86404A_Diegelmann, Ryan_20211203

�&A
CAMA [_1 DREDGE &FILL CL ` c D
ljhPrevious permit
� T GENERAL PERMIT Date previous permit issued
New ❑ Modification ❑ Complete Reissue o 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:
pp��
I5A NCAC __.._.__ �� � � � IJ-- ------ _ -- --- X Rules attached. i__.i General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Appl4Na—me� '} .V^•'�- - .4' V-11_ Authorized Agent Addr-P _ _.. Project Location (County):City ace ..........Syy �,_ _..._ZIP 1- ! 4q Street Address/State RoadJlot #(s} � X 1Y.�+Phon"
Email d J 5 . C Q M- Subdivision
City _.... _ i. 4 _' ZIP 2-��—_—
Affected ❑ CW MEW PTA ❑ ES ❑ PTS Adj. Wtr. Body ._._ rt LEA& r'- rA 6 i f _kt7lnan/unk)
AECs': ❑OEA IHA UW 17--�SPIMA PWS � t
(t ❑ � i__.1 ❑ Closese Maj. Wtr. Body _ j�--e-�...r-.
ORW: yes no PNA. ye. no 3
Type of Project/ Activity , � f l+VtG� c"k (C-S fi liAtl ) X 12. i ICJ f�t V M 4E; C2 hC_..._k J LP
Shoreline Length+ 4
Access Length
Pier (dock) length _
Fixed Platform )
Floating Platform(s)
Finger pier(s)
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore _
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing _..._...
Other _
Fib,
N t2i I
r �� _
-*y
M
SAV observed: es no r �X� S� rite
Moratorium: nJa yes no
Site Photos: 3'ey yyy,�
Riparian Waiver Attached: yes
A building permit/zoning permit may be required by: i _Q• �ii�—�
Permit
t
(scale: t\l fs )
T
�auv5
TAR/PAM/NEUSE/BUFFER (circle one)
See note on back regarding River Basin rules
See additional notes/conditions on back
e
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial) _....^
Brandon Mitchell c4luak
Agent Applica�Name Permit fficer's PrINTED Nagle -
iJf/
Signature "Please read compliance statement on back of permit" Signature }
Application Feels) Check i<JMoney Order ssuing Da e ( Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit. �ve., YY�
Mailing Address: 350S co -A --op
Phone Number: tQ�At - 3 - Q811
Email Address: F1..�0-n 0� �
'kaw 5 . C_
1 cerWy that 1 have authorizedVJJ�
Agem / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: VIQ M cx,�t�r�-tO1L—
Q." b"-Ch
at my property located at �y�d }tt,►k�, 27q�q
in g�r-{, County.
/ furthermore certify that l 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:
Signature
Ryan Diegelmann
Print or Type Name
owner
Title
9/30/2021
Date
This certification is valid through I /

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
'�EPTi iED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be COMPIWt3d by owner or their agent)
Name of P(Wrly Owner
Adatess of PromTty,
Matimg Address of Ownerm
Ownef s Phone*
804
Ageft'S NarT-*0k6hA_V4
Aqerit Phono
Aorits Ema!t
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom DOrWn to beer ilqted by the A01acont Property g-&ner)
I nereby ceflity that I own propertyalliaceM loft aboverejerentW property The tn6vsduatappirrigiforttus
mj Pertt)as(jestrtbe_dt0nV assh0vmonfta"ad*ddraiwing the development trey are proposing
descrip!io I or bP'3wlmwith difftenssons. m_ust be Fizz Wdh thtfs lettef
N you have 04-10cial fww-hatis betrig proposed. you nUa(n­o---t'#y" the N.C. Vhdtjon-'of -CC=tpj
Managemant (DCAO) hi wftng wftw 10 dap of waixif of this notice. Correspondence should be
malled to 401 S. Griffin St., sta. jim, Ejawmh CifY, NC. 27909, 0CM representatives can also be
contacted of (252) 264-3WI. No response is cansidbrDd the same as no obloction if you have been
notified by CorMed Mail,
WAIVER SECTION
I wVeflitand that any proposed fir, dock. ffmor" pj"s t*al f3illp, bMakwater boatf)OtAa. lift, of
groin must be set back a minicrtum disianm of 15, ftDm my area of npar tan access ur4ess walved by me
(this does not appty to buwteads or nprap revetffwfos) (If you wish to waive the setback you r"Um Sign
the appropriate blaf* below)
I DO wash to waive somelah of the 15' setbarax
ORSignature afActwerit Ripenan Property Owner
I cto not wish to waive the 15'seWack requirement (wh"i the b4tv*)
sqnatwe of AAacent Riparian Picipet" ownef
Typw*Printad name of ARPO: -S,
Mailing Address of ARPO. zj fy,
ARPO'semail. ARPOsPhonag: Z57-,ir'7/-.-Z4'7e,
Date:,
`WA#V*r is VAIM 11of Up to one year from AP""s SjUjUft#**

------------ -- v_
--------------• I _Y --r_
-- `
�o __aM '7�'pue laa>�,� 0
1 jugs
$ w `
!-I( C" 2; M pue 86e4sOld W401 L-Al
$ Er
t
,`t o 1 ! e51nsod C3
G �,SJ� �+anllaO PaPAsod wnleuSlS NnpV ❑ 0
GJGH - -• , S paiinbea ejnleubfS MnpV C
*Mu,4sod t i l i l i S ��a pe�wsea i�w pey! p p
(Ofun40e1e) idleaea uugea p
Ie�EJ,� bdl�i ee s (A�pjew idteoea umlea p
/ PPG xo
` (}. j " _ 4 x�eu�) saa3 '8 Sao eJW3 LJ1
ru
ea311eW Pelr+ao
IMF
44?
0 air
�z/", 1-1 /
G
f u,
t\I
v �
t ICJ
MXwISOd

This map is prepared
from data used for the
inventory of the real
property for tax
purposes. Primary
information sources such
as recorded deeds, plats,
wills, and other primary
public records should be
consulted for verification
of the information
contained in this map.
3400 Bay DR
Kitty Hawk NC, 27949
Parcel: 018508000
Pin: 987516745397
Owners: Diegelmann, Ryan F -Primary
Owner
Building Value: $244,300
Land Value: $175,000
Misc Value: $6,500
Total Value: $425,800
Tax District: Kitty Hawk
Subdivision: Kitty Dunes li
Lot BLK-Sec: Lot: 4 Blk: Sec:
Property Use: Residential
Building Type: Beach Box
Year Built: 1982
v

I 01pppl-