CAMA regulations, I have enclosed a copy of my permit application and project
drawing(s) as notification of my proposed project. No action is required from you or you may sign and return
the enclosed no objection form. If you have any questions or comments about my proposed project, please
contact me at 151 781 5s 10 or by mail at the address listed below. If you wish to
Applicant's Telephone
file written comments orobjections with the LOCAL GOVERNMENT CAMA Minor Permit Program, you may submit
them to:
LPO NAME
Local Permit Officer for LOCAL GOVERNMENT
LOCAL GOVERNMENT ADDRESS
CITY, STATE, ZIP CODE
Sincerely,
J IJLI 5pt:V a-a-
Property Owner
Z 1 k, C aywC., i NA- 1120
Mailing Address
C(-�C-S"j,-4 I�,t', Vj� 2_33'z z
City, State, Zip Code

ADJACENT RIPARIAN PROPERTY OWNER
STATEMENT FOR CAMA MINOR PERMITS
I hereby certify that I own property adjacent to V A-iLJO`I SYQJLJut ` Is
(Name of Property Owner)
property located at 6 I i �o L,, ,s I La
Address, Lot, Block, Road, etc.)
on in Fol56C-) N.C.
(Waterbody) (Town and/or County)
He has described to me as shown in the attached application and project drawing(s), the development
he is proposing at that location, and, 1 have no objections to his proposal.
(n= r�-�-�� = �c�v P13oGtt
(APPLICATION AND DRAWING OF PROPOSED DEVELOPMENT ATTACHED)
d _
Sig ature
-10/IN NoR T4
Print or Type Name
5041-sly- 233��
Telephone Number
`7 - 3 -- ze)-2-
Date

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