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GENERALPERMIT
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DatepPreviourevious [permit issued
flew ❑Modification ;_ Complete Reissue-
i Partial Reissue
As authortxed/Iby�t-hte State o(North Carolim. Department of Environmental Cualiry and
the Coastal Resources Commission in an area of environmental concern pursuant to.
I SA NCAC - t t O� __ - ., 5�iiules attached.
J General Permit Rules available at the following link: www dea.nc.eov/CAlt�ilgs
Appkm Name s A3 o da^ c (t
Aurhonzed Agent f=
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Address 11 A S L / ti S (� 41 -i s T C + •
Project location (County):
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Gty C) Q t p (L Sate N ` zip 2 % Cp e3
Street Address/State Road/Lot #(s)
Phone .—ee S3
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11
Email IX- M li r b s S all, v v_ k o Q, C a ..-.
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SubdMis,I kn /
ary N 40 S /fR-&
CL 1-7 9�f�q
Affected � CW � EW � PTA � ®'ptS
Adi. Wtc Body
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3 0.A s Vt S �' '^ 1 (l nadlwdunk)
AEC(s): ❑ IDEA D— El uW r f SPINA El—
ekxest t-lai. wit, Body
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Type o(P►*ct/ v- --n s +& 11
0.w l to Lk- I a,,1n �,,. 1r--t.rc-,
Shoreline Length is S
f * v
Access length k a •'� �a
Pi- (clock)length
Fixed Platferm(sl = —
Floating Platform(s)
Finger pier(s)
Total Platform area
G ngth/7t
t
Bulkhead/ iprap length (a 'j„_
Avg distance offshore
Breakwater/Sill `
Max distance/ length
Basin, channel
Cubic yards '
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing '
Other e_�'s►rn
7 C
V 1
SAV observed: yes n0 - �X• O �/tl1(tv�^ •.•_
Moratorium: n/a yes no -
Site Photos: yes no I �{END6A f�
Riparian Waiver Attached: yes no ,
A building Permit/zoning permit4m f( J sy: L
r+ T11
Permit conditions N J F I I. a-u
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to At u < 4- . _ _ 4-- . A- ✓YlG. t 0.uM, k r Ar-"
A ger�•A Ikant PRINTED Nar%e
nature —Please read compliance statement on back of permit'•
Application Feels) Check #/Money Order
(Sale: N I .S )
W"
TAR/PAM/NE1. 5EIBLIFFER (circle am)
See note on back regarding River Basin rules
See additional notWiconditions on back
_ e - - I t s>_e L 1_4---
1D REVIEWED COMPLIANCE Si ATEMEN7711t='(Ptease Initial) V
Permit Officer's PRINTED Name
Sign
,ref / r Z- /z ( 31/ Z /-Z-Z
Issuing Date Expiration Date
IV

AGENT AUTHORIZATION FOR CAMA PERMIT APPI ICATLON
Name of Property Owner Requesting Permit
Mailing Address
Phone Number: -
Fmuil Address:
I certify that I have authorized m `�` L ��%u } C , ir.. i7E -44
Agent / Contractor
to act on my behalf, fot the purpose of applying for and obtaining all CAMA permits
t
necessary for the following proposed development. 1^1=+ i r ..i t c, `'cam+ c
at my property located at �uc•t its uf`' 4 �.:. <_, .%
to .. _ _County
i furthermore certify them 1 am authorized to grant. and do in fact grant permission to
Division of Coastal Mali agunuenl staff, the Local Permit Officer and their agents to enter
on the aforementioned (rands rr/ connection with evaltiatrrrg information related to this
permN application
Property Owner Information:
S/gnrahrre
P11111 ul Type) N/anio
Till&
}
Date
-i ilia certification is valid through

