86454A_Avenue Properties, LLC_20211203

❑CAMA ❑ DREDGE & FILL �� N9 86454 A B C D
G E N E RAL PERMIT Previous permit
Date previous permit issued
E] New ElModification ❑ Complete Reissue ❑Partial Reissue
As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
1
15A NCAC > ✓ ' - ❑ Rules attached. ❑ General Permit Rules available at the following link: www.dgq.nc.gov/CAMArules
Applicant Name A
J e A P
r'�" :-) c: - +� e S 0 L L C-
Authorized Agent 1 •S - fil °' � "' a tiV -I
Address " n • i3 t� X a
i k
C V I ^ 1_ 'Z�l J 1'1
Project Location (County):
City A V� � -I� 4_. State
�
zip �� � -
Street Address/State Road/Lot #(s) PQ c • i
Phone # (31 ) y
3 1 - `/ ZN I l.v
/ / J S , M u C , ,, v. l7 C',
Email /( Poo J e
G, Tr-, + o (1 3..
Subdivision o A
city l� a 4 f /'� e. rt cf ZIP -z- % % S
Affected ❑ CW
Dw
F1,'PTA
❑ ES OPTS
Adj. Wtr. Body c r" e c 1 (nat(jjj�4nk)
AEC(s): ❑ OEA
❑ IHA
ElUW
❑ SPIMA ❑ PWS
Closest Maj. Wtr. Body 9 <. ^ !�' X,< S � s • t'�
ORW: yes/no PNA: yes/no
Type of Project/ Activity n S+ f- 2 0 1 7 x 17 4 G 2 a
Shoreline Length r
Access Length
Pier (dock) length
Fixed Platform(s) I<
2 Z' 14 • d
Floating Platform(s) "-
Finger pier(s)
Total Platform area S�
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift C
Beach Bul ozing
Other U—<d�
SAV observed: -� yes Go-� 1 -
Moratorium: n/a- yes no
Site Photos: yes no
Riparian Waiver Attached: yes no
A building permit/zoning permit may be requii —y. ,
Permit Conditions
(Scale: Al T S
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ 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)
Agent -Applicant PRINTED Name Permit Officer's PRINTED Name
Signature `*Please read compliance statement on back of permit" Signa u e
rj -
13 /2
Application Feels) Check #/Money Order Issuing Date Expiration Date

s
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: iClY/41 ��GN/d P�L� /'I✓ll/d'
Mailing Address: An ` '& x 01
A&41V,E- 44h
Phone Number: 'go / — 4—
Email Address: . C e^✓L
1 certify that I have authorized SCOTT C. SMALL / LSI MARINE CONSTRUCTION, LLC
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: NEW 20' X 20' DOCK WITH I 7' X I T GAZEBO ROOF
SYSTEM, NEW 2' X 18' FINGER PIER, NEW 8 PILE TIDETAMER 24K LB. BOAT LIFT, NEW 4' X 100' BOARDWALK
at my property located at I 10 S MARINA DR, NAGS HEAD, NC
in DART: County.
1 furthermore certify that 1 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:
ture
Am" 46—
Print or Type Name
OWNER
Title
9 l��I oGU f
Date
This certification is valid through ! I

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: AVENUE PROPERTIES. LLC -- KEVIN & MELANIE POOLE
Address of Property: 110 S MARINA DRIVE, NAGS HEAD, NC
Mailing Address of Owner: PO BOX 207, AVENUE, MD 20609
[e-mail] 301-481-4036
Owner's email: Owner's Phone#:
Agent's Name: SCOTT C. SMALL Agent Phone#: [phone] OFC / 252-473-7695 CELL
Agent's Email: [e-mail] / [e-mail]
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adiacent 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
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 wilting within 10 days of receipt of this notice. Correspondence should be
mailed to 401 S. Griffin St., Ste. 300, Elizabeth City, NC, 27909. 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.)
I DO wish to waive some/all of the 15' setback
Signature of Adjacent Riparian Property Owner
-OR-
1 do not wish to waive the 15' setback requirement T` gial the blank)
Signature of Adjacent Riparian Property Owner: i 1•3
Typed/Printed name of ARPO:
Mailing Address of ARPO: ISO &x 9 q /��UQ(►S IT mod'! /UC. 2 gS4
ARPO's email: 4nd y. gaiewi7' ��A ARPO's Phone#: QS2 Y 'It - 7o16
Date: 121112,1 *waiver is valid for up to one year from ARPO's Signature*
_ __ Rq_vWo May 2021

