86438A_Kitty Hawk Bay Club_20211210

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T 4CAMA D DREDGE & FILL �—� N) 8643 ► g C D
` Previous permit ._
- = GENERAL PERMIT
Date previous permit issued
XNew ❑Modification ❑ 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:
I SA NCAC H - I LL: 0 Rules attached. General Permit Rules available at the following link: www.dea.n5.govK MArules
Applicant Name. r (1.4�+�4� r, Authorized Agent LU►/lr1 �i'Y1L(.!r[ � --
Address? �f�ii�t /1�,' �751�+r�rt1 Project Location (County_)
City .State � C_ ZIP IP 1'1 `4 q [� 1 Street Address/State Road/Lot #(s)
Phone # ( _ zQ 1 - 2 214 K t Y tq C am evA,,,> ,e-ldsil
Email �J�� C-L-i ti Subdivision V—J`l ` ' J C Ll,
City-- f-"A j 1 1���LlAAA 1-a— p 2— Tq_- El
Affected 1:1CW X EW 19PTA ES i PTS Adj. Wtr. Body
AECjsj: OEA IHA 11 UW SPIMA PWS Closest Maj. Wtr. $ody
ORW: yes PNA: ye. no j
Type of Project/ Activity CC u J aAtA t to Sli Ct l l G+�,
(Scale:
Shoreline Length
Access Length �" " �� \9
pg. r 1V 0-
Pier (dock) length
Fixed Platform(s) CL
Floating Platform(s)
Finger pier(s)
Total Platform area T
Groin length/if
Bulkhead/ Riprap length _--_
Avg distance offshore
Breakwater/Sill
Max distance/ length ,___ .......
Basin, channel
Cubic
Boat ramp
Boathouse oatlif t
Alitera�J�_
WL
SAVobserved: es
Moratorium: i/a yes no
Site Photos ye j = e' .�.
Riparian Waiver Attached- yes no ' "~
A building permit/zoning permit may be required by' _ I_Z:!(V n --CS—VtLl I -'eV, I_ lk. I I L�
Permit Conditions
. A5`00
EI TAR/PAM/NEUSE{BUFFER (circle one)
See note on back regarding River Basin rules
See additional notes/conditions on back
I AM AWA4E OF 5TATUT RC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCF STATEMENT. (Please Initial) ____ _
Agent or pplicant PRlnD Name � � Permit O .er's PRINTED NA.
amc
Signature "Please read compliance slYtemc on back of permit" Signatures., ],
t. Litt s`iC C , i J5,21 _1
Application Fee(s) Check R Mone Order Issuing Datti r
xpira on Date
C al5o GP*Nat+1,6 + "t�t4219N

Lyn Small Inc, Marine Construction
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Kimberly Gamertsfelder
Mailing Address: 2100 Bay Drive — Kill Devil Hills, NC 27948
Phone Number: 740-291-2245
Email Address: [e-mail]
I certify that I have authorized Lyn Small Inc
Agent J Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
at my property located at 2100 Bay Drive, Unit #4
in Dare 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 lands in connection with evaluating information related to this permit application.
Property Owner Information:
Signature
_Charlotte L Smith
Print or Type Name
_Kitty Hawk Bay Club Homeowners Association, Agent
Title
_11 _/_7 /_2021
This certification is valid through 11 /_7_I_2021_
Date
This certification is valid through _11 /_7 1_2022

U.S. Postal Service"
CERTIFIED MAIL@ RECEIPT
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Certified Mail Fee
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tJ Reden Receipt (hardeopy)
a❑ Raturr. Receipt (olecironic) $
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Pestrnark
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❑ Adu t Sl9n2ture Restricted Delivery $ -
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CERTIFIED o RECEIPT
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❑ Rehrrn Receipt (Wectronlo)
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$ 305'
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�Petum Receipt (tyedcopy)
rU ❑ Return Receipt (a'actronic) $ t Postmark..
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- --------------- - -__
Dny--- KD4
JARVISBWC P.O.
7066 CARAT09 HWY
JARVISBWG NC 27947
LISPS 3bAU7
1'800%7m
Term ID:
003
Clerk ID:
000001
SAL_ E
AMEX
TOTAL:
$
09/21/21
13:0
Inv #: 000001 Appr Code: 823
Receipt #
00000279
All Sk Final on Sorb, and poosill
Rrtuods for Guarantied Services on,
AMERICAN EXPRESS
AID: A000000025010801
AC: CE 3C C7 OA 66 49 9C C2
CVR. 5E 03 00
IAD: 06570103AD2002
TVR: 00 00 00 80 00
TSI: EB 00
CUSTOMER Copy
Order Slamos at USps.cowhhop or tap
I-W-Stspri?t Go to
r Odichnship to print thiooiro
111. ,. ..n

04
Y�
rhis map is preparcu
front data used for the:
inventory of the real
% e
property for tax
J fr'
purposes. Primary
mtormat rxr sowces :iuk h
a
reordecl deeds. plats.
wills. and other pnmary
public r CA$ should b,
comulted for ve.nti(,ino,
of the information
nnrmMd in IN, ncn;
O&W !_
i iTdt b ib s •�.�.
VWOM -
2100 Bay DR 4
Kill Devil Hills NC, 27948
Parcel: 003064004
Pin: 987408990170
owners: Gamertsfelder, Kim Elizabeth
Tax District Kill Devil Hills
-Primary Owner
Subdivision: Kitty Hawk Bay Club
Lot BLK-Sec: Lot: Unit 4 Lot 4 Blk: Sec:
Building Value: $175,000
Property Use: Residential Townhouse
Land Value: $150,000
Building Type: Condominium
Misc Value: $0
(Townhouse)
Total Value: $325,000
Year Built: 1985

This map is prepared
from data used for the
inventory of the real
property for tax
purposes. Primary
information sources such
3LA
as recorded deeds, plats,
wills, and other primary
public records should be
consulted for verification
of the information
contained in this map.
Ilk At 11
I'
w1
4
2100 Bay DR
Kill Devil Hills NC, 27948
Parcel: 003064000
Pin: 987408992126
Owners: A B G -Primary Owner
Kitty Hawk Bay Club -Primary Owner
Building Value: $0
Land Value: $675,000
Misc Value: $0
Total Value: $675,000
_ L,
,a R
Tax District: Kill Devil Hills
Subdivision: Kitty Hawk Bay Club
Lot BLK-Sec: Lot: Common Property Blk:
Sec:
Property Use: Residential Master Card
Building Type:
Year Built:
'1.
9 pP�4,
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