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t o
v
Thn map rs prepared
7806 5 North Shore RD Owners: Henderson, Winston F - Tax District: Nags Head
from data used for the
1 N' Of. —ntory of the real Nags Head NC, 27959 Primary Owner Subdivision. Pond Island Marina
�j ProPMY for tax i r a •
Parcel: 007872000 Henderson. Patrick -Primary nMrr.�r Lot BLK-Sec: Lot: 31 Blk: Sec:
• 2 purposes p unary Property Use: Residential
Pin: 070905095512 -
., mformabon sources sad' Building Type: Beach Contemporary
n recoMad deeds. plats, --...— ... .
.9h, and other primary . ,,,,_..�,. ,,,�, Year Built: 1990 ,._ -•raF arr
pubix records slauld be
candied for veriticahon of the intormawn
cwttwted in tin map.

Emanuelson & Dad, Inc.
PO BOX "8
Nags Head, NC 27959
Phone: [phone]
Fax: [phone]
Email � ,r.ueison6705@outlook com
08/10/2021
Kevin & Kelly Cox.
14540 Giddenborough Drive
Midlothian, Va 23113
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CERTIFIED MAIL RECEIPT
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Re: Winston Henderson — 7806 S North ShortRoad, Nags Head.
We have been requested by the above property owner to do the following work:
1. Construct 61' long Vinyl Bulkhead with 1-40' return and 1-32' return
In order for us to obtain the Cama (Coastal Area Management) permit for this project, Cama 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 (Coastal Area Management) at 252-264-3901.
We thank you for your cooperation in this matter.
Sincerely,
Jacqueline Lewis.
Emanuelson & Dad Inc.
■ Compote itema 1. 2, and 3.
■ Print your name and address to Y� verse
so that we can return
ths■ Attach this card to the beck of the mailpiece,
or on the front if space permits•
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A. SW WUJm 0 Aget
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D. Is deUvery address farm Rem 1y ❑Yes
If YES, enter degvsry address balovr NO
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2. ArWe Number
7767 1503
uMd MNI Resbided
1130 0001
oomestic Return a
PS Form 3811. July 2015 PSN 7590-02-000-9053

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Emanuelson & Dad, Inc. F
PO Box 448 r-
Nags Head, NC 27959 0
Phone:[phone]
Fax:[phone] C3
Email [e-mail] C3
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08/10/2021 -0
0
171
Ernest Plante,
8137 Grimsby Road,
Richmond, Va 23235
Re: Winston Henderson — 7806 S North Shor Road, Nags Head
We have been requested by the above property owner to do the following work:
1. Construct 61' long Vinyl Bulkhead with 1-40' return and 1-32' return.
In order for us to obtain the Cama (Coastal Area Management) permit for this project, Cam 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 (Coastal Area Management) at 252-264-3901.
We thank you for your cooperation in this matter.
Sincerely,
Jacqueline Lewis.
Emanuelson & Dad Inc.
■ Complete items 1, 2, and 3. ' -
■ Print your name and address on the reverse
so that we can return the card to you.
• Attach this card to the back of the mallpiece.
or on the host {f space pem ts.
,. Article Adbeeeatia
Lr P I�,t�e
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A. Signature
ITAgarit
a. R9egived Dy (Rinted Name) C. 6»r. Mrbc
WIP 3�c c M I
D. Is delivery address different from item , 7
If YES, enter delivery address below; "Ciro
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IIN111111111111111inIII III 3. Type
�A° aV�natr.ied MaROD
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9590 9402 6133 0209 1060 50 O Certifwd Mall Restricted Delivery o Ni",coax[ on Der ery
2. _N_umber (haysfer fr= service IabeQ ❑ coDW on De,ivery ReWcfed Delivery ❑ sig-Wm rxn,atio„-
wU]r8 1130 �001 7767 1497 JedM.1 ry ns�at"Cagan
_ 1" Mail Restricted Delrve Restricted Del
3811, JI
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`lP t'OIIrI Ay 2015 ZS 7530.02-000-9053 Domestic Return Receipt