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: AVENUE PROPERTIES LL - KEVIN & MELANIE POOLE
Address of Property: 110 S MARINA DRIVE NAGS HEAD, NC
Mailing Address of Owner: PO BOX 207, AVENUE, MD 20609
[e-mail] 301-481-4036
Owner's email: Owner's Phone#:
Agent's Name: SCOTT C. SMALL
Agent Phone#: [phone] OFC / 252-473-7695 CELL
Agent's Email: [e-mail] / [e-mail]
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by 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
description or drawing with dimensions must be provided with this letter.
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, 27909. 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 wervi t e back, you must sign
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback
Signature of Adjacent Riparian Property Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO:
Mailing Address of ARPO:
CLARENCE E. BOBBITT, II
996 FIRE TOWER ROAD
ARPO's email: [e-mail] ARPO's Phone#: [phone]
Date: 11/04/2021 *waiver is valid for up to one year from ARPO's Signature*
Revised May 2021

PROPOSED NEW DOCK W/GAZEBO ROOF; BOARDWALK; & 8 PILE TIDETAMER BOAT LIFT
@ 110 S MARINA DR, NAGS HEAD, NC
FOR AVENUE PROPOERTIES, LLC — C/O KEVIN & MELANIE POOLE
RIPARIAN DRAWING 1 OF 2 — 1" = 40' — 11/17/2021
BY: SCOTT C. SMALL — 252-473-7695 [e-mail] — WWW.LSIMARINE.COM
CANAL
CANAL ENTRANCE
ml
MARINE
Construction, LLC
P/L
i
EX.
__ wu
EX. DOCK
PROPOSED NEW
20' X 20' DOCK
W/17'X17'
GAZEBO ROOF
SYSTEM W/ 5'
SETBACK TO PL
P/L
114 S MARINA DR.
PROPERTY OF: BOBBITT
112 S MARINA DR.
PROPERTY OF:POOLE
110 S MARINA DR.
PROPERTY OF: AVENUE PROPERTIES, LLC
S. MARINA DR &
RIGHT OF WAY
PROPERTY OF:
TOWN OF NAGS
HEAD
.S.
MARINA
EX. BULKHEAD
DR.
i
CANAL 78+/- LF
i
BOARDWALK, 2 ACROSS CANAL
2' X 18' FINGER 15' WIDE X 20' OVER LAND & 2'
PIER LONG OVER WATER j._"�
PROPOSED NEW
PROPOSED NEW 4' WIDE X 100'
8 PILE 24,000 LB. LONG
PROPOSED NEW TIDETAMER LIFT

PROPOSED NEW ROOF SYSTEM @
110 S MARINA DR, NAGS HEAD, NC
FOR AVENUE PROPERTIES, LLC/POOLS -�-
SECTIONAL DRAWING 2 OF 2 - 11/17/2021 /
BY: SCOTT C. SMALL - 252-473-7695 /
[e-mail]
PROPOSED NEW
17' X 17' GAZEBO
ROOF SYSTEM
;i
I
PROPOSED NEW
20' X 20' DOCK
( PROPOSED
f NEW 2' X 18'
FINGER PIER r
}
PLEASE NOTE: BULKHEAD NOT '
SHOWN FOR CLARITY
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LSO
MARINE
Construction, LLC

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■ Attach this card to the back of the maiipiece
or on the front if space permits.
1. Article Addressed to:
FOWL r,rkojsl�aC, ,��K�
III pill IN II 11111111111111 Mill
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9590 9402 4940 9063 8577 79
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?020 3160 0001 2521 6244
■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse
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■ Attach this card to the back of the mailpiece,
_ or o_n the front if space permits.
1. Article Addressed to:
Pa gx 91 Z
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9590 9402 4940 9063 8577 62
2. Article Number (Transfer from service label)
7020 3160 0001 2521 6190
PS Form 3811, My2W5 PM 7530-02-000-9033
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PS Form 3811, July 2015 PSN 753D-M-OW-9053 Domestic Return Receipt
Domestic Return Rece(pt